The Miller Trust (Qualified Income Trust)
If gross monthly income is even $1 over Texas’ $2,982 cap, the state computer denies the application automatically. The fix is a simple bank account with a specific title — the Miller Trust.
How it works, in plain English
- 1Open a new checking account at a Texas bank.
It must be titled exactly: "[Applicant's Name] Qualified Income Trust." The applicant cannot be the trustee — a family member or caregiver signs.
- 2Each month, route income into the QIT.
Social Security, pension, VA — the gross income flows into this account, not into a personal account.
- 3The trustee pays bills from the QIT each month.
Personal needs allowance, Medicare premiums, the community spouse's monthly allowance, then the nursing facility.
- 4End every month at $0.00.
An empty QIT is the proof that all income was properly used. Even $20 left over can risk eligibility.
Take this to the bank
A one-page instruction sheet for the bank teller or manager. Pre-filled with the applicant’s name and the exact account titling Texas HHSC requires.
Red-flag scanner
- High balance. If the QIT ends the month above $20, eligibility is at risk.
- Wrong deposit. Tax refunds, gifts, or sale proceeds do not belong here — only monthly income.
- Missed month. If no deposit posts by the 25th, coverage for that month can be lost.