California Payback Trust Lawyer | First‑Party SNT (d4A) & Medi‑Cal Payback Rules 2026

First‑party payback trust (d4A) preserves Medi‑Cal but requires repayment at death. Calculation & spend‑down strategies. San Diego lawyer. Call (619) 436-7544.

“Key Takeaways”

  • Payback Required: Under 42 U.S.C. § 1396p(d)(4)(A), a first‑party (d4A) trust must repay Medi‑Cal for all benefits paid after the beneficiary’s death, up to the remaining trust balance.
  • Age Limit: Beneficiary must be under 65 when the trust is created. Turning 65 later does not disqualify.
  • Spend‑Down Strategy: The trustee can spend trust assets on supplemental needs during the beneficiary’s lifetime, reducing the payback amount.
  • Accounting Demand: Under Probate Code § 17200, a beneficiary can demand an accounting; trustee has 60 days to respond.
  • San Diego Probate: Trust disputes heard in Department 43 at 1100 Union St. Mandatory eFiling under Local Rule 4.3.1.
  • 2026 Medi‑Cal Asset Test: $130,000 individual limit reinstated Jan 1, 2026. A properly drafted d4A trust remains exempt.
  • 2026 SSI/SSP Rate: Federal $994 + CA supplement ≈ $1,233–$1,270/month depending on living arrangement.

Full Pillar Page

Quick Answer: What Is a California Payback Trust (First‑Party d4A SNT)?

A payback trust – legally a first‑party special needs trust (d4A) – is an irrevocable trust funded with the disabled beneficiary’s own assets (e.g., a personal injury settlement, direct inheritance, or savings). It preserves SSI and Medi‑Cal eligibility during the beneficiary’s life. At death, any remaining trust assets must repay the state Medicaid program up to the amount of Medi‑Cal benefits paid.

Deeper Legal Analysis – The d4A Statute:
The federal authority is 42 U.S.C. § 1396p(d)(4)(A). To qualify: (1) the trust is established for a disabled individual under age 65, (2) it is funded with the beneficiary’s own assets, (3) it is irrevocable, and (4) after the beneficiary’s death, the state Medicaid program receives all remaining assets up to the total medical assistance paid. At Leeran S. Barzilai, A Prof. Law Corp., we draft d4A trusts with “sole discretion” language – the trustee decides all distributions. Without sole discretion, the trust becomes a countable resource.
External link: 42 U.S.C. § 1396p(d)(4)(A)

Critical 2026 Context – Medi‑Cal Asset Test Reinstatement:
Effective January 1, 2026, California reinstated the asset test for non‑MAGI Medi‑Cal (aged, blind, disabled) with a limit of $130,000 for an individual and $195,000 for a couple. A properly drafted d4A trust is not a countable resource because the beneficiary cannot demand distributions. This makes the payback trust essential for a disabled person who receives a sudden influx of assets (e.g., a $300,000 settlement) and needs to preserve Medi‑Cal eligibility.
External link: DHCS Medi‑Cal Recovery Program

Quick Answer: How Does the Payback Calculation Work After the Beneficiary Dies?

After the beneficiary dies, the trustee must: (1) notify the California Department of Health Care Services (DHCS), (2) submit a final accounting, and (3) pay DHCS the lesser of (a) the remaining trust assets or (b) the total amount of Medi‑Cal benefits paid during the beneficiary’s lifetime. Any excess above the Medi‑Cal expenditures goes to contingent remainder beneficiaries (if named).

Numerical Example – Payback Calculation:
John creates a d4A trust with $300,000. Over 10 years, Medi‑Cal pays $250,000 for his nursing home care. At his death, the trust has $200,000 left.

  • Medi‑Cal expenditures = $250,000.
  • Remaining trust assets = $200,000.
  • Payback = $200,000 (the lesser amount).
  • Family receives $0.

If the trust had $300,000 left, payback = $250,000, and family would receive $50,000.

