Qualified Income Trusts (also known as Miller Trusts or a QIT) are necessary when the Medicaid applicant has more gross monthly income that the state’s income cap. This year (2024), the income cap in most states where this rule applies is $2,829 (three times the SSI monthly benefit of $943). This number changes on the first of each year when the SSI rate changes. If you’re reading this post during a different year, the most current figures are usually posted here.

The simply answer to the question posed above is that you lose Medicaid eligibility for each month you don’t fund your QIT. This is a monthly task you must perform to get and keep Medicaid. This is not a one and done rule. It’s EVERY montly. That’s why we’ve written a long article on how QITs works and purchased an easy URL (www.qitrules.com) that takes you straight to our QIT discussion. There’s also a video we filed several years ago explaining how QITs work. The dollar figures in the video have changed, but everything else remains the same.

There is no logic to the QIT rules. They are what they are and we frequently refer to them as federally approved money laundering. If your gross income exceeds the income cap and you follow the rules, then you get Medicaid. If you don’t follow the rules, then your application will be denied.

If you have questions about Medicaid, feel free to contact us at (706) 428-0888.