The Special
Needs Trust Administration Manual is an invaluable guide for anyone
who is managing a Special Needs Trust for a person with disabilities.
The authors,
who are all Massachusetts attorneys, bring many years experience
in guiding trustees through the complicated rules of Special Needs
Trusts. In clear and easy to understand language, the authors
explain how a trustee can use trust funds to meet the financial
needs of a person with disabilities and still comply with the
complex rules of government benefit programs. The Special Needs
Trust Administration Manual covers many topics, including what
trustees need to know about public benefit programs such as SSI,
SSDI, Medicare, and Medicaid; taxes and Special Needs Trusts;
payment of recreation, transportation, and medical costs; housing
subsidies; and trustee duties.
Are you
the trustee of a Special Needs Trust for a person with a disability?
Then this book is for you! The Special Trust Administration Manual,
written by five Massachusetts disability attorneys, is a practical
reference guide that explains what trustees need to know about
SSI and SSDI, taxes, housing subsidies, trustee duties, and more.
Learn how to meet your responsibilities to the beneficiary and
still comply with the complex rules of government benefit programs.

PREFACE,
2005 EDITION
Timing, it seems,
is everything. Just after we published this book in October
2004, the Social Security Administration made three important
changes to the SSI program rules. These revisions became effective
January 1, 2005. This second edition reflects these changes,
which are:
• Clothing
is no longer considered in-kind income. Formerly, if an SSI
recipient received any clothing from a third party (including
a Special Needs Trust), his SSI benefit might be reduced. This
is because clothing (along with food and shelter) was considered
in-kind income. Now the trustee’s job should be easier,
because she can use trust funds to pay for the beneficiary’s
clothes without reducing the SSI benefit. (However, food and
shelter are still considered in-kind income that can reduce
the SSI benefit.)
• The $4,500
limit on the value of an automobile has been eliminated. Formerly,
if an SSI recipient owned an automobile, it had to be worth
$4,500 or less, unless it was specially adapted, required for
medical transportation, or needed because of distance or geography.
Now Social Security disregards the car’s value.
• The $2,000
limit on the value of personal items a recipient can own has
been eliminated. Formerly, the value of a recipient’s
personal property (such as furniture, computer, jewelry, etc.)
could not exceed $2,000. Now there is no monetary limit on that
kind of property. Note, however, that the new law affects only
personal items. SSI’s strict $2,000 limit on liquid resources
(cash, bank account, savings bonds, etc.) remains unchanged.
Besides these important
changes, this second edition contains the 2005 figures for all
SSI-related examples and calculations. Also, the 2005 figures
have been used for all SSI-related programs, including SSDI
and Medicaid.
Last, you readers
have been very generous with your comments. We have tried to
make this second edition responsive to your concerns. For example,
apparently there was some confusion about what happens when
the Special Needs Trust ends. Some readers erroneously thought
the money must always go to the government as a “payback”
for the beneficiary’s medical benefits. We assure you
that this is not the case with every trust. In fact, if the
trust was created by someone other than the disabled beneficiary
(such as a parent), the money can usually go to other family
members (the remainder beneficiaries) when the trust ends. In
most cases, government reimbursement is only a factor if the
disabled beneficiary uses his own money to fund a trust for
himself. This is explained in detail in the revised Chapter
One.
Please continue to
send us your comments and questions. And thank you all for the
positive reception you have given this work.
CHAPTER 3. HOUSING
Finding decent, affordable
housing can be especially challenging for low-income people
with disabilities. Yet, despite the odds, many people with disabilities
live independently in apartments, and some even own their own
homes. In this section we discuss what housing costs the trustee
may safely pay from trust funds and which ones she should not
pay. We also discuss the section 8 housing subsidy program and
explain how the Special Needs Trust may affect that program.
How does payment
of housing costs by a Special Needs Trust affect SSI?
In most states, including
Massachusetts, an SSI recipient is expected to pay for all of
his housing expenses out of his SSI stipend. If he receives
outside assistance with housing costs of more than $20 per month,
then his SSI benefit will be reduced. Fortunately, not every
housing related item causes a problem with SSI. Only the following
items, which Social Security calls “countable” housing
expenses, will reduce the SSI benefit:
• Mortgage
(principal and interest)
• Rent
• Real estate taxes
• Gas
• Electricity
• Water
• Sewer
• Homeowner’s insurance required by a lender
• Condominium charges that include the above items.
416.C.F.R. §
1130(b); POMS SI 00835.465D.
Although Social Security
has not expressly identified what housing related expenses are
“non-countable” and will not cause a problem with
SSI, advocates generally agree that the trustee may safely pay
for the following items:
• Telephone
• Cable television
• DVD/Video players
• Computer
• Premiums for personal property insurance
• Paper products
• Laundry and cleaning supplies
• Staff salaries
• Repairs to the recipient’s home
• Capital improvements to the recipient’s home.
If the trustee pays
for any countable housing items, then SSI will be reduced by
the lesser of the item’s actual value or one-third of
the federal benefit amount, plus $20 (currently $213 in 2005).
(This rule, the Presumed Maximum Value Rule, is explained in
the SSI section of Public Benefits (Chapter 2).
For example, John,
an SSI recipient, lives in his own apartment. In one month,
John's family pays his $250 heating oil bill. That month, John's
SSI will be reduced by $213.
But, the next month,
John's family instead pays his $40 electric bill. That month,
John's SSI payment will be reduced by only $40.