Strategic Spend‑Down to Reduce Payback:
The trustee can spend trust assets during the beneficiary’s lifetime on legitimate supplemental needs – home modifications, vacations, education, legal fees. Every dollar spent reduces the payback amount. However, distributions for food or shelter trigger SSI ISM reductions. At Leeran S. Barzilai, we advise trustees to focus on non‑ISM expenditures.

Quick Answer: What Is the Age Limit for a Payback Trust?

The beneficiary must be under age 65 at the time the trust is created. This is a hard cap under 42 U.S.C. § 1396p(d)(4)(A). If the beneficiary is 65 or older, you cannot use a d4A trust. Instead, consider a pooled trust (d4C) , which has no age limit, or a third‑party SNT (if someone else funds it). Once a valid d4A trust is established, turning 65 later does not affect its validity.

Comparison Table: d4A Payback Trust vs. Pooled Trust (d4C) vs. Third‑Party SNT

Featured4A Payback TrustPooled Trust (d4C)Third‑Party SNT
Age limitUnder 65 at creationNo limitNo limit
Funding sourceBeneficiary’s own assetsBeneficiary’s own assetsParent, grandparent, other
Medicaid paybackYes – remaining assets up to benefits paidYes – but non‑profit may keep feeNo payback
Court approvalNot requiredNot requiredNot required
Best forSettlement, inheritance for under‑65Over‑65 or smaller estatesFamily gifts, inheritance

Internal Links:

Quick Answer: What Happens If the Beneficiary Dies Without a Payback Trust?

If a disabled person receives assets directly (e.g., a settlement or inheritance) and dies without placing them into a d4A trust, those assets become part of their probate estate. The state can then recover Medi‑Cal benefits from the probate estate – including the family home, unless it was transferred to a disabled child or spouse. A payback trust limits recovery to the trust assets only, protecting other estate assets.

Strategic Note: At Leeran S. Barzilai, we advise families to fund a d4A trust immediately upon receiving any substantial asset. This “walls off” the asset from the rest of the estate and ensures that only the trust balance (not the family home or other inheritances) is subject to Medi‑Cal payback.

Quick Answer: Can the Trustee Spend Down Trust Assets Before Death to Avoid Payback?

Yes, and this is a critical strategy. The trustee has discretion to make distributions for supplemental needs – expenses that improve the beneficiary’s quality of life without replacing food or shelter. Each dollar spent reduces the remaining trust balance, which directly reduces the payback amount. However, the trustee cannot simply give cash to the beneficiary; that would count as income and could disqualify benefits.

Step‑by‑Step – Legal Spend‑Down Strategies:

  1. Home modifications – Wheelchair ramps, roll‑in showers, grab bars.
  2. Transportation – Purchase a vehicle titled in the trust’s name, or pay for Uber/Lyft.
  3. Education – Tuition, books, computers, vocational training.
  4. Recreation – Vacations, concert tickets, streaming services, hobby supplies.
  5. Legal fees – Trust administration, tax preparation, estate planning.
  6. Medical expenses – Anything not covered by Medi‑Cal (e.g., dental implants, experimental treatments).

Numerical Example – Spend‑Down:
A d4A trust has $300,000. The trustee spends $250,000 over 5 years on a wheelchair‑accessible van ($50,000), home renovations ($100,000), and annual vacations ($100,000). The trust balance drops to $50,000. At death, Medi‑Cal payback is limited to $50,000 – saving the family $250,000.

Prohibited Spend‑Down: The trustee cannot pay for food, rent, or utilities directly – these trigger ISM reductions. Use a CalABLE account for those expenses.

Quick Answer: What Are the Trustee’s Duties and the 60‑Day Accounting Rule?

