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Medfield, MA 02052
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Articles

Special Needs Trust Expenditures Can Include, But Are Not Limited To:

By Frederick M. Misilo, Jr. on August 11, 2019
  • Additional physician visits (over the Medicaid limit)
  • Appliances
  • Bicycle, fitness equipment, personal trainer
  • Bottled water
  • Bus or train pass
  • Cab scrip
  • Cable TV bill
  • Car/Van: fuel, repairs, maintenance, insurance
  • Cell phone
  • Club dues
  • Computer, internet service, software, training, repairs
  • Curtains, blinds, drapes
  • Dental work, eyeglasses, hearing aids, batteries not covered
  • Dermatology not covered by Medicaid
  • Drugs unavailable through Medicaid (non-generic)
  • Entertainment, movie or theater tickets
  • Furniture
  • Haircuts manicures, pedicures, and other salon services
  • Health club membership
  • Hobby supplies
  • House cleaning/maid service
  • Incontinence supplies and equipment
  • Laundromat/Dry Cleaners
  • Legal fees/Guardian fees
  • Lessons, classes or college tuition and fees
  • Linen
  • Massage, Acupuncture/Acupressure, Rolfing and other alternative treatments
  • Musical instruments
  • Non-food grocery items, such as:
    • laundry soap, bleach, household cleaning products, tissues, paper towels, napkins, deodorant, soap, personal hygiene products
  • Orthopedic shoes/podiatry
  • Over the counter medications
  • Oversight, monitoring, and advocacy
  • Painting and music therapy
  • Payment of private health insurance premiums
  • Personal attendant services beyond Medicaid limits
  • Pets, pet supplies/food, pet care (veterinarian bills, etc.)
  • Private counseling
  • Record/Book clubs
  • Rehabilitation and physical therapy beyond Medicaid limits
  • Respite care
  • Telephone bill or phone card
  • TV, VCR, DVD player, stereo
  • Vacation
  • Vitamins, Herbs
  • Wheelchairs not covered by Medicaid; repairs, driving gloves
CAUTION: Do not distribute funds directly to the beneficiary. The above goods and services must be paid directly from the trust to the vendor or service provider. Distributions from a first-party special needs trust must be for the sole benefit of the beneficiary.
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