A properly structured special needs trust provides financial resources for quality-of-life expenses that public benefits do not cover, such as therapies, education, and recreation. It also prevents direct disqualification from means-tested programs, preserves long-term support, and creates an organized plan for distributing assets according to the beneficiary’s needs and the family’s wishes.
A well-structured plan preserves eligibility for Medicaid and SSI by keeping countable resources outside the beneficiary’s personal estate, while enabling targeted spending on needs that government programs do not cover. This balance helps families maximize available supports and responsibly supplement care.

Hatcher Legal offers careful, client-centered planning that integrates trust drafting with estate documents and benefits coordination. The firm focuses on clear explanations of legal options, practical funding strategies, and trustee selection guidance to meet each family’s objectives and protect program eligibility where appropriate.
Trust administration includes making distributions consistent with the trust purpose, keeping accurate records, and complying with reporting obligations to benefit agencies. Regular reviews allow families to update trust terms, trustee appointments, and funding strategies to reflect life changes and rule updates.
A special needs trust holds assets for a person with disabilities while preserving eligibility for means-tested public benefits. It pays for supplemental needs such as therapies, education, transportation, and personal comforts that are not covered by government programs, with distributions managed by a trustee according to trust terms. Families and individuals should consider a special needs trust when assets, inheritances, or settlements could jeopardize benefits, when long-term support is needed, or when caregivers want a formal plan for managing funds and ensuring consistent supplemental care over time.
Properly structured special needs trusts can protect eligibility for Medicaid and SSI by keeping resources out of the beneficiary’s personal countable assets. Third-party trusts funded by relatives typically do not affect eligibility, while first-party trusts must meet specific statutory requirements, including a Medicaid payback clause, to qualify. Timing, documentation, and trustee practices are critical. Incorrect transfers or distributions can trigger benefit loss, so coordination with legal counsel and familiarity with benefit rules is essential to maintain access to public programs while using trust funds appropriately.
First-party trusts are funded with assets that belong to the beneficiary, often include a Medicaid payback provision, and must meet legal criteria to preserve benefits. Third-party trusts are created and funded by someone other than the beneficiary and generally allow remainder assets to pass to designated beneficiaries without Medicaid repayment requirements. Choosing between them depends on the source of funds, desired remainder distribution, and benefit considerations. Counsel can review circumstances to recommend the appropriate trust type and drafting language to meet family goals and regulatory requirements.
A pooled trust is managed by a nonprofit that pools assets for investment while maintaining separate subaccounts for each beneficiary. It can accept first-party and other funds on behalf of beneficiaries and is often practical when individual trust administration would be costly or when families prefer nonprofit oversight. Pooled trusts may have lower startup costs and provide professional administration, but families should review fee structures, distribution policies, and payback provisions to ensure the pooled arrangement aligns with the family’s objectives and benefit preservation needs.
A trustee should be someone who demonstrates responsible financial judgment, understands the beneficiary’s needs, and communicates well with family members and service providers. Many families select a trusted relative, a professional fiduciary, or a nonprofit pooled trust administrator depending on complexity, geographic proximity, and the trustee’s availability to manage ongoing responsibilities. Consider naming successor trustees and providing written distribution guidance to reduce future disputes. Trustees must keep detailed records, follow trust terms, and understand reporting obligations to benefit agencies to avoid jeopardizing the beneficiary’s public supports.
Whether a trust can be changed depends on how it was drafted and who created it. Third-party trusts are often revocable or can include amendment provisions that allow grantors to update terms. First-party trusts typically have more restrictive rules once funded, especially where payback language is involved, so planning ahead is important. Even when changes are possible, families should assess how amendments affect benefits eligibility and coordinate with counsel to implement modifications that preserve the beneficiary’s supports and reflect evolving care needs or family circumstances.
Remainder provisions in the trust document determine what happens to assets after the beneficiary’s death. Third-party trusts usually direct remainder assets to named family members or charities. First-party trusts often include a payback requirement to reimburse Medicaid before any remaining funds are distributed to other beneficiaries. Careful drafting ensures remainder distribution aligns with the grantor’s intentions while complying with relevant statutes. Families should explicitly state remainder beneficiaries and consider tax and probate implications when structuring those provisions.
Special needs trusts can be funded through a variety of methods including transfers from family members, life insurance proceeds, retirement account designations, or settlement proceeds. Funding at death through wills or beneficiary designations is common, and proper retitling or beneficiary designation language is essential to ensure funds flow into the trust. Timing and method of funding matter for benefits preservation. Immediate transfers of beneficiary-owned assets require careful attention to first-party trust rules and potential payback requirements, so coordinate funding steps with legal counsel to avoid unintended eligibility problems.
Special needs trusts may have tax implications depending on their structure and funding sources. Third-party trusts generally do not affect the beneficiary’s income tax, while first-party trusts can have more complex tax treatments. Trustees may need to file separate tax returns for the trust and report investment income appropriately. Tax planning should be part of a comprehensive approach, especially for trusts holding significant assets or investment income. Consult financial and tax professionals to coordinate trust design with tax-efficient strategies and reporting obligations tailored to the trust’s structure.
Costs to set up a special needs trust vary based on complexity, whether related estate documents are required, and whether ongoing trustee services are provided. Hatcher Legal provides a range of planning options that can include drafting the trust, coordinating estate documents, and advising on funding strategy; fees depend on the scope of services needed and the specifics of each family’s plan. We discuss fees during the initial consultation and outline anticipated costs for drafting, funding assistance, and periodic reviews. Many families find the long-term protection and clarity a trust provides outweigh initial expenses, particularly when benefits preservation is at stake.
Explore our complete range of legal services in Nathalie