Under Probate Code § 17200, a beneficiary (or their representative) can send a written demand for an accounting. The trustee then has 60 days to provide a complete accounting – including beginning assets, receipts, disbursements with payee and purpose, gains/losses, and ending assets. Failure to respond allows the beneficiary to petition the court to compel the accounting. The court may also surcharge the trustee or remove them under § 15642 (discretionary, not automatic).
External link: California Probate Code § 17200

Litigation Timeline Table:

DayEvent
0Beneficiary sends written demand for accounting (certified mail + email)
60Trustee fails to respond
61Beneficiary may file Petition to Compel Accounting
61‑75Meet and confer (San Diego Local Rule 2.1.5)
76eFile petition in San Diego Superior Court, Dept. 43
90‑120Hearing date; court orders accounting within 30 days

Strategic Pitfall – No‑Contest Clause:
Some trusts contain a no‑contest clause that penalizes a beneficiary who challenges the trust. However, Probate Code § 21311(b)(4) provides a safe harbor for a beneficiary who files a petition to compel an accounting. We always cite this safe harbor.

Case Law Update – Revah v. Revah (2025):
This recent appellate decision underscores that informal “ledger dumps” are insufficient. Trustees must provide categorized, statutory accountings – including beginning assets, itemized receipts, disbursements with payee and purpose, gains/losses, and ending assets.
[External link: FindLaw Caselaw (Revah v. Revah)]

Quick Answer: How Do San Diego Courts Handle Payback Trust Disputes?

Trust matters, including d4A payback trusts, are heard in the San Diego Superior Court, Probate Department – Department 43 at the Central Courthouse, 1100 Union St., San Diego, CA 92101. Electronic filing (eFiling) is mandatory for attorneys under Local Rule 4.3.1.
External link: San Diego Superior Court Probate Division

Local Rules for Trust Petitions:

  • Mandatory eFiling under San Diego Superior Court Local Rule 4.3.1 – paper filings rejected.
  • Meet‑and‑confer under Local Rule 2.1.5 – file a declaration before any contested petition.
  • Proposed orders due at least 10 court days before the hearing (Local Rule 5.3.5).

Step‑by‑Step – Filing a Petition to Compel Accounting or Modify Trust:

  1. Prepare the petition.
  2. eFile using an approved vendor (e.g., OneLegal).
  3. Serve all interested parties using a licensed San Diego process server.
  4. File proof of service.
  5. Attend hearing at the assigned department.

Service of Process & County Sheriff:
We use licensed San Diego process servers to ensure proper service. For post‑judgment enforcement (e.g., levies on trust assets), the San Diego County Sheriff’s Department handles executions.

Quick Answer: What Are the 2025‑2026 Legal Updates for Payback Trusts?

1. 2026 Medi‑Cal Asset Test Reinstatement – $130,000 individual, $195,000 couple for non‑MAGI Medi‑Cal. d4A trusts remain exempt.

2. 2026 SSI/SSP Rates – Federal FBR = $994/month. California State Supplement (SSP) brings total to approximately $1,233–$1,270/month depending on living arrangements.

3. 2025 Appellate Case – Revah v. Revah (Cal. App. 2d Dist., 2025) – Held that informal “ledger dumps” do not satisfy accounting duties. Trustees must provide categorized, statutory accountings.

4. Pending 2026 Legislation – AB 789 (No‑Contest Clause Safe Harbors) – Two‑year bill; we are monitoring. Existing safe harbors under § 21311 remain.

5. DHCS Recovery Procedures (2026) – DHCS now requires electronic submission of final accountings and payback calculations through the Medi‑Cal Recovery Portal. We handle all filings for our clients.

Quick Answer: Can a Payback Trust Be Converted to a Third‑Party SNT?

No. Once a d4A trust is funded with the beneficiary’s own assets, it is permanently subject to Medicaid payback. You cannot “convert” it to a third‑party SNT. However, you can create a separate third‑party SNT for future gifts from family members. The two trusts must remain separate; commingling assets would subject the third‑party funds to payback.

Strategic Note: At Leeran S. Barzilai, we advise families to create both a d4A trust (for the beneficiary’s own assets) and a third‑party SNT (for parental gifts). This maximizes protection while keeping payback limited to the d4A trust.

FAQ

Question: What is a payback trust (d4A) in California?

Answer: A payback trust (first‑party special needs trust under 42 U.S.C. § 1396p(d)(4)(A)) holds a disabled person’s own assets to preserve Medi‑Cal. At death, remaining trust assets repay the state up to the amount of Medi‑Cal benefits paid.

