The purpose of the Miller Trust Calculator is to allow you to see whether the patient is likely to qualify for ALTCS (Arizona's Medicaid Program for Long Term Care) from an income point of view - without a Miller Trust. The maximum monthly income for a patient without a Miller Trust is $2742 in 2023.
ALTCS considers gross income. Since most people know their net social security payment, we have added a field that permits you to insert the Medicare Part B premium that is deducted from your social security. So if you are providing a gross social security number, set the Medicare Part B Premium to $0.
The standard Part B premium amount in 2023 is $164.90. Most people pay the standard Part B premium amount. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you'll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.
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Full Part B Coverage |
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Beneficiaries who file individual tax returns with modified adjusted gross income: |
Beneficiaries who file joint tax returns with modified adjusted gross income: |
Income-Related Monthly Adjustment Amount |
Total Monthly Premium Amount |
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Less than or equal to $97,000 |
Less than or equal to $194,000 |
$0.00 |
$164.90 |
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Greater than $97,000 and less than or equal to $123,000 |
Greater than $194,000 and less than or equal to $246,000 |
$65.90 |
$230.80 |
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Greater than $123,000 and less than or equal to $153,000 |
Greater than $246,000 and less than or equal to $306,000 |
$164.80 |
$329.70 |
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Greater than $153,000 and less than or equal to $183,000 |
Greater than $306,000 and less than or equal to $366,000 |
$263.70 |
$428.60 |
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Greater than $183,000 and less than $500,000 |
Greater than $366,000 and less than $750,000 |
$362.60 |
$527.50 |
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Greater than or equal to $500,000 |
Greater than or equal to $750,000 |
$395.60 |
$560.50 |
ALTCS needs to know the amount of a pension before deductions are made for taxes or health insurance.
ALTCS first considers income that arrives only in the name of the patient. That is called the "Name on the Check" test. If the patient is not married and if the patient fails the Name on the Check test, the patient will need an Income Only Trust (Miller Trust). If the patient is married to a spouse who is living in the community (i.e. not in a care setting), ALTCS will average the income of the spouses to see if the average is less than $2742 per month (in 2023), and if it is, the patient passes the second test for income qualification, the Community Spouse test.
Total Patient Income is:
Total Income of Spouse is:
Will Patient Pass the Name on the Check Test?
Will patient pass the Community Spouse Income Test?
If a single patient failed the name on the check test or if a married patient failed both the name on the check test and the community spouse test, Order a Miller Trust online at a substantial discount.