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Special Needs Trust Design Strategies

The Law Offices of Howe & Garside, Ltd July 30, 2025

Creating a long-term financial plan for a loved one with disabilities requires more than general estate planning. A special needs trust allows individuals with disabilities to benefit from financial support while remaining eligible for government benefits such as Medicaid and Supplemental Security Income (SSI). 

In Rhode Island, these trusts serve as vital tools for families seeking to provide stability, autonomy, and security to their loved ones without disrupting public aid eligibility.

The Law Offices of Howe & Garside, Ltd regularly advises families on how to tailor a special needs trust in ways that meet the beneficiary’s unique lifestyle, goals, and legal protections. This article outlines the key strategies used to design an effective and sustainable special needs trust under Rhode Island law.

The Purpose of a Special Needs Trust

A special needs trust is a legal instrument created to hold and manage assets for a person with disabilities without disqualifying them from essential public programs. Federal and state laws impose income and asset limits for individuals to qualify for benefits like Medicaid and SSI.

Receiving a large inheritance or financial gift could jeopardize that eligibility unless the assets are placed in a properly drafted special needs trust.

Rhode Island law recognizes several types of special needs trusts, each designed to accommodate a beneficiary's circumstances and funding sources. Proper design and compliance are essential for preserving eligibility and avoiding future legal challenges.

Types of Special Needs Trusts Under Rhode Island Law

Rhode Island recognizes the three primary types of special needs trusts:

  1. First-party special needs trust: Funded with assets that belong to the individual with disabilities, often arising from a lawsuit settlement or inheritance. This type must comply with 42 U.S.C. § 1396p(d)(4)(A), be created before the beneficiary turns 65, and include a Medicaid payback provision.

  2. Third-party special needs trust: Created and funded by someone other than the beneficiary, such as a parent or grandparent. These don’t require a Medicaid payback clause and are commonly used in estate planning.

  3. Pooled special needs trust: Managed by a nonprofit organization and used by multiple beneficiaries who pool their resources for investment while maintaining individual accounts.

Each type has unique drafting and funding considerations. Proper selection depends on the origin of the assets and the long-term objectives of the grantor and beneficiary.

Essential Design Strategies for a Special Needs Trust

Designing a special needs trust in Rhode Island requires careful planning, understanding of benefit programs, and a personalized approach. The Law Offices of Howe & Garside, Ltd uses the following strategies to develop a trust that supports both legal and practical objectives:

Choosing the Right Trustee

The trustee must administer the special needs trust according to both the terms of the trust and applicable laws. A corporate trustee may bring professional management, while a family member may offer personal familiarity with the beneficiary’s needs. 

The trustee should understand the impact of distributions on benefit eligibility and keep meticulous records.

Customizing Distributions

A special needs trust can pay for a wide range of goods and services that enhance the beneficiary’s quality of life, as long as those payments don’t count as income under Social Security or Medicaid rules. 

Examples include education, therapy, home care, vacations, and adaptive technology. The trust must be drafted to give the trustee discretion over distributions, avoiding mandatory language that could jeopardize benefits.

Integrating Letter of Intent

While not legally binding, a letter of intent provides guidance to the trustee about the beneficiary’s lifestyle, preferences, routines, and values. This document complements the special needs trust by helping future trustees understand the grantor’s intentions, especially when the original caregiver is no longer available.

Maintaining Compliance with State and Federal Rules

A well-drafted special needs trust must comply with the Rhode Island Department of Human Services rules and federal regulations. Trusts that deviate from accepted standards may be treated as countable resources, triggering loss of benefits. 

Language about distribution discretion, Medicaid payback (if applicable), and trustee authority should reflect legal precision.

Planning for Contingencies

It is critical to consider what happens if the beneficiary no longer needs benefits, the trustee resigns, or the trust runs out of funds. Including provisions for successor trustees, trust termination, and remainder beneficiaries adds flexibility and resilience to the special needs trust.

Coordinating with Public Benefits

Understanding how Medicaid, SSI, Section 8 housing, and other programs assess trust distributions helps avoid disruptions in coverage. 

The trustee must manage distributions to avoid direct payments of food or shelter, which could be treated as in-kind support and reduce SSI benefits. A special needs trust should be tailored to the specific benefits the beneficiary receives.

Updating the Trust Over Time

Circumstances change, and a special needs trust must reflect that. Regular reviews allow adjustments to address new health conditions, law changes, or family circumstances. Including provisions for trust amendments or restatements provides flexibility while preserving structure.

Common Pitfalls to Avoid

Several design flaws can defeat the purpose of a special needs trust. The Law Offices of Howe & Garside, Ltd has seen preventable mistakes that cause unintended consequences. 

These include naming the wrong trustee, making direct payments to the beneficiary, using trust funds for basic support without proper planning, and failing to include Medicaid recovery provisions where required.

One of the most overlooked issues is drafting a special needs trust without coordination with other estate documents. The trust must align with the grantor’s will, powers of attorney, and other estate planning components to maintain consistency and minimize disputes.

Advantages of a Well-Designed Special Needs Trust

Properly structured, a special needs trust offers peace of mind and long-term protection. The main benefits include:

  • Preservation of Medicaid and SSI eligibility

  • Protection of inherited or awarded assets from misuse

  • Management by a reliable trustee

  • Clear guidance on spending priorities

  • Supplementation of government aid with private support

  • Longevity of funds due to controlled disbursement

  • Relief for family members from legal or financial burden

  • Continued access to housing, care, and quality-of-life resources

  • Protection from financial abuse

  • Flexibility for future changes in law or circumstance

These benefits underscore why thoughtful trust design isn’t only beneficial but essential for any family planning for a loved one with special needs.

The Legal Scope in Rhode Island

Rhode Island courts generally follow federal guidelines when determining whether a special needs trust meets eligibility standards for Medicaid and SSI. The Rhode Island Department of Human Services evaluates trust assets when calculating eligibility. Missteps in drafting or administration can lead to disqualification.

The Law Offices of Howe & Garside, Ltd stays up to date with evolving standards and provides guidance to families on compliance and best practices. Because Rhode Island also has estate recovery rules, the trust must account for potential Medicaid payback where applicable.

Additionally, Rhode Island recognizes guardianships and conservatorships for individuals with disabilities. If a trust is established by a guardian or the court, extra steps may be needed to meet statutory requirements. Coordination between guardianship and trust planning prevents duplication or conflicts.

Final Thoughts on Special Needs Trust Design

The Law Offices of Howe & Garside, Ltd encourages families to think of the special needs trust as more than a legal formality. They are proud to serve Newport, Lincoln, Providence, Warwick, Bristol, Westerly, Woonsocket, Lincoln, Pawtucket, and all of Rhode Island. Call today.