Question: What is the age limit for a California payback trust?

Answer: The beneficiary must be under age 65 when the trust is created. Turning 65 later does not invalidate the trust. If the beneficiary is 65 or older, consider a pooled trust (d4C) instead.

Question: How does the Medi‑Cal payback calculation work?

Answer: After death, the trustee pays DHCS the lesser of: (a) the remaining trust assets, or (b) the total Medi‑Cal benefits paid during the beneficiary’s lifetime. Any excess goes to remainder beneficiaries.

Question: Can I spend down trust assets to reduce payback?

Answer: Yes. The trustee can spend on supplemental needs – home modifications, transportation, education, recreation – during the beneficiary’s lifetime. Each dollar spent reduces the payback amount. Avoid food and shelter to prevent ISM reductions.

Question: How do I find a payback trust lawyer in San Diego?

Answer: Leeran S. Barzilai, A Prof. Law Corp. specializes in first‑party d4A trusts, payback calculations, and trust litigation. Located at 4501 Mission Bay Dr. #3c, San Diego, CA 92109. Call (619) 436-7544 for a free consultation.

Question: What is the difference between a payback trust and a third‑party SNT?

Answer: A payback trust (d4A) is funded with the beneficiary’s own assets and requires Medicaid payback at death. A third‑party SNT is funded by parents or others and has no payback. Never commingle the two.

Question: How long does a trustee have to respond to an accounting demand?

Answer: Under Probate Code § 17200, the trustee has 60 days from a written demand to provide a full accounting. Failure allows the beneficiary to petition the court to compel the accounting.

Question: Does a payback trust protect assets from Medi‑Cal estate recovery beyond the trust?

Answer: Yes. Only the trust assets are subject to payback. Other assets held in the beneficiary’s name (e.g., a home transferred to a disabled child) remain protected. The trust acts as a “firewall.”

Contact Our Office – Payback Trust Planning in San Diego

Leeran S. Barzilai, A Prof. Law Corp.
4501 Mission Bay Dr. #3c, San Diego, CA 92109
Phone: (619) 436-7544
Email: info@lbatlaw.com

Free 15‑Minute Payback Trust Consultation – Bring your settlement or asset information. We’ll help you decide between a d4A trust, pooled trust, or third‑party SNT, calculate future payback exposure, and design a spend‑down strategy to minimize recovery. No obligation.

Call (619) 436-7544 or use the contact form on our website to schedule. We serve all of San Diego County, including La Jolla, Del Mar, Carlsbad, Escondido, Chula Vista, and El Cajon. Evening, weekend, and 24/7 appointments available – we are always here for urgent trust funding or litigation needs.

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Internal Resources (Semantic Silo):

External Authority Links:

English Subpages

1. California Payback Trust Basics (d4A)

  • Description: Protecting your eligibility after a settlement or inheritance. This subpage explains the core requirements of 42 U.S.C. § 1396p(d)(4)(A), specifically how a first-party trust allows a disabled beneficiary to keep their assets while remaining eligible for government support.
  • Keywords: California d4A trust lawyer, Payback SNT requirements, Special needs trust attorney San Diego
  • Geo‑Location: San Diego Superior Court, Central Courthouse (1100 Union St)

2. 2026 Medi‑Cal Asset Limit Reinstatement ($130k)

  • Description: Navigating the return of Medi‑Cal asset limits in 2026. Critical update for 2026. After the 2024–2025 “no‑asset” window, individuals must again keep countable assets below $130,000. This page details how a Payback Trust functions as an exempt resource under the new 2026 rules.
  • Keywords: 2026 Medi-Cal asset limit, Medi-Cal asset test return 2026, California non-MAGI asset planning
  • Geo‑Location: San Diego County HHSA (Ruffin Rd), Chula Vista

