North Dakota Miller Trust Forms for Assisted Living are legal documents designed to help individuals in North Dakota qualify for Medicaid long-term care benefits while residing in an assisted living facility. These forms are specifically tailored to meet the requirements set forth by the North Dakota Department of Human Services (ND DHS) for individuals with excess income. The Miller Trust, also known as a Qualified Income Trust (QIT), allows individuals with income above the Medicaid eligibility threshold to deposit their surplus income into a trust account. The funds in this trust account are then disregarded when determining Medicaid eligibility, enabling the individual to qualify for Medicaid benefits despite having a higher income. There are several types of North Dakota Miller Trust Forms for Assisted Living, each catering to specific circumstances and needs of the applicant. These forms include: 1. Initial Miller Trust Form: This form is used when establishing the Miller Trust initially, and it includes details such as the name and address of the trust beneficiary, the trustee, and the assisted living facility where the beneficiary resides. 2. Income Reporting Miller Trust Form: This form is utilized to report and document the income received by the beneficiary each month. It includes details such as the type of income, the source of income, and the amount of income deposited into the Miller Trust. 3. Renewal Miller Trust Form: This form is required on an annual basis to renew the existence of the Miller Trust. It ensures that the beneficiary continues to meet the Medicaid eligibility criteria. 4. Distribution Request Miller Trust Form: This form is used to request the withdrawal of funds from the Miller Trust account for approved expenses related to the assisted living facility, such as monthly fees or medical costs. Applicants must carefully complete these North Dakota Miller Trust Forms for Assisted Living, providing accurate information to ensure compliance with ND DHS regulations. The assistance of an experienced elder law attorney or legal professional is strongly recommended ensuring the forms are correctly filled out and submitted in a timely manner. In conclusion, the North Dakota Miller Trust Forms for Assisted Living are essential legal tools that enable individuals with excess income to qualify for Medicaid benefits while residing in an assisted living facility. These forms include the initial form, income reporting form, renewal form, and distribution request form. Proper completion of these forms is crucial for eligibility, and it is advisable to seek professional guidance during the process.