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Advocate's Outline on Supplemental Needs Trusts and Rules for Impact of Lump Sums on Various Benefits

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Posted: 01 Aug, 2008
by Joe Kelemen (New York Legal Assistance Group)
Updated: 28 Oct, 2022
by Valerie Bogart (New York Legal Assistance Group)

This in-depth training manual or outline (updated August 2022) covers how Supplemental Needs Trusts work (both individual and pooled), when an asset or lump sum may be deposited into an SNT.  For Community Medicaid only, income may also be placed into an SNT.  Explains how lump sums and SNTs affect eligibility for SSI, Medicaid, Section 8, SCRIE/DRIE, SNAP,  Temporary or Public Cash Assistance/HASA, and other  public benefits, including new rules on the Veteran's Pension. 

The 2022 edition includes:

  • Powers of Attorney executed after Sept. 1, 2009 do not need a Statutory Gift Rider (SGR) to establish a pooled income trust, (and SGR's dropped altogether for POA's executed after  June 13, 2021) - GIS 20 MA/03 – Clarification of GIS 19 MA/04, “Clarification of Policy for Treatment of Income Placed in Medicaid Exception Trusts”   See more here about the directive and how  the policy shift came about from advocacy from the NYS Bar Association Elder Law & Special Needs Section. 
  • Increases in deposit and asset limits for ABLE accounts - also see National ABLE Resource Center and NYS ABLE site
  • MEDICAID - Lookback & transfer penalty for community-based long term care – delayed from 1/2022 - not likely to start before 2024 (delayed because of COVID rules)
  • HEADS UP for 2023 increases in Medicaid and MSP income & asset limits
  • Temporary Assistance asset test increases coming Oct. 2022 - thanks to Susan Antos of Empire Justice Center for updating this section
  • SNAP changes - thanks to Abby Biberman, NYLAG, for updates
  • Updated Public Housing/Section 8 chapter
  • July 2022 Changes in procedure to submit disability documents to local Medicaid agency

The 2019 edition includes:

  • More information on resource rules and impact of lump sums on Public Assistance and HASA, with thanks and references to these companion materials:
  • Revisions to SSA POMS April 2018 re “Sole Benefit” Rule - expenses that may be paid by SNTs to third parties, and other changes
  • Veterans’ pension – In October 2018 added new transfer penalties, asset limits
  • Information on ABLE accounts as a possible alternative or supplement to SNTs, for those individuals who became disabled before age 26.  Also see National ABLE REesource Center and NYS ABLE site
  • Changes in Section 8 and public housing asset limits enacted in 2016 (not yet implemented as of Jan. 2019), and a 1st Circuit Court of Appeals decision issued in 2016 that finds distributions from principal held in an SNT are not income;
  • The Pooled Trust Notification Law enacted in December 2017! 


Other information about Pooled Income Trusts -  See Related Articles below.

Attached files
item NYSBA Partnership outline and appendix.pdf (3.14 mb) Download
item SNT Outline 8-9-22 NYLAG FINAL.pdf (1.77 mb) Download

Also read
item List of Pooled SNTs in New York State
item Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down
item Keeping Medicaid after Cash Public Assistance or SSI Benefits Are Terminated
item Legal Authorities Relating to Supplemental Needs Trusts - Federal, State, and New York City
item Medicaid Disability Determinations - NYS Forms & Procedures (with updated forms Dec. 2021)
item Special Medicaid Income Rules That May Eliminate Your "Spend-down" or "Surplus Income"

External links
http://health.wnylc.com/health/client/images/icons/article_out.svg https://www.ablenrc.org/what-is-able/what-are-able-acounts/
http://health.wnylc.com/health/client/images/icons/article_out.svg https://www.mynyable.org/

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Step-by-step guide to enrolling in a pooled income trust for...       List of Pooled SNTs in New York State

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