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What Is a Qualified Income Trust (QIT)?

On Behalf of | Sep 30, 2025 | Firm News |

A Qualified Income Trust sometimes called a “Miller Trust” is a special type of legal trust that helps people qualify for Medicaid benefits, even if their income is above the eligibility limit. Instead of disqualifying you, the excess income is directed into the trust, allowing you to meet Medicaid requirements while still having your care costs covered.

How It Works

  • Trust Setup: The QIT is created with the help of an attorney and must follow strict legal guidelines.
  • Income Deposit: Each month, the portion of your income that exceeds Medicaid’s limit is deposited into the trust.
  • Restricted Use: The money in the trust can only be used for specific purposes.
  • Trustee: You appoint someone (often a spouse, adult child, or trusted advisor) to serve as trustee and handle the funds according to Medicaid rules