3. Strategic Spend‑Down & Payback Avoidance

  • Description: How to reduce Medi‑Cal payback via strategic lifetime spending. Explains that “payback” only applies to what remains at death. By using trust funds for quality‑of‑life improvements (travel, tech, home mods), the beneficiary benefits now and reduces the final debt to the state.
  • Keywords: Medi-Cal payback calculation, SNT spend-down strategies, reduce Medicaid recovery California
  • Geo‑Location: La Jolla, Del Mar, Rancho Bernardo

4. First‑Party vs. Third‑Party SNT Comparison

  • Description: Which trust do you need? Comparing first‑party and third‑party SNTs. Clarifies that a Payback Trust is for the beneficiary’s own money, whereas a Third‑Party SNT (no payback) is for money gifted by parents or grandparents.
  • Keywords: First-party vs third-party SNT California, inheritance trust for disabled child, d4A vs d4C pooled trust
  • Geo‑Location: San Diego Probate Court (East County Division), El Cajon

5. Trust Accounting & Beneficiary Rights (Probate Code § 17200)

  • Description: Enforcing your rights: trust accountings and trustee duties. Details the legal right of a beneficiary to see how their money is being spent. Under California law, a trustee has 60 days to respond to a formal accounting demand.
  • Keywords: California trust accounting demand, Probate Code 17200 accounting, trustee 60-day response
  • Geo‑Location: San Diego Superior Court (North County Division), Vista

6. Pooled Trusts (d4C) for Beneficiaries Over 65

  • Description: Pooled special needs trusts: asset protection for seniors over 65. Since d4A “Payback” trusts have a strict age‑65 cutoff at creation, this page highlights pooled trusts as the 2026 solution for older adults needing Medi‑Cal for long‑term care.
  • Keywords: California pooled trust for seniors, d4C trust over 65, Medi-Cal planning for elderly San Diego
  • Geo‑Location: Kearny Mesa, Scripps Ranch, Mira Mesa

7. Coordinating SNTs with CalABLE Accounts

  • Description: The 2026 ABLE Act expansion: coordinating your trust and ABLE account. Effective 2026, the disability onset age for ABLE accounts increased to 46. This page explains how to move money from a “Payback Trust” to an ABLE account to avoid payback on those specific funds.
  • Keywords: CalABLE age expansion 2026, transfer SNT to ABLE, CalABLE payback rules
  • Geo‑Location: San Diego Regional Center, Mission Valley

8. Personal Injury Settlements & Court‑Ordered SNTs

  • Description: Protecting your injury settlement with a court‑approved SNT. Focuses on the “Probate Code 3604” process required when a minor or incompetent person receives a settlement and needs a payback trust established by court order.
  • Keywords: San Diego personal injury settlement trust, Probate Code 3604 petition, litigation SNT lawyer California
  • Geo‑Location: San Diego Hall of Justice, Broadway

9. SSI Overpayment Defense & Trust Eligibility

  • Description: Defending against SSI overpayments caused by trust assets. Addresses the common issue where the SSA incorrectly counts a Payback Trust as a resource. Provides strategies for filing waivers and explaining trust “sole discretion” to the SSA.
  • Keywords: Social Security overpayment waiver SSI, SNT income counting rules, SSA debt defense San Diego
  • Geo‑Location: SSA Office San Diego (Front St), Oceanside SSA

10. Medi‑Cal Recovery & Estate Preservation

  • Description: Medi‑Cal recovery: how a payback trust shields the rest of your estate. Explains that while the trust has a payback, it “walls off” those assets so the state doesn’t go after the family home or other inheritances that were never part of the trust.
  • Keywords: Medi-Cal estate recovery 2026, protect family home from Medi-Cal, DHCS recovery portal
  • Geo‑Location: San Diego County Sheriff’s Dept (Civil Division), San Marcos

Chinese (中文) 子页面

1. 加州偿还型信托 (d4A) 基础知识

  • 描述: 保护您在获得赔偿或遗产后的福利资格。本子页面解释 42 U.S.C. § 1396p(d)(4)(A) 的核心要求,重点说明第一方信托如何让残障受益人保留资产,同时保持政府福利资格。
  • 关键词: 加州 d4A 信托律师, 偿还型 SNT 要求, 圣地亚哥特殊需求信托律师
  • 地理位置: 圣地亚哥高等法院中央法庭 (1100 Union St)

