Core Topics
Six areas every special needs family has to plan for.
These are the decisions that come up in almost every special needs financial plan. None of them are one-time events. Each is revisited as your child grows, as rules change, and as your family's circumstances evolve.
ABLE accounts
ABLE accounts are tax-advantaged savings accounts for individuals whose disability onset occurred before a qualifying age. As of 2026, the age-of-onset threshold has expanded to 46, which brings many more families into eligibility. Contributions do not count against the SSI $2,000 asset limit up to a federal exclusion threshold, and qualified withdrawals for disability-related expenses are tax-free. ABLE accounts are not a substitute for a special needs trust. They sit alongside one. Trust funds generally cover lifetime support, inheritance, and third-party contributions. ABLE accounts handle the everyday friction of daily living expenses, housing, transportation, and short-horizon goals. The two tools are coordinated, not competitive. We help families decide how much to route through each, how to title assets correctly, and how to keep contributions within the limits that matter for benefit preservation.
Special needs trusts: first-party, third-party, pooled
Special needs trusts come in three structures, and the one that fits depends on whose money is funding the trust and what the family's long-term goals are. A first-party SNT holds assets that legally belong to the beneficiary, often from a lawsuit settlement, an inheritance that was not redirected, or accumulated earnings. Medicaid payback rules apply at death. A third-party SNT holds assets contributed by parents, grandparents, or other family members, and does not have the same payback requirement. This is the most common vehicle for parental estate planning. A pooled trust is administered by a nonprofit for the benefit of many individuals, typically used when the beneficiary does not have enough assets to justify a standalone trust. We work alongside estate planning attorneys to coordinate trust structure, trustee selection, investment provisions, and funding sources. The legal drafting is the attorney's work. Making sure the trust actually matches the family's financial plan is ours.
SSI and Medicaid preservation
Supplemental Security Income and Medicaid both have strict asset and income tests. The SSI countable resource limit for an individual has been $2,000 since 1989. That limit has not moved with inflation. For many families, Medicaid is the gateway to waiver services, residential supports, and medical coverage that private insurance simply will not fund. Losing eligibility can unwind years of planning in a single quarter. The preservation tools are specific: properly drafted special needs trusts, correctly titled ABLE accounts, careful handling of gifts and inheritances, and coordination of earned income against SSI work incentive rules. We review benefit status annually, watch for proposed rule changes at the state level, and coordinate with your benefits attorney when a life event, employment shift, or asset change could push the beneficiary over the line. This is the area where small mistakes create large consequences.
Letter of intent
A letter of intent is not a legal document. It is the document future trustees, successor caregivers, and extended family will actually read. It describes your child's daily routines, communication patterns, sensory preferences, medical history, medications, therapies, schools, community connections, and the things that make them feel safe. It records what has worked and what has not. It names the people who know your child well. Nothing in an estate plan or a trust instrument captures any of this. A good letter of intent is updated annually, stored with the estate documents, and shared with the people who will need it. We help families build the first version, set a review cadence, and keep the document current as circumstances change.
Guardianship and its alternatives
When a child with a disability turns 18, parents lose automatic decision-making authority. Guardianship is one path, and for some families it is the right one. For others, less restrictive alternatives preserve the adult child's autonomy while still providing needed support. Supported decision-making agreements, powers of attorney, healthcare surrogate designations, and HIPAA releases each address a piece of the need. The right combination depends on your child's capacity, the complexity of their daily decisions, and the family's comfort with ongoing oversight. Guardianship is the most expensive option, the most restrictive, and the hardest to undo. It is worth understanding the alternatives before defaulting to it. We coordinate with your attorney, your benefits coordinator, and your medical team so the decision reflects the whole picture rather than the narrow legal one.
Lifetime cost modeling and sibling planning
A special needs financial plan is not a 30-year retirement model. It is often a 60- to 80-year model, spanning your lifetime and your child's. Lifetime cost modeling estimates residential support, therapies, medical expenses, transportation, recreation, and employment supports across each life stage, adjusted for inflation and benefit coverage. The number it produces is almost always larger than families expect. Sibling planning is the other side of this conversation. Many siblings inherit some level of oversight responsibility, whether formally as successor trustees or informally as the family member closest at hand. That role deserves to be defined, funded, and discussed openly rather than assumed. We help families build realistic lifetime funding models, stress-test them against early parental death and longer-than-expected lifespans, and bring siblings into the planning conversation at the appropriate age and level of detail.