If an applicant has $2,500.00 of monthly income the only way to qualify the patient is to create a QIT. This is done by opening a bank account with no more than $20.00 and having the applicant or other responsible person and the Trustee sign the Trust. The best practice is to deposit all income into the trust. Then the patient is paid $60.00 for personal needs allowance, all other income is paid to the nursing home. Medicaid law requires all patient income to be paid to the nursing home, except for certain permitted medical expenses and the personal needs allowance. Please call if I can help prepare a trust to help you or a loved one qualify for Medicaid.