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You need to see an Elder Lawyer and have your assets split. Wife's split going towards her care. About 60 to 90 days before her split runs out, you apply for Medicaid. That's when the OIT comes into the picture. Its used when the recipient's monthly income is higher than the income cap allowed. The overage gets put into a QIT that is regulated my Medicaid.
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Reply to JoAnn29
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QIT, or "Miller Trust" is a trust that you do when someone is "monthly-income-rich" but "assets-poor". It is very complicated. It occurs when a person has monthly income over the amount that qualifies them as medically-needy of Medicaid money for extended care costs.
For instance, a person may have 2,500 in SS, but ALSO have a small pension that puts them just over the amount to qualify. Yet, at about 3,500 a month in income they don't qualify, say, for Medicaid help.

This is when an Elder Law Attorney helps to create a trust in which a portion of the applicant's "guaranteed income " (Usually their SS funds) ; the BENEFICIARY of said Trust is usually the state, as they will want to "claw back" or "recover" any leftover funds of this person on his or her death.

When a spouse is involved, as in your case, you often have combined income problems and problems of preserving the spouse's portion (yours) of care assets and monthly income for his/her own expenditures and care needs.

As you can see it all become exceptionally complicated.
Therefore, you require an Elder Law Attorney for this work, not the opinions and guesswork of a Forum of people who don't even know the requirements for your own state, nor the qualifications. We are just caregivers.
Expert advice means you need experts, whether legal, financial or medical. WE can only wish you good luck finding great help for your particular unique circumstances.
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Reply to AlvaDeer
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If you are asking how to do this, you don't provide any info in your profile, like what state you are in (since the trust rules may vary by state), but here is what I found doing a basic browser search for QITs:

"Setting up a QIT
You can set up a QIT account at the same bank where you deposit your income to make it easier to move money. The trustee of the trust can open a bank account in the name of the trust at almost any bank. 

Taxpayer ID number
A QIT does not require a separate tax payer ID number (EIN). Instead, the IRS will use the applicant's Social Security number."
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Reply to Geaton777
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