There is much misinformation and confusion about Miller Trusts. A Miller Trust, technically known as a Qualified Income Trust, is only necessary if a Medicaid applicant exceeds the allowable monthly income limit. It is never used for assets. The purpose of this trust is to make an individual eligible for Medicaid long term care benefits by reducing the amount of income that is “counted” for eligibility purposes. Under the law, any income that goes through the trust is not counted.