An important point
to keep in mind is that even if the SSI recipient receives more
than one countable shelter item in a month, SSI is never reduced
by more than $213 per month. This can be important for homeowners
if the trustee must pay expenses for mortgage, real estate taxes,
homeowner’s insurance and utilities every month.
Another important
point is that if the trustee pays for a countable shelter item,
then it only affects the SSI benefit for one month, which is
the month the benefit is received. The SSI benefit for the next
month will not be affected.
Special
Needs Trusts enhance a disabled person's quality of life while
allowing government benefits like Medicaid to continue. But many
trustees of such trusts are laypersons.attorneys often areasked
by clients about to take on the job of trustee, "Is there something
I can read?"
The authors
of this manual wrote it so that they could finally answer, "Yes!"
The authors
are five Massachusetts attorneys with extensive experience in
creating and administering Special Needs Trusts.The manual covers
the subject from A to Z, including general trust accounting rules,
descriptions of public benefit programs, and instructions on making
distributions from special needs trusts. Mistakes in this field
can be very costly to the beneficiaries, potentially involving
the loss of important coverage from public benefits programs and
the requirement to pay back past benefits.
Because
the authors are Massachusetts attorneys, the book explains how
federal law and regulations are applied in that state. While the
book is of value to readers in any state, the authors note that
laws in other states may differ, particularly with respect to
Medicaid, and that local attorneys should be consulted.
ElderLawAnswers.com, December, 2004
... a
welcome addition to any disabilities library.
The
Signal, May, 2005
Brain Injury Association of Florida
I wanted
to let you know how much I appreciated this manual for trustees.
I have been working with families of disabled children for most
of my career in a variety of positions and I am a mother of a
very involved child as well. Many parents become trustees, as
well as close relatives and family members. This is a great guide
to their responsibilities as well as providing much needed resources
and information. Most importantly, the language is easy to understand
and the legalese is kept to a minimum. I recommend it to professionals
and lay people alike.
Annette
M. Hines, Attorney at Law
Natick, Massachusetts
…an
excellent source for very hard to find information. I have spent
much time in the past trying to put together all the pieces of
information. What you have done is outstanding.
Gregg Rains
Weymouth, Massachusetts
Email your review to reviews@disabilitiesbooks.com
Barbara
D. Jackins
practices law in Belmont, MA. Her practice centers on areas of
the law that affect people with disabilities and their families,
such as estate planning, Medicaid planning, SSI and other public
benefits, guardianship, and trust administration. She has served
on the Governors Commission on Mental Retardation Task Force on
Public-Private Partnerships. She currently serves on the Board
of Directors of the NWW Committee (Newton, MA), an agency that
provides community housing for people with disabilities. She is
a member of the National Academy of Elderly Law Attorney and a
1978 graduate of Suffolk University Law School.
Richard
S. Blank is a member of the firm Rubin and Rudman LLP
in Boston, Massachusetts, where he practices in the areas of trust
administration and estate planning. He has extensive experience
drafting and administering Special Needs Trusts and preserving
government benefits. A substantial part of his practice is focused
on integrating personal injury settlements into Special Needs
Trusts and then administering those trusts. He is a 1987 graduate
of Georgetown University Law Center.
Peter
M. Macy is a member of Weston, Patrick, Willard &
Redding, a professional association located in Boston, Massachusetts.
His practice focuses on Medicaid law, guardianship, estate planning
and private trustee services. He also is a founder and director
of Family Trust of Massachusetts, Inc., a non-profit organization
based in Boston that has established a Medicaid-exempt pooled
trust for elderly and disabled persons. Mr. Macy has written about
Medicaid for the Massachusetts Law Review and speaks regularly
in the Boston area about Medicaid and guardianship topics. He
earned his J.D. from Boston College Law School and holds graduate
degrees in education and theology from Harvard University. He
is a member of the Boston Bar Association and the National Academy
of Elder Law Attorneys.
Harriet
H. Onello practices Elder Law and Family Law in Lexington,
Massachusetts. She is the author of a chapter on Planning for
Incapacity in a three-volume book entitled Estate Planning for
the Aged or Incapacitated Client in Massachusetts, published by
Massachusetts Continuing Legal Education, Inc. She participates
as faculty for continuing legal education programs and has made
a number of community presentations on elder law issues. She received
an M.Ed. from Harvard Graduate School of Education and a J.D.
from Suffolk University. Ms. Onello is a founding member and immediate
Past President of the Massachusetts Chapter of the National Academy
of Elder Law Attorneys.
Ken
W. Shulman maintains a private, general practice of law
in Boston, Massachusetts, with a particular focus on estate planning
and related issues for elders and for families who have disabled
children. He frequently speaks to consumer groups, professionals
in the field, and others interested in issues related to aging,
disability, advocacy, financial planning, and the preservation
of government entitlements. Prior to his individual practice,
he was a partner of McCabe, Shulman, Siegel and Rooney in Boston.
He has served as a board member for several human service agencies
including the Greater Boston ARC. He has also served as a consultant
to the Massachusetts Office of Handicapped Affairs, the Disability
Law Center, and the Mental Health Legal Advisors Committee, and
he currently serves on the Board of Directors of the Massachusetts
Chapter of the National Academy of Elder Law Attorneys. Mr. Shulman
is a frequent participant in lawyer training sessions sponsored
by the Massachusetts Continuing Legal Education organization and
a frequent contributor to their publications, having written numerous
articles and co-chaired conferences on estate planning and preserving
eligibility for public benefits for disabled clients. He is a
graduate of Boston University School of Law.