What Every Estate Planning Attorney Needs to Know About Medicaid Planning
Pre-Crisis Planning – Medicaid Asset Protection Trusts (MAPTs)
By: Evan H. Farr, CELA, CAP
Founder & Principal, Farr Law Firm
Thursday, November 6, 2025
Explore Medicaid Asset Protection Trusts with Evan Farr—structure, timing, and strategies to protect assets while qualifying for care.
This ticket grants access to Session 2: Pre-Crisis Planning – Medicaid Asset Protection Trusts (MAPTs)
with Evan H. Farr, CELA, CAP on Thursday, November 6, 2025.
Lunch & Learn Highlights – Special Needs Trusts (SNTs)
Comparing Individual and Pooled Special Needs Trust Options
By: Family Heritage Trust (Breann Day and Jason Frank, CELA, CAP)
(Lunch & Learn Session)
This session focused on practical considerations when selecting and drafting Special Needs Trusts, with an
emphasis on choosing between an individually administered trust and a pooled trust structure. The discussion
highlighted how trustee selection, beneficiary age, asset size, and administrative flexibility affect outcomes
under SSI and Medicaid rules.
- Family Heritage Trust (FHT): a corporate fiduciary trustee administering individually drafted SNTs nationwide. FHT currently manages approximately $260 million across roughly 100 beneficiaries, offering institutional oversight and scalability for larger trusts.
- First Maryland Disability Trust (FMDT): more than a traditional pooled SNT. It can serve beneficiaries over age 65 and is often well suited for modest asset levels or situations where pooled administration provides practical advantages.
- When to Use FHT: best for families seeking a stand-alone trust with broad drafting flexibility, corporate fiduciary administration, and capacity for higher trust balances.
- When to Use FMDT: works well when beneficiaries are over 65, assets are smaller, or pooled resources and administration better meet the beneficiary’s needs.
- FHT Fee Structure: generally 1.25% annually, reduced to 1.0% for assets above $1 million and 0.75% for assets above $2 million.
- Core Drafting Principle: SNT provisions must remain fully discretionary to avoid creating countable resources for SSI or Medicaid purposes.
- Trustee Flexibility: recommended including the ability to appoint an independent trustee with broad discretion to preserve future decanting and modification options.
- Decanting Considerations: beneficiary consent creates risk; obtaining a court order provides a safer and more defensible path.
- First-Party (d4A) Trusts: Maryland requires court approval before funding. Trustees advised not to begin administration until approval is issued, typically within approximately 30 days.
- ABLE Accounts: effective when coordinated with SNTs. Paying rent through an ABLE account can avoid SSI in-kind support reductions, making ABLE accounts useful for recurring housing and food expenses.
The program provided clear, practice-oriented guidance on selecting the appropriate SNT structure and drafting
provisions that preserve public-benefit eligibility while maintaining long-term administrative flexibility.
Session Materials
Slides (PDF): Download
Watch the Recording
Session Materials
Slides (PDF): Download (members)
Watch the Recording
[/mepr-show]Watch the Recording
This session recording and slide deck are available to members of the NAELA DC–MD Chapter who registered for the Medicaid Series. Log in below to access the video and download materials.
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