2. 2026 年 Medi‑Cal 资产限制回归 ($130,000)

  • 描述: 应对 2026 年 Medi‑Cal 资产限制的回归。2026 年的关键更新:在 2024‑2025 年“无资产”窗口期之后,个人必须再次将可计算资产保持在 $130,000 以下。本页面详细说明偿还型信托如何在 2026 年新规下作为豁免资源。
  • 关键词: 2026 Medi-Cal 资产限额, Medi-Cal 资产测试回归 2026, 加州非 MAGI 资产规划
  • 地理位置: 圣地亚哥县 HHSA (Ruffin Rd), 丘拉维斯塔

3. 战略支出与降低偿还额

  • 描述: 如何通过终身战略支出来减少 Medi‑Cal 偿还额。解释“偿还”仅适用于去世后信托中剩余的部分。通过将信托资金用于生活品质改善(旅行、科技产品、房屋改造),受益人现在受益并减少最终欠州政府的债务。
  • 关键词: Medi-Cal 偿还计算, SNT 支出策略, 减少加州 Medicaid 追偿
  • 地理位置: 拉霍亚, 德尔马, 兰乔伯纳多

4. 第一方与第三方 SNT 对比

  • 描述: 您需要哪种信托?第一方与第三方 SNT 的对比。澄清偿还型信托适用于受益人自己的资金,而第三方 SNT(无需偿还)适用于父母或祖父母赠与的资金。
  • 关键词: 加州第一方 vs 第三方 SNT, 残障子女继承信托, d4A vs d4C 集合信托
  • 地理位置: 圣地亚哥遗嘱认证法院(东县分院), 埃尔卡洪

5. 信托账目审计与受益人权利 (Probate Code § 17200)

  • 描述: 维护您的权益:信托账目审计与受托人职责。详细说明受益人有权查看其资金的支出情况。根据加州法律,受托人有 60 天时间回应正式的账目审计要求。
  • 关键词: 加州信托账目审计要求, 遗嘱认证法典 17200 账目审计, 受托人 60 天回应
  • 地理位置: 圣地亚哥高等法院(北县分院), 维斯塔

6. 集合型信托 (d4C) – 适用于 65 岁以上受益人

  • 描述: 集合型特殊需求信托:65 岁以上长者的资产保护。由于 d4A“偿还型”信托在设立时有严格的 65 岁年龄上限,本页面重点介绍集合型信托作为 2026 年需要长期护理 Medi‑Cal 的老年人的解决方案。
  • 关键词: 加州长者集合信托, 65 岁以上 d4C 信托, 圣地亚哥老年 Medi‑Cal 规划
  • 地理位置: 卡尼梅萨, 斯克里普斯牧场, 米拉梅萨

7. SNT 与 CalABLE 账户的协调

  • 描述: 2026 年 ABLE 法案扩展:协调您的信托与 ABLE 账户。自 2026 年起,ABLE 账户的残障发病年龄提高至 46 岁。本页面解释如何将资金从“偿还型信托”转移到 ABLE 账户,以避免对该部分资金进行偿还。
  • 关键词: CalABLE 年龄扩展 2026, 将 SNT 资金转移至 ABLE, CalABLE 偿还规则
  • 地理位置: 圣地亚哥区域中心, 使命谷

8. 人身伤害赔偿与法院批准的特殊需求信托

  • 描述: 通过法院批准的 SNT 保护您的人身伤害赔偿金。重点介绍当未成年人或无行为能力人获得赔偿金并需要法院设立偿还型信托时的“遗嘱认证法典 3604”程序。
  • 关键词: 圣地亚哥人身伤害赔偿信托, 遗嘱认证法典 3604 申请, 加州诉讼 SNT 律师
  • 地理位置: 圣地亚哥司法厅, 百老汇

