Trusts

How to Plan for Special Needs Children: Creating a Trust That Secures Their Future

Key Takeaways

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When you’re a parent of a child with special needs, thinking about the future isn’t optional; it’s necessary. From healthcare and housing to therapies and everyday support, ensuring your child is cared for long after you’re gone takes planning. One of the most effective tools for doing that is special needs trust planning.

A special needs trust (SNT) can protect your child’s access to critical government benefits like SSI and Medi-Cal while providing additional financial support. Without one, even a modest inheritance could disqualify your child from receiving these services. But done correctly, a trust gives your child a better quality of life and greater stability, without compromising eligibility.

What a Special Needs Trust Actually Does

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Think of a special needs trust as a financial container. Instead of giving money directly to your child (which could be counted against them in SSI or Medicaid eligibility), you place assets into a trust. A trustee (someone you choose) manages the money and uses it for your child’s benefit.

What makes this setup powerful is its design. The funds can be used for things government programs don’t cover, like therapy not covered by insurance, educational support, transportation, or recreation. Meanwhile, SSI continues to provide income for basic needs like food and housing, and Medi-Cal handles medical care.

The key is that the trust supplements those government programs, rather than replacing them.

Choosing the Right Kind of Trust

There are different types of special needs trusts, and which one you need depends on where the money is coming from and what your goals are:

  • First-party trust: Funded with the beneficiary’s own money, such as a personal injury settlement or inheritance. It must include a Medicaid payback provision when the beneficiary passes away.
  • Third-party trust: Funded by someone else, like a parent or grandparent. This is typically used in estate plans and doesn’t require a Medicaid reimbursement.
  • Pooled trust: Managed by a nonprofit that combines resources from multiple individuals. It’s an option for families who don’t have enough assets to justify a standalone trust or who prefer professional oversight.

 

For most families planning ahead, a third-party trust often makes the most sense, especially when built into an existing estate plan through a will or revocable living trust. In these cases, it’s often a testamentary special needs trust, meaning it doesn’t come into existence until the parent or grandparent passes away.

You won’t always be there—but your planning can be.

Planning Around the Details

Special needs trust planning isn’t something you want to do halfway. There are a few key steps and decisions that make the difference between a trust that works and one that creates problems.

  1. Pick the right trustee: This person will be responsible for managing the money and making sure it’s used in ways that follow the rules. It should be someone trustworthy and organized, ideally someone who understands your child’s situation or is willing to learn.
  2. Define what the trust will cover: While the trustee has discretion, you can guide their decisions. That might include funding for a caregiver, educational tools, job coaching, or even something as simple as birthday celebrations.
  3. Coordinate your financial accounts: If you leave your life insurance policy or retirement account directly to your child, that can unravel the whole plan. Instead, name the trust as the beneficiary where appropriate.
  4. Get legal help. These trusts have to follow strict rules, especially when it comes to SSI and Medicaid. Work with an estate planning attorney who’s familiar with special needs trust planning in California. 
  5. Consider your child’s unique needs: If your child has issues with addiction, for example, that needs to be addressed in the trust instructions. It may include clauses requiring negative drug tests before funds can be distributed, or restrictions around how money can be used.

Guardianship and Long-Term Support

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A trust handles money, but what about the other aspects of your child’s life?

When your child turns 18, they’re legally an adult, even if they aren’t ready to make decisions on their own. That’s where guardianship or conservatorship comes in. You can plan for this in advance by nominating someone you trust to step into that role.

You should also document your child’s preferences, routines, and needs, as these things aren’t always spelled out in legal forms. This could be a letter of intent or a personal guide to help the future caregiver or trustee understand who your child is and what kind of life you hope they’ll have.

California-Specific Considerations

In California, there are a few extra layers to keep in mind:

  • Medi-Cal rules may impact how the trust is drafted, especially when it comes to payback provisions.
  • State taxes on trusts can be complicated. A California-based CPA or estate planning attorney can help make sure everything stays compliant.
  • ABLE accounts (Achieving a Better Life Experience) are another planning tool that can work alongside a trust. These tax-advantaged accounts let you save up to $19,000 per year (2025 limit) without affecting SSI eligibility.

Keep It Updated

Life changes, and so do laws. What works now might not work five years from now. That’s why it’s important to revisit your plan regularly, ideally once a year or whenever there’s a major life change like a new diagnosis, change in benefits, or family shift.

Special Needs Trusts That Protect What Matters Most

Planning for a child with special needs isn’t something you want to leave to guesswork. A DIY approach or generic legal form won’t account for the long-term care, benefits eligibility, and protections your child may need. Without a properly structured special needs trust, even well-intentioned plans can fall short.

At Ferguson Law Group, we help families create trusts that support their loved ones now and in the future—without jeopardizing access to public benefits. Whether you need a standalone or testamentary special needs trust, or guidance on how to begin, we’re here to make the process clear and manageable.

Give your child the security and support they deserve. Contact us today to start planning with confidence.

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Frequently Asked Questions

It helps protect your loved one’s eligibility for government benefits while providing them financial support.

You create the trust with an attorney who ensures it meets California and federal rules to protect benefits.

Yes, if the trust is properly structured, the funds won’t count against SSI limits, so benefits can continue.