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A Wizard’s Guide to Special Needs Trusts

March 5, 2026

Alicia M. Balanesi

When it comes to planning for a loved one with special needs, the world of trusts can feel a bit like the Hogwarts curriculum — full of mysterious terms, tricky rules, and the occasional spellbook-sounding statute. But fear not! Unlike trying to master Wingardium Leviosa, you don’t need a wand — just an understanding of the different types of Special Needs Trusts (SNTs) that help protect benefits eligibility and enhance quality of life.

At its simplest, a Special Needs Trust is like a Protego charm around your loved one’s public benefits: it holds assets for their benefit without counting those assets against means-tested programs such as Medicaid or Supplemental Security Income (SSI).

(1) Self-Settled or First-Party Special Needs Trust

Think of this as the “Half-Blood Prince” of SNTs: powerful, a bit complex, and invaluable when used correctly. A self-settled trust — sometimes called a d(4)(A) trust— is funded with the beneficiary’s own assets, like a settlement payout from a lawsuit.

Just like a potion that requires a perfect mix, this trust must meet specific criteria and must be submitted to and approved in writing by the Maryland Attorney General’s office before it can be established. While this trust does protect benefits, when the beneficiary passes away, any leftover funds usually must first repay Medicaid for medical costs expended on the beneficiary during their lifetime —the “payback potion” effect.  

(2) Stand-Alone or Third-Party Special Needs Trust

This is your custom-made Elder Wand, crafted specifically for one beneficiary by someone else, usually parents, grandparents or other family members. A stand alone, or third-party trust, can be tailored to the individual’s unique needs and does not require the vetting process of approval by the Maryland Attorney General’s office. Also, because it isn’t pooled with others, families choose their own trustee — a trusted friend, professional, or entity — and can define how the trust operates. Additionally, there is no “payback” requirement to the state for a third-party special needs trust after the beneficiary passes away. You will have the control to identify contingent beneficiaries to receive the trust assets.

Stand-alone trusts generally require more planning (think detailed spellcasting), but they offer full flexibility and personal control over the trust’s magic.

(3) Testamentary Special Needs Trust

Created through a person’s Will, this type of SNT only “comes to life” after the wizarding benefactor passes away. A testamentary SNT does not operate during your lifetime, but it ensures that assets left at death to a loved one with special needs go into a protective trust rather than straight into their pocket (which might jeopardize their receipt of benefits).

These trusts are excellent estate-planning tools and, because funds aren’t owned by the beneficiary initially, there’s typically no Medicaid payback requirement, which can feel like finding the Room of Requirement.

(4) Pooled Special Needs Trust

This is the friendly, community-oriented approach — imagine a Dumbledore’s Army of trust funds. A pooled SNT is administered by a nonprofit organization that mixes investment resources for efficiency while keeping individual accounts separate.

Depending on the organization, pooled trusts may accept first-party funds, which will be subject to the state payback requirement, or third-party contributions, from a grandparent or parent, for example, without payback. The nonprofit trustee handles investment and disbursement details, which can ease the administrative load for families — like having house elves handle the bookkeeping! Each SNT nonprofit organization is administered differently, and it is prudent to obtain information on the organization’s fees, disbursement processes, trustee reporting, and beneficiary post-death procedures when determining which SNT nonprofit organization is the best fit for you and your loved one.

Choosing the Right Spellbook (Trust)

No matter which SNT you’re considering, there’s one common goal: protect your loved one’s benefits eligibility while enhancing their quality of life. Each type — self-settled, stand-alone, testamentary, and pooled — has its unique strengths and quirks (just like the Hogwarts houses).  To learn more, set up a consultation with me to determine which strategy is best for your family. With the right planning and a little magic, you can make sure your loved one’s future is protected — no Felix Felicis required!

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