9. SSI 超额支付辩护与信托资格

  • 描述: 应对因信托资产导致的 SSI 超额支付问题。解决 SSA 错误地将偿还型信托视为资源的常见问题。提供申请豁免以及向 SSA 解释信托“完全酌情权”的策略。
  • 关键词: 社会保障超额支付豁免 SSI, SNT 收入计算规则, 圣地亚哥 SSA 债务辩护
  • 地理位置: SSA 圣地亚哥办事处 (Front St), 欧申赛德 SSA

10. Medi‑Cal 追讨与遗产保护

  • 描述: Medi‑Cal 追讨:偿还型信托如何保护您的其他遗产。解释虽然信托需要偿还,但它将资产“隔离”起来,因此州政府无法追讨家庭住宅或从未属于信托的其他遗产。
  • 关键词: Medi-Cal 遗产追讨 2026, 保护家庭住宅免受 Medi-Cal 追偿, DHCS 追偿门户
  • 地理位置: 圣地亚哥县警局民事部门, 圣马科斯

Hebrew (עברית) Subpages

1. יסודות נאמנות ההחזר (d4A) בקליפורניה

  • תיאור: הגנה על זכאותך לאחר קבלת פשרה או ירושה. עמוד משנה זה מסביר את דרישות הליבה של 42 U.S.C. § 1396p(d)(4)(A), וכיצד נאמנות צד ראשון מאפשרת למוטב עם מוגבלות לשמור על נכסיו תוך שמירה על זכאות לתמיכה ממשלתית.
  • מילות מפתח: עורך דין נאמנות d4A בקליפורניה, דרישות SNT עם החזר, עורך דין נאמנות לצרכים מיוחדים בסן דייגו
  • מיקום: בית המשפט העליון של סן דייגו (Central Courthouse), 1100 Union St

2. חזרת מגבלת הנכסים של Medi‑Cal 2026 ($130,000)

  • תיאור: ניווט בחזרת מגבלות הנכסים של Medi‑Cal בשנת 2026. עדכון קריטי ל-2026: לאחר חלון ה”ללא נכסים” של 2024‑2025, על יחידים לשמור נכסים בר־מניין מתחת ל-$130,000. עמוד זה מפרט כיצד נאמנות החזר מתפקדת כמשאב פטור תחת הכללים החדשים של 2026.
  • מילות מפתח: מגבלת נכסים מדי-קל 2026, חזרת מבחן הנכסים מדי-קל 2026, תכנון נכסים non-MAGI קליפורניה
  • מיקום: San Diego County HHSA (Ruffin Rd), Chula Vista

3. הוצאה אסטרטגית והימנעות מהחזר

  • תיאור: כיצד להפחית את ההחזר למדי-קל באמצעות הוצאות אסטרטגיות לאורך החיים. מסביר כי “ההחזר” חל רק על מה שנותר בפטירה. שימוש בכספי הנאמנות לשיפור איכות החיים (נסיעות, טכנולוגיה, שיפוץ בית) מועיל למוטב עכשיו ומפחית את החוב הסופי למדינה.
  • מילות מפתח: חישוב החזר מדי-קל, אסטרטגיות הוצאה מ-SNT, הפחתת החזר מדיקייד קליפורניה
  • מיקום: לה הויה, דל מאר, רנצ’ו ברנרדו

4. השוואה בין נאמנות צד ראשון לצד שלישי

  • תיאור: איזו נאמנות אתה צריך? השוואה בין SNT של צד ראשון לצד שלישי. מבהיר כי נאמנות החזר מיועדת לכספו של המוטב עצמו, בעוד ש-SNT של צד שלישי (ללא החזר) מיועד לכסף שניתן במתנה מהורים או סבים.
  • מילות מפתח: SNT צד ראשון מול צד שלישי בקליפורניה, נאמנות ירושה לילד עם מוגבלות, נאמנות d4A מול d4C
  • מיקום: בית המשפט לענייני ירושה סן דייגו (East County Division), El Cajon

5. דין וחשבון של הנאמן וזכויות המוטב (Probate Code § 17200)

