AR HB1577

Adds new Subchapter 7 to Arkansas Code Title 28, Chapter 72 to establish legal framework for Qualified Income Trusts (Miller Trusts) used to establish Medicaid income eligibility

Defines "agent" as any of the following authorized to create or manage the trust: child, spouse, sibling, attorney-in-fact, guardian of the estate, or Social Security representative payee

Income transferred into a qualified income trust shall not be counted when determining Medicaid financial eligibility, while untransferred income may still be considered

Specifies allowable monthly expenses that may be paid from the trust, including personal needs expenses (capped by Medicaid limits), trustee and bank fees, mandatory court-ordered payments, community and dependent spouse allowances, and medical expenses

Requires written approval from the Department of Human Services before any amendments to a qualified income trust can be made, and permits the state to recover residual trust amounts upon the beneficiary's death up to total medical assistance paid