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Title 8: Medicaid Page 54 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Trusts Revised September 13, 2024 Evaluating a Trust Evaluating a Trust The following charts provide a guide to understanding trusts. Use the appropriate chart depending on whether the member is the grantor, the trustee, or the beneficiary. The member may occupy more than one role.

1. Mr. J is the grantor and also the beneficiary of a trust. Use the grantor and the beneficiary trust charts to determine availability and accessibility of the trust principal and income when determining Medicaid eligibility. 2. Mr. D is the grantor and trustee of a trust that names his niece as the beneficiary. Use the grantor and trustee charts to determine the availability of the trust principal and income when determining Mr. D’s Medicaid eligibility. 3. Ms. M is the beneficiary of a trust. Use the beneficiary chart to determine the availability of the trust principal and income when determining her eligibility.

Grantor Chart Use this chart if the member created the trust, or an agent or someone else legally empowered to act on the member’s behalf established the trust with funds or property belonging to the client. (The member is the grantor.)

YES The trust is available and countable. Is the trust revocable?

NO This is a transfer of assets. The trust is not available and therefore is not a countable resource. NO Is the member a beneficiary? YES Is the member the sole beneficiary?

NO Possible transfer of assets. See the beneficiary chart. YES See the beneficiary chart.