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Dependent  Care  Flexible  Spending  Ac-  or 21, depending upon the state they live in.  Medicaid. This program helps individuals
        counts  (or  DCFSAs)  are  tax-advantaged  The guardian will be responsible for caring  and families with disabilities pay for health
        accounts that let you use pre-tax dollars to  for your children; in essence, they will act  costs and is the principal source of long-
        pay for eligible dependent care expenses.  as your child’s parent. If you do not appoint  term  coverage  for  many.    This  includes
        A DCFSA is a pre-tax benefit account used  a guardian, the court will appoint one for  skilled nursing facilities and in-home care-
        to pay for eligible dependent care services,  you, who may or may not be to your liking.  giving support (depending on the state).
        such as preschool, summer day camp, be-
        fore or after school programs, and child or   Each  U.S.  state  has  its  own  guardianship  Supplemental Security Income (SSI). This
        adult daycare. A qualifying dependent may   requirements.  A  family  lawyer  can  help  taxpayer-funded  program  is  allotted  to
        be a child under age 13, a disabled spouse,   you navigate the process in your state. No  those  with  disabilities  to  help  them  pay
        or  an  older  parent  in  eldercare.  DCFSAs   matter what, don’t assume whom guardian-  for basic needs such as food, clothing, and
        can be combined with a standard FSA or an   ship of your child would go to after your  shelter.
        HSA. DCFSAs do not impact HSA eligibil-  death. Guardianship would only be neces-
        ity. In general, for 2023, the maximum an-  sary if your child’s other parent is also no   In general, there are two types of special
        nual contribution limit is $5,000 per house-  longer alive or unable to care for your child   needs trusts (SNTs):
        hold or $2,500 if married, filing separately.  sufficiently.  In  many  states,  courts  have
                                             the final say on who becomes a guardian.   A  first-party  special  needs  trust,  also  re-
        You  can  use  the  dependent  care  FSA  to   They base the decision on what’s best for   ferred to as a “self-settled” trust, is estab-
                                                                                  lished using assets of the person with spe-
        pay for eligible Pre-K childcare expenses   the child and may let older children weigh   cial needs. The beneficiary of the trust must
        tax-free,  including  nursery  school,  pre-  in. In these cases, your role as a parent is to   be someone with special needs or who is
        school, or similar programs below the level   tell the court your wishes and any relevant   disabled. The  trust  is  actually  established
        of  kindergarten.  Expenses  to  attend  kin-  facts ahead of time.       by  a  parent,  grandparent,  guardian  of  the
        dergarten or a higher grade aren’t eligible                               person  with  special  needs,  or  by  a  court;
        FSA expenses, but childcare, expenses for   In  certain  instances,  a  special  needs  trust   however, it is funded using assets owned
        before-  or  after-school  care  of  a  child  in   may be prudent.  A special needs trust is   by  the  beneficiary.  This  type  of  special
        kindergarten or a higher grade up to age 13   a  document  you  create  to  provide  for  a   needs trust is most frequently needed when
        are eligible. The care provider just can’t be   beneficiary  who  has  a  disability,  chronic   someone with special needs (or a disabled
        your spouse or another dependent child.  illness, or injury and relies on government
                                             assistance. A  special  needs  trust  helps  to   individual) receives a lump sum of money.
        Generally speaking, high-income families   improve a disabled individual’s life by in-  For  example,  if  the  individual  received  a
        will benefit more from an FSA than from   creasing the longevity of funds using gov-  settlement for injuries in a personal injury
        the Child and Dependent Care Credit (you   ernment benefits. It also pays for expenses   accident  or  received  an  inheritance. With
        can’t  receive  the  full  benefit  from  both).   that are not otherwise covered by govern-  a first-party trust, any assets remaining in
        However, if you have two or more kids un-  ment assistance.               the trust upon the death of the beneficiary
        der 13 and spend $6,000 or more on child                                  must be used to pay back Medicaid (assum-
        care, you may be able to partially benefit   A person with a disability may be rendered  ing the beneficiary was a Medicaid recipi-
        from  both.   A  potential  drawback  is  that   ineligible for Medicaid, Supplemental Se-  ent). By contrast, with a third-party special
        the  IRS  requires  money  contributed  to  a   curity Income (SSI), or other public ben-  needs trust, there is no need to worry about
        FSA to be spent during the plan year. If the   efits if they receive an inheritance or sim-  repaying Medicaid.
        money isn’t used, it’s forfeited. A tax pro-  ply  accumulate  too  much  money  in  their   A third-party special needs trust is estab-
        fessional  can  help  determine  what’s  best   account. Any amount over $2,000 in assets   lished by a third party with assets owned
        for your situation.                  will  negatively  affect  benefit  eligibility.
                                             An individual special needs trust offers a   by the third party for the benefit of a per-
        Planning  for  the  care  of  children  in  case   way to protect the assets of a person with   son with special needs. This type of trust is
        of unfortunate circumstances is one of the   a disability while preserving their ability to   most often established by a parent, or other
        most important things parents can do.  Es-  receive public benefits. Funds can be dis-  family member, for the benefit of a child
        tate planning could mean the difference be-  tributed,  as  needed,  to  pay  for  extra  care   with  special  needs.  A  third-party  special
        tween stability and chaos for bereaved chil-  beyond what the government provides. An   needs  trust  is  funded  using  assets  gifted
        dren. The sooner a permanent or temporary   individual special needs trust may offer a   by the parent, grandparent, or other family
        guardian  is  appointed  in  these  situations,   way  to  pay  for  personal  care  attendants,   members. This type of trust must include
        the more quickly the child can adjust. Wills   home furnishings or modifications, out-of-  specific language and must be worded such
        and trusts are important because they help   pocket  medical  or  dental  care,  education,   that the assets in the trust are actually dis-
        inform your family how you want your as-  recreation  and  vacations,  transportation,   tributed to a third party, such as the parent,
        sets distributed when you die. An essential   rehabilitation, and many other ways of im-  to be used for the benefit of the individual
        part of a will, if you have minor children or   proving the quality of life for a person with   with special needs. Because the assets held
        children with special needs (regardless of   a disability.                in the trust are not available to the bene-
        age), is to appoint a guardian. The guardian                              ficiary,  those  assets  do  not  disqualify  the
        will be the person appointed to take care   There  are  two  main  government  benefits  beneficiary  from  eligibility  for  assistance
        of your children after you pass away until   that putting money in a trust can preserve:  programs such as Medicaid and SSI.
        they reach the age of majority, which is 18
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