Revised January 2019 | More about Long-Term Care Legal Services
In Arizona, there is a cap on the amount of income that a beneficiary can receive and still qualify for long-term care benefits through the Arizona Long Term Care System (ALTCS). The cap, which is 300% of the Federal Benefit Rate, is adjusted annually, and in 2019 it is $2,313. (See details regarding the eligibility guidelines on our ALTCS and Long-Term Planning page.)
The good news is that, in the vast majority of cases, whenever the aggregate income received by the ALTCS beneficiary exceeds that amount, eligibility can still be maintained by re-directing some or all of that income to an “income trust” (sometimes called an income-only trust, qualifying income trust, qualified income trust or Miller Trust, a name taken from a court case that gave rise to their use).
While income payable to the ALTCS beneficiary counts toward the maximum income allowed, any income that is made payable to an income trust is excluded from that income calculation. This can make an individual whose income exceeds the cap by, in effect, reducing the amount of income payable to that beneficiary.
The beneficiary has a choice of whether to redirect all or merely some of the income to the income trust, but all of the income from any one source must be redirected. For example, an individual with monthly Social Security income of $874 and a monthly pension of $1,500 (totaling $2,374) would be over the $2,313 income limit. By redirecting to an income trust the Social Security income or the monthly pension or both , the individual would be under the income cap. Redirecting income simply means having a source of income directly deposited into a checking account titled in the name of the trust.
All of the applicant’s income, including any income deposited into the trust account, is counted in determining the individual’s share of cost, which is the portion of medical expenses that remain the applicant’s responsibility.
In order to use an income only trust, specific rules must be followed. Here are some of those rules:
(As was mentioned above, more details about the eligibility guidelines are available on our ALTCS and Long-Term Planning page.)
Once the recipient has passed away, AHCCCS is allowed to receive the amounts remaining in the trust at that time, as reimbursement for the cost of services that have been provided.
As you can see, ALTCS eligibility is complicated, and advice from an attorney who frequently works in this area of the law is highly recommended. At Frazer Ryan, we work hard to say up to date on the law and on methods to ensure that all eligible individuals are properly prepared to qualify for ALTCS. We encourage you to give us a call to discuss your particular situation with us.
Frazer Ryan Goldberg & Arnold LLP
All Rights Reserved | Frazer Ryan Goldberg & Arnold LLP