Third-Party and First-Party Trusts
A third-party special needs trust is funded with someone else’s money, such as a parent’s or grandparent’s, often through their estate plan. It generally does not have to repay Medicaid when the beneficiary dies.
A first-party trust holds the beneficiary’s own funds, such as a settlement or an inheritance received directly. Federal law permits these trusts for people under 65 with a disability, but they generally must reimburse the state Medicaid program from remaining funds at the beneficiary’s death.
What the Trust Can Pay For
Distributions usually pay for supplemental needs that benefits do not cover, such as education, therapies, recreation, travel, equipment, and personal care items. How a distribution is made matters, because some payments for food or shelter can reduce SSI.
Choosing a Trustee and Planning Ahead
Your special needs trust lawyer can help you plan for the long term, not only the next few years.
- Select a trustee who will learn the benefit rules or work with professionals
- Name successor trustees
- Consider an ABLE account as a complement to the trust
- Coordinate beneficiary designations so funds go to the trust, not the beneficiary directly
- Plan for guardianship or less restrictive alternatives before a child turns 18
Talk With a Murfreesboro Special Needs Trusts Attorney
Carolyn D. Dale is the founding attorney of Dale Law Group, PLLC in Murfreesboro, Tennessee, serving Smyrna, Murfreesboro, Franklin, Nashville, and communities throughout Middle Tennessee. Call +1 866-576-5317 or send a brief, non-confidential message to start a conversation about your goals.
This page provides general information, not legal advice. Representation begins only after a written engagement agreement.




























