Parents of children with disabilities should consider a Special Needs Trust (SNT) to protect their child’s eligibility for means-tested benefits like Medicaid and Supplemental Security Income (SSI). In North Carolina, an SNT allows you to leave funds for your child’s care without disqualifying them from government programs. Careful trustee selection, funding, and coordination with public-benefits rules are essential.

---

Why Special Needs Planning Is Different

Parents of children with special needs must balance two goals:

• Provide lifetime financial security, and
• Preserve access to public benefits such as Medicaid or SSI that have strict income and asset limits.

Simply leaving an inheritance directly to a child with disabilities can unintentionally disqualify them from these critical supports.

---

North Carolina Special Needs Trust: What Families Should Know

A North Carolina special needs trust lets families set aside money for quality-of-life expenses (housing supplements, therapies, transportation, education, caregiving) while keeping eligibility for means-tested programs intact. The document must be carefully drafted and administered so distributions don’t count as income or “available resources.”

---

Key Planning Tools

Special Needs Trust (SNT)

Purpose: Holds money and property for your child without counting toward asset limits.

Types:

• Third-Party SNT: Funded by parents or other relatives; assets never belonged to the child.
• First-Party SNT: Funded with the child’s own assets (e.g., settlement); must repay Medicaid after the child’s death.

Trustee: Choose someone experienced with benefit rules and recordkeeping.

ABLE Account

A tax-advantaged savings account (up to the annual contribution limit—$18,000 in 2024) for qualified disability expenses. Works well for smaller, everyday costs but has annual and lifetime caps.

Guardianship or Powers of Attorney

Decide whether your child will need a guardian at 18, or if a less restrictive alternative (financial/healthcare POA) fits their capabilities.

---

Steps for North Carolina Families

1. Evaluate Public Benefits — Understand Medicaid, SSI, and other programs. Start with NC Medicaid guidance at the NC Department of Health and Human Services:
   NC Medicaid (NCDHHS).
2. Draft a Comprehensive Plan — Will, SNT, and guardianship/POA documents that work together.
3. Select a Trustee and Backup — Someone organized, impartial, and financially savvy.
4. Fund the Trust — Retitle assets or name the SNT as beneficiary on life insurance/retirement accounts.
5. Coordinate With Professionals — Work with an estate-planning attorney and financial advisor familiar with NC rules.

---

North Carolina Considerations

• Medicaid & SSI Rules: Both programs have strict resource limits (e.g., $2,000 in countable assets for SSI).
• Trustee Guidance: Trustees must follow federal and state guidelines to keep distributions from being treated as income.
• Probate Advantage: Properly funded SNTs avoid probate, speeding support to the child.

---

Common Mistakes

• Naming the child outright as a beneficiary on life insurance or retirement accounts.
• Failing to choose an alternate trustee.
• Ignoring changing federal/state benefit limits.
• Not reviewing the plan after major life changes.

---

Practical Example

Instead of leaving assets directly to their daughter with autism, a Wake County couple created a third-party SNT funded with life-insurance proceeds. Their trustee now manages distributions for housing, therapies, and education—while their daughter remains eligible for Medicaid and SSI.

---

FAQs

Will an SNT affect my child’s SSI or Medicaid eligibility?
No, when properly drafted and administered.

Can grandparents or others contribute to the SNT?
Yes—family and friends can make gifts directly to the trust.

Is an ABLE account enough?
It’s useful for smaller expenses but cannot replace a fully funded SNT for long-term care.

How often should I review the trust?
At least every three years or when laws change.

Do I still need a will if I have an SNT?
Yes, to direct other assets and to create a “pour-over” to the SNT if needed.

---

Next Step

Providing for a child with special needs requires careful planning. Contact Barnes Family Law in Charlotte at
(704) 456-9799
or request a confidential consultation to build a plan that safeguards your child’s future while preserving vital benefits. For more background on planning options, visit our
Estate Planning page.