Connecticut Miller Trust / Qualified Income Trust (HUSKY C)

CONNECTICUT MILLER TRUST / QUALIFIED INCOME TRUST

NOT FOR EXECUTION — CONNECTICUT NON-USE ADVISORY

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

Connecticut's official Department of Social Services materials currently 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 That form has been withdrawn after review of current official Connecticut DSS materials.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.

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

• Connecticut DSS — HUSKY Health: How to Qualify
• Connecticut DSS — 1915(c) HCBS Waiver Draft CT.020.08.00 (July 15, 2025), Appendix B-4
• 42 U.S.C. § 1396p — GovInfo

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

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