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Home » Guardianship » What Is the Difference Between a Revocable Living Trust and a Medicaid Trust?

What Is the Difference Between a Revocable Living Trust and a Medicaid Trust?

August 12, 2014 by Larry Parman, Estate Planning Attorney, Author, Speaker

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There are a variety of trusts that are used in the field of estate planning, and they serve different purposes. In this post we will look at revocable living trusts and Medicaid trusts, and we will explain the differences between them.

Revocable Living Trusts

Revocable living trusts are popular among people who want to avoid probate. This is a legal process that comes into play if you maintain sole and direct personal possession of your assets through to the time of your death. If you execute a last will, the executor must admit the will to probate before the heirs receive their inheritances.

Probate can be time-consuming, and there are expenses that are typically incurred that reduce the value of the estate while the process is underway.

If you use a revocable living trust to facilitate future asset transfers, you are referred to as the grantor of the trust. The grantor can act as the trustee and the beneficiary initially, so you do not lose control of assets that you convey into a revocable living trust.

Because the trust is revocable, you can revoke or rescind the trust at any time that it would no longer exist.

When you create the trust agreement you name a successor trustee and successor beneficiaries. After you die, the successor trustee can distribute assets to the beneficiaries outside of probate.

Medicaid Trusts

Many seniors seek Medicaid eligibility late in their lives, because Medicare will not pay for long-term care. Most elders will eventually need assistance with their day-to-day needs, so this is something that is relevant to everyone.

Medicaid is a need-based program, so people who were never financially needy typically engage in something called a Medicaid spend down. This is somewhat self-explanatory: you spend or give away assets until you have very little left in your own name if and when you apply for Medicaid coverage.

You could give your children their inheritances in advance in a direct manner when you are spending down, but you have another option. It would be possible to create and fund a Medicaid trust. A Medicaid trust is an irrevocable trust. Because you cannot revoke the trust, assets that have been conveyed into the trust would not be counted when Medicaid is determining your eligibility.

On the other hand, a revocable living trust would not be good for Medicaid planning purposes, because you do in fact retain direct control of the assets that have been conveyed into the trust.

Free Report on Medicaid Planning

If you would like to learn more about Medicaid trusts, download our special report on Medicaid planning. The report is being offered free of charge at the present time, and you can obtain access to your copy through this link: Medicaid Planning Report.

Blaine Peterson
Attorney
Parman & Easterday

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Larry Parman, Estate Planning Attorney, Author, Speaker
Larry Parman, Estate Planning Attorney, Author, Speaker
Founder and Owner at Parman & Easterday
Larry Parman's dad died at 56 in a farm accident with no estate plan. His family spent two years fighting the IRS and nearly three years in probate. That experience became Larry's life work.

Since founding Parman & Easterday in 1985, Larry has led over 1,000 free, community-service education programs and helped more than 10,000 Oklahoma families go from putting off their estate plan to getting it done. His goal for every client is the same: to become the person their family calls "the one who took care of everything."

Larry is the author of three books: The Straight Shooter's Guide to Estate Planning; Estate Planning Basics; and Guiding Those Left Behind in Oklahoma. He served as Oklahoma's Secretary of State and Secretary of Commerce, and his firm is the only member of the American Academy of Estate Planning Attorneys in the state.
Larry Parman, Estate Planning Attorney, Author, Speaker
Latest posts by Larry Parman, Estate Planning Attorney, Author, Speaker (see all)
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  • Aging in Place: A Medicaid Waiver Can Fill the Gap - October 6, 2026

Filed Under: Guardianship

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