The word "Irrevocable" in a Trust is Not Enough to Protect Assets from Medicaid

A recent MA appeals court decision found that an irrevocable trust that states the trustees, under no circumstances, were to make distributions of principal from the trust to the settlor, may still count as a countable Medicaid asset exceeding the amount allowed under applicable law.

... we take this opportunity to stress that we have no doubt that self-settled, irrevocable trusts may, if so structured, so insulate trust assets that those assets will be deemed unavailable to the settlor. ... Muriel's trust is a carefully crafted, entirely appropriate estate planning device. But neither the trust's validity nor her good intentions determine the present question. In our view, Muriel's trust, as structured, allows the trustees a degree of discretionary authority that would, if sanctioned, permit Muriel to enjoy her assets, preserve those assets for her heirs, and receive public assistance, to, in effect, "have [her] cake and eat it too." ... Congress has declared a contrary intent, that Medicaid benefits be made available only to those who genuinely lack sufficient resources to provide for themselves. We perceive no reason in this case to deviate from that mandate.

MURIEL DOHERTY vs. DIRECTOR OF THE OFFICE OF MEDICAID, Essex Docket No. 08-P-939.

This case shows the importance of the entire trust document as a whole and the importance of not simply relying on certain provisions or words to protect assets.

Technorati Tags: Medicaid. Trust, Irrevocable trust, Self-settled trust, Distribution, Trustee's discretion