When planning for the future of a loved one with a disability, financial support must be coordinated carefully with any means-tested public benefits they receive, including Supplemental Security Income (SSI) and Medicaid.
A properly structured Special Needs Trust (SNT) can provide additional financial support while helping preserve eligibility for certain public benefits. At Inman, Stadler & Hill, our Knoxville estate planning lawyers can help families determine whether an SNT is appropriate and structure the trust around their loved one’s needs and long-term financial circumstances.
What Is a Special Needs Trust?

A Special Needs Trust (SNT) is a trust established to hold and manage assets for the benefit of a person with a disability. When properly structured and administered, an SNT can provide supplemental financial support while helping preserve the beneficiary’s eligibility for certain means-tested public benefits.
Programs such as Supplemental Security Income (SSI) and Medicaid have financial eligibility requirements, including limits on certain income and resources. Assets held in a qualifying SNT may be excluded when determining eligibility for these programs. However, distributions from the trust can still affect benefits depending on how the funds are paid and what expenses they cover, making proper trust administration especially important.
Special Needs Trusts generally fall into two main categories:
Third-Party SNT: A third-party SNT is funded with assets belonging to someone other than the beneficiary, such as a parent, grandparent, or other family member. Funding may come from gifts, an inheritance directed to the trust, life insurance proceeds, or other assets. Unlike a qualifying first-party SNT, a third-party SNT generally is not subject to the same Medicaid reimbursement requirement after the beneficiary’s death.
First-Party (or Self-Funded) SNT: A first-party SNT is funded with assets that belong to the beneficiary, such as proceeds from a legal settlement or an inheritance received directly by the beneficiary. Qualifying first-party SNTs are subject to specific federal requirements, including rules concerning the beneficiary’s disability and age when the trust is established. After the beneficiary’s death, remaining trust assets may be used to reimburse the applicable state Medicaid program for certain benefits paid on the beneficiary’s behalf before any remaining funds are distributed according to the trust and applicable law.
Who Is Eligible for a Special Needs Trust?
Whether a Special Needs Trust is appropriate depends on the type of trust, the beneficiary’s circumstances, and the public benefits the trust is intended to help preserve.
For a qualifying first-party SNT, federal law generally requires the beneficiary to meet the Social Security Act’s definition of disability and to be under age 65 when the trust is established. Third-party SNTs are funded with assets belonging to someone other than the beneficiary and are subject to different requirements.
Because eligibility and trust requirements can vary, families should consider the beneficiary’s disability, current or anticipated public benefits, source of the trust assets, and long-term financial needs when deciding whether an SNT is appropriate.
How Does a Special Needs Trust Work?
How an SNT is established and funded depends on the type of trust. A third-party SNT is generally established and funded by someone other than the beneficiary, while a qualifying first-party SNT is funded with the beneficiary’s own assets and may be established by the beneficiary or another person or entity authorized under applicable law.
The trust is administered by a trustee, who manages the assets and makes distributions according to the trust agreement and applicable public-benefit rules. A properly administered SNT can supplement the beneficiary’s public benefits by paying for goods and services that support their health, independence, and quality of life.
Depending on the terms of the trust and the beneficiary’s benefit programs, SNT funds may be used for expenses such as:
Caregiving and In-Home Support: The trust may help pay for personal care, respite care, or other assistance with daily activities.
Medical and Therapy Expenses: Funds may be used for medical, dental, therapeutic, or other healthcare expenses that are not otherwise covered.
Transportation Costs: An SNT may help pay for accessible transportation, certain vehicle-related expenses, public transportation, or rideshare services.
Recreation and Enrichment: Trust funds may also be used for classes, hobbies, entertainment, and certain travel expenses that benefit the beneficiary.
The effect of a trust distribution on Supplemental Security Income (SSI), Medicaid, or other benefits can depend on what the trustee pays for and how the payment is made. For example, direct cash payments to the beneficiary or certain payments for shelter can affect SSI even when the trust itself is not treated as a countable resource.
What Are the Benefits of a Special Needs Trust?
An SNT can provide several important benefits for the beneficiary and their family, including:
Helping Preserve Eligibility for Public Benefits: When properly structured and administered, an SNT can hold certain assets for the beneficiary without those assets necessarily being treated as countable resources for means-tested programs such as Supplemental Security Income (SSI) and Medicaid. Because individual distributions can still affect benefits, careful administration of the trust is important.
Managing and Preserving Assets: An SNT places assets under the management of a trustee who must administer them according to the trust agreement and applicable law. Depending on the type and terms of the trust, the arrangement may also provide protections that help preserve assets for the beneficiary’s needs.
Customizing Support: The trust can be structured around the beneficiary’s individual circumstances and long-term needs. Funds may be used for appropriate supplemental expenses while the trustee considers how each distribution could affect the beneficiary’s public benefits.
When Do the Benefits of a Special Needs Trust End?
An SNT will often terminate upon the beneficiary’s death, although the trust agreement controls how and when the trust ends and how any remaining assets are handled.
For a qualifying first-party or self-funded SNT, remaining trust assets generally must first be used to reimburse the applicable state Medicaid program or programs, up to the amount of medical assistance paid on the beneficiary’s behalf, as required by law. If funds remain after any required reimbursement, they may be distributed according to the trust terms and applicable law.
A third-party SNT generally is not subject to the same Medicaid payback requirement. The person creating the trust can usually designate remainder beneficiaries who will receive any assets left in the trust after the beneficiary’s death.
How Can a Lawyer Help Create a Special Needs Trust?
Creating an SNT requires more than transferring assets into a trust. The trust must be structured and administered with the beneficiary’s circumstances, funding source, and applicable public-benefit rules in mind. An estate planning attorney can help families evaluate these issues and draft the trust to comply with applicable legal requirements while reducing the risk of disrupting the beneficiary’s means-tested benefits.
Choosing the Appropriate Trust Structure: The source of the assets, the beneficiary’s current and anticipated public benefits, and the family’s long-term goals can all affect which trust arrangement is appropriate. An attorney can evaluate whether a third-party SNT, first-party SNT, or another available special-needs-planning option is best suited to the circumstances.

Drafting Clear, Compliant Terms: An attorney can draft the trust to address the trustee’s authority, distribution standards, and other provisions that affect how the assets are managed for the beneficiary. Careful drafting is especially important when the trust is intended to help preserve eligibility for means-tested public benefits.
Guidance on Funding Sources: A lawyer can help evaluate appropriate ways to fund the trust, including life insurance proceeds, inheritances, and other assets. The source and timing of the funding should be considered alongside potential tax consequences and the beneficiary’s public-benefit eligibility.
Ongoing Legal Support: Special Needs Trust planning does not necessarily end when the trust is created. An attorney can assist with questions involving trust administration and help the trustee respond to changes in applicable laws, benefit rules, or the beneficiary’s circumstances.
Let Our Knoxville Estate Planning Lawyers Help You Establish a Special Needs Trust
At Inman, Stadler & Hill, our Knoxville estate planning lawyers help families evaluate Special Needs Trust options, funding strategies, and long-term planning considerations for loved ones with disabilities.
Our team can help you determine an appropriate trust structure, identify suitable funding sources, and develop a plan based on your family’s circumstances and goals. Contact our Knoxville estate planning lawyers today for a consultation to discuss whether an SNT may be appropriate for your family.













