What Every Estate Planning Attorney Needs to Know About Medicaid Planning
Pooled Special Needs Trusts
By Ed Biggin, CELA, and Yolanda Mazik
April 2, 2026
Ed Biggin and Yolanda Mazik discussed pooled special needs trusts as a fast and practical Medicaid-planning tool, especially in crisis or near-crisis situations.
- Structure: a nonprofit administers a master trust with separate beneficiary subaccounts established through joinder agreements.
- Eligibility function: properly funded pooled trusts can convert excess resources into non-countable trust assets while preserving funds for supplemental needs.
- Source of funds: first-party and third-party money must be distinguished because reimbursement and retention rules differ.
- Sole-benefit rule: distributions must be for the beneficiary rather than other people.
- Speed: standardized documents and professional administration can make pooled trusts useful when eligibility must be established quickly.
- Common uses: inheritances, settlements, excess cash, and guardianship or conservatorship funds.
- ABLE coordination: pooled trusts and ABLE accounts can be used together, subject to their different funding and distribution rules.
- Provider selection: attorneys should review governance, fees, audits, investments, accounting, portals, and beneficiary support.
The session emphasized pooled trusts as a primary planning option rather than merely a fallback when timing and administration matter.
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