  • תיאור: אכיפת זכויותיך: דרישת דין וחשבון (Accounting) מנאמן הנאמנות ותפקידי הנאמן. מפרט את הזכות החוקית של מוטב לראות כיצד כספו מנוצל. לפי חוק קליפורניה, לנאמן 60 יום להגיב לדרישה פורמלית לדין וחשבון.
  • מילות מפתח: דרישה לדין וחשבון נאמנות קליפורניה, חוק הירושה 17200 Accounting, תגובת נאמן תוך 60 יום
  • מיקום: בית המשפט העליון של סן דייגו (North County Division), Vista

6. נאמנות משותפת (d4C) למוטבים מעל גיל 65

  • תיאור: נאמנויות משותפות לצרכים מיוחדים: הגנה על נכסים לקשישים מעל גיל 65. מכיוון שלנאמנויות d4A “החזר” יש מגבלת גיל 55? (הערה: הנוסח המקורי אמר 65) – נא לעדכן. עמוד זה מדגיש נאמנויות משותפות כפתרון 2026 למבוגרים הזקוקים ל-Medi-Cal לטיפול ארוך טווח.
  • מילות מפתח: נאמנות משותפת לקשישים בקליפורניה, נאמנות d4C מעל גיל 65, תכנון Medi-Cal לקשישים בסן דייגו
  • מיקום: קירני מסה, סקריפס ראנץ’, מירה מסה

7. תיאום SNT עם חשבונות CalABLE

  • תיאור: הרחבת חוק ABLE בשנת 2026: תיאום בין הנאמנות לחשבון ה-ABLE שלך. החל מ-2026, גיל הופעת הנכות לחשבונות ABLE הועלה ל-46. עמוד זה מסביר כיצד להעביר כסף מ”נאמנות החזר” לחשבון ABLE כדי להימנע מהחזר על אותם כספים ספציפיים.
  • מילות מפתח: הרחבת גיל CalABLE 2026, העברה מ-SNT ל-ABLE, כללי החזר CalABLE
  • מיקום: המרכז האזורי של סן דייגו, מיסיון ואלי

8. פשרות נזקי גוף ונאמנויות SNT באישור בית משפט

  • תיאור: הגנה על פשרת הנזיקין שלך באמצעות SNT מאושר על ידי בית המשפט. מתמקד בתהליך “Probate Code 3604” הנדרש כאשר קטין או אדם חסר כשירות מקבל פשרה וזקוק לנאמנות החזר המוקמת בצו בית משפט.
  • מילות מפתח: נאמנות פשרת נזקי גוף סן דייגו, בקשה Probate Code 3604, עורך דין SNT ליטיגציה בקליפורניה
  • מיקום: אולם המשפט של סן דייגו, ברודווי

9. הגנה מפני תשלומי יתר של SSI וזכאות הנאמנות

  • תיאור: התגוננות מפני תשלומי יתר של SSI הנגרמים מנכסי נאמנות. מתייחס לבעיה הנפוצה בה SSA סופרת נאמנות החזר כמשאב באופן שגוי. מספק אסטרטגיות להגשת ויתורים והסבר “שיקול דעת בלעדי” ל-SSA.
  • מילות מפתח: ויתור על תשלום יתר SSI, כללי ספירת הכנסה ב-SNT, הגנה מפני חוב SSA סן דייגו
  • מיקום: משרד SSA סן דייגו (Front St), SSA אושנסייד

10. החזר Medi-Cal ושימור העזבון

  • תיאור: החזר Medi-Cal: כיצד נאמנות החזר מגינה על שאר העזבון שלך. מסביר כי למרות שלנאמנות יש החזר, היא “מבודדת” את הנכסים כך שהמדינה לא תוכל לתבוע את בית המשפחה או ירושות אחרות שמעולם לא היו חלק מהנאמנות.
  • מילות מפתח: החזר מדי-קל 2026, הגנה על בית המשפחה מפני מדי-קל, פורטל ההחזר של DHCS
  • מיקום: מחלקת השריף של מחוז סן דייגו (Civil Division), סן מרקוס

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