441.4 Impact of Trusts on MA LTC Eligibility - Trusts Which Are Counted

441.41 Revocable Trusts

When reviewing the trust, the CAO will:

55 Pa. Code §178.104 55 Pa. Code

 

 

441.42  Irrevocable Trusts When Payment Can Be Made To The Individual Under The Terms Of The Trust

 

When reviewing the trust, the CAO will:

55 Pa. Code §178.7

 

441.43 Irrevocable trust When Payments Cannot Be Made To The Individual

 

When all or a portion of the principal or income of a trust cannot be paid to the individual, treat all or any such portion of the principal or income as a transfer of assets for less than fair market value.

The date of the transfer is:

55 Pa. Code §178.7(e) (2)

 

For transfer of asset purposes, in determining the value of the portion of the trust which cannot be paid to the individual, the CAO will not subtract from the value of the trust any payments made, for whatever purpose, after the date the trust was established or, if later, the date payment to the individual was foreclosed.

 

441.44 Counting Payments From Revocable Or Irrevocable Trusts To Or On Behalf Of The Individual

 

Payments are considered to be made to the individual when any amount from the trust, including an amount from the principal or income of the trust, is paid directly to the individual or to someone acting on his/her behalf (such as a guardian or legal representative) as specified in Section 441.41 - Revocable Trusts or Section 441.42 - Irrevocable Trusts When Payment Can Be Made To The Individual Under The Terms Of the Trust.

55 Pa. Code §178.7

 

Payments made for the benefit of the individual include an amount from the principal or income of the trust paid to another person or entity for the benefit of the individual. For example, these payments could include the purchase of clothing, a radio or a television. Also, these payments could include payment for services the individual may require or medical or personal care that the individual may need. Payments to maintain a home are also payments for the benefit of the individual.

In determining whether payments can or cannot be made from a trust to or for the benefit of the individual, the CAO will take into account restrictions on payments that may be included in the trust.

EXAMPLE: If an irrevocable trust provides that the trustee can give only $1,000 to or for the individual out of a $20,000 trust, only the $1,000 is counted. The remaining $19,000 is treated as an amount which cannot, under any circumstances, be made to, or for the benefit of, the individual. The $19,000 is subject to the transfer of assets rule.

 

441.45  Use Of Trust VS. Transfer For Assets Place in Trust

 

In general, other than with Special Needs Trusts as defined in 441.51, when an asset is placed into a trust, a transfer of assets for less than fair market value has occurred.

An individual who places an asset in a trust generally gives up ownership of the asset to the trust. If the individual does not receive fair compensation in return, a penalty is imposed under the transfer of assets provisions.

The trust provisions contain specific requirements for treatment of assets placed in trust as available income, available resources, and/or a transfer of assets for less than fair market value, depending on the circumstances of the particular trust. Refer to Sections 441.41 through 441.43. Applying the trust provisions and a penalty for the transfer of assets into the trust could result in the individual being penalized twice for actions involving the same asset.

To avoid such a double penalty, application of one provision must take precedence over application of the other provision. Because the trust provisions are more specific and detailed in their requirements for dealing with funds placed in a trust, the trust provisions are given precedence in dealing with assets placed in trusts. Deal with assets placed in trust exclusively under the trust provisions (which, in some instances, require that trust assets be treated as a transfer of assets for less than fair market value).

NOTE: Pursuant to the transfer of assets provisions, an individual may transfer funds to a trust without incurring any period of ineligibility for the transfer. These exceptions include:

 

55 Pa. Code §178.104(e) (2)

 

55 Pa. Code §178.7

 

 

Updated July 11,2014