Connecticut Miller Trust / Qualified Income Trust - Non-Use Advisory

Connecticut Estate Planning & Wills Updated October 16, 2026 Free Word and PDF

Connecticut Miller Trust / Qualified Income Trust - Non-Use Advisory

NOT FOR EXECUTION — CONNECTICUT NON-USE ADVISORY

This URL does not provide an executable Miller Trust or Qualified Income Trust (QIT).

Connecticut Department of Social Services waiver drafts published in 2025 and 2026 identify the state as:

  • a 209(b) state; and
  • not a Miller Trust state.

The official HUSKY Health eligibility page separately publishes program-specific income and asset limits. An income-limit figure, standing alone, does not authorize use of a QIT or establish that income placed in such a trust will be disregarded.

Do not execute or fund a QIT for a Connecticut applicant unless Connecticut DSS provides written, program-specific authority and Connecticut elder-law counsel independently confirms the proposed instrument and administration.


I. WHY THIS PAGE EXISTS

This file previously contained an operative QIT form. That form has been withdrawn after review of current official Connecticut DSS materials. The file path is preserved so existing links do not break and users receive the correction instead of a missing page.

Federal law at 42 U.S.C. § 1396p(d)(4)(B) describes a qualified-income-trust exception, but it does not make every state a Miller Trust state or supply a universally usable trust form. State-plan treatment and the applicant's exact Medicaid eligibility group must be confirmed.


II. CONNECTICUT ELIGIBILITY SCREENING WORKSHEET

Use this worksheet only to organize a consultation with DSS and qualified counsel.

Item Information
Applicant [________________________________]
Date of birth [__/__/____]
Connecticut residence [________________________________]
Medicaid program or waiver sought [________________________________]
Institutional, community, or HCBS setting [________________________________]
DSS application or client number [________________________________]
DSS eligibility worker and contact [________________________________]
Gross monthly earned income $[________________]
Gross monthly unearned income $[________________]
Countable resources reported $[________________]
Community spouse ☐ No ☐ Yes
Existing trust, conservatorship, or power of attorney [________________________________]

Questions requiring written answers

  1. What exact Medicaid eligibility group and state-plan or waiver authority applies?
  2. Does the group use a medically needy spend-down, a special income level, or another methodology?
  3. Does Connecticut DSS accept a trust under 42 U.S.C. § 1396p(d)(4)(B) for this group?
  4. If DSS says yes, what published authority, required language, account procedure, distribution order, reporting duty, and state-payback instruction apply?
  5. What current income, resource, personal-needs, spousal-allocation, and patient-liability rules apply on the eligibility date?
  6. Would creating or funding the proposed trust affect transfer, availability, estate-recovery, tax, conservatorship, or fiduciary issues?

III. DO NOT TAKE THESE STEPS FROM THIS PAGE

  • Do not sign a trust agreement.
  • Do not open or retitle a bank account as a QIT.
  • Do not redirect Social Security, pension, retirement, or other income.
  • Do not assume the State of Connecticut should be named as remainder beneficiary under a QIT.
  • Do not rely on a dollar limit copied from an earlier year.
  • Do not assume that a form used in an income-cap state is valid in Connecticut.

IV. DOCUMENTS TO COLLECT FOR COUNSEL AND DSS

  • Current DSS eligibility notice and application materials.
  • Written identification of the applicant's eligibility group.
  • Current official income and resource standards for that group.
  • Gross-income verification for every source.
  • Resource statements and any prior trust documents.
  • Marriage, spouse-income, and spouse-resource information, if applicable.
  • Any conservatorship order or power of attorney.
  • Any written DSS direction concerning a proposed QIT.

V. CURRENT OFFICIAL SOURCES

Confirm that these sources remain current on the date of the eligibility determination. A later state-plan amendment, waiver approval, statute, regulation, or published DSS policy may change the analysis.


VI. REVIEW RECORD

Reviewer Date Result
Connecticut DSS eligibility worker [__/__/____] [________________________________]
Connecticut elder-law attorney [__/__/____] [________________________________]
Tax or fiduciary adviser, if needed [__/__/____] [________________________________]

No trust should be drafted or funded unless the written review result affirmatively supports that action for the identified Connecticut Medicaid eligibility group.

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About this template

Last updated
October 16, 2026
Citations checked
October 16, 2026
Jurisdiction
Connecticut
Category
Estate Planning & Wills

Legal authority

  • 42 U.S.C. § 1396p(d)(4)(B) (federal qualified-income-trust provision)
  • Connecticut DSS, 1915(c) HCBS Waiver Draft CT.020.08.00, Appendix B-4 (state classified as 209(b); Miller Trust State: No)
  • Connecticut DSS, 2026 Katie Beckett 1915(c) waiver draft CT.022.09.00, Appendix B-4 (209(b); Miller Trust State: No)
  • Connecticut DSS, HUSKY Health How to Qualify (program-specific income and asset limits)

Estate planning documents decide what happens to your property, your children, and your medical care when you cannot make those decisions yourself. Wills, trusts, powers of attorney, and health care directives each serve different purposes and each have to meet state law requirements for signing, witnessing, and notarization. A document that looks fine on the page but was not executed correctly can be rejected in probate, which is exactly when it is too late to fix.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on October 16, 2026.

42 U.S.C. § 1396p(d)(4)(B) (checked October 16, 2026): "the trust is composed only of pension, Social Security, and other income to the individual (and accumulated income in the trust)"

Connecticut DSS elder waiver draft CT.020.08.00, Appendix B-4 (checked October 16, 2026): "Indicate whether the state is a Miller Trust State (select one):"

Connecticut DSS Katie Beckett waiver draft CT.022.09.00, Appendix B-4 (checked October 16, 2026): "Indicate whether the state is a Miller Trust State (select one):"

Connecticut DSS, HUSKY Health How to Qualify (checked October 16, 2026): "Income and asset eligibility varies, depending on which part of HUSKY C you may qualify for."

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