Patricia E. Kefalas Dudek
Advocate for Elders, People
with Disabilities
and Their Families

Estate Planning - Medicaid Pooled Account Trusts

Administrative Decisions, Directory, Articules & Publications, Office Intake Forms, Misc., Joinder Agreements

For FAQs on Pooled Account Trusts, click here

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For Frequently Asked Questions about Pooled Account Trusts, click here.
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Administrative Decisions
Re: Maria Quagliato, Claimant (5-25-10)
Issue: Whether the Department properly denied Claimant's Medicaid Assistance Long Term Care benefits due to a divestment. Administrative Law Judge decision reversed Department's determination and rules that pooled trusts are allowed for individuals with disabilities.
Directory of Pooled Trusts
From Special Needs Answers: A listing of pooled trusts around the nation.
Medicaid and SSI law permit "(d)(4)(C)" or "pooled trusts" for beneficiaries with special needs. Such trusts pool the resources of many beneficiaries, and those resources are managed by a non-profit association. Unlike individual disability trusts, which may be created only for those under age 65, pooled trusts may be for beneficiaries of any age and may be created by the beneficiary herself. In addition, at the beneficiary's death the state does not have to be repaid for its Medicaid expenses on her behalf as long as the funds are retained in the trust for the benefit of other disabled beneficiaries. (At least, that’s what the federal law says; some states require reimbursement under all circumstances.) Although a pooled trust is an option for an individual over age 65 who is receiving Medicaid or SSI, those over age 65 who make transfers to the trust will incur a transfer penalty.
Articles and Publications

Grab Your Water Wings: How and When to Use a Pooled Special Needs Trust When Planning for the Elderly Client (Michele P. Fuller)
Consideration of a Pooled Special Needs Trust as a planning tool for obtaining or preserving means-tested governmental benefits, such as Supplemental Security Income (SSI), Section 8 housing, Medicaid, Veteran benefits, Waiver services, and long-term care Medicaid Assistance, is under-utilized among elder law practitioners when planning for a single individual over the age of 65.

Letter from State of Maryland Office of Attorney General, Dept. of Health and Mental Hygiene (4/23/10)
This letter clarifies the issue of permissibility of a disabled beneficiary 65 years of age and older transferring assets from his or her special needs trust into a pooled trust without penalty.

Pooled Trusts (Robert B. Fleming, Esq.- Nov. 19, 2007)
What is a pooled trust, when is it used, and what are the advantages?

Pooled Trusts - Letter re Medicaid divestment policy (State of Wisconsin Department of Health Services - 1/22/09)
Thanks to advocacy in Wisconsin, the state changed their policy from considering divestment to apply to pooled trusts set up by persons over 65 with disability to ignoring age.

Use of Pooled Trusts for Nonmarital Domestic Partners (Sanford Mall - NAELA News - 2007)
For a heterosexual couple, spousal impoverishment protections protect the community spouse. These same protections do not exist for unmarried domestic partners.

Office Intake Forms and Misc. Info

Notice of Fees (pooled account holders)

Pooled Account Trust Benefits Checklist

Pooled Account Trust List of Permissible Distributions

Disclosure and Consent to Investment Advisory Mix

Form ADV - Diversified Portfolios (info on investment advisor)

Info to be provided to incoming pooled trust beneficiaries:

Standardized Performance Data and Disclosures (as of 3/21/09)

Best/Worst Returns
Comparisons of the S&P 500 Index, Five Year US Treasury Notes, CRSP Deciles 9-10 Index and 60/40 Mix

Performance
Info on the performance of the S&P 500 Index, Five Year US Treasury Notes, CRSP Deciles 9-10 Index and 60/40 Mix

Portfolio Holdings (as of 3/31/2009)
Friends of CLS Trust info and values

Performance Comparisons
Compares Friends of CLS Pooled Trust to 7 common benchmarks

Springhill Pooled Trust Performance Reports (1/1926 - 12/2009)
Includes Best/Worst Return, Distribution of Returns, Disclosures and Performance Comparisons.

Joinder Agreements

Friends Joinder

Springhill Housing Joinder Agreement

Springhill Housing Joinder Agreement (with 10% provision)

Springhill Housing Joinder Agreement (with JARC provision)

Springhill Housing Joinder Agreement (with 10% and JARC provision)