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Miller Trust Guide
NV · Guide

How Much Does It Cost to Set Up a Qualified Income Trust in Nevada?

An elder-law attorney typically charges $400–$2,500 to research Nevada's Qualified Income Trust requirements and draft the trust, depending on complexity — Nevada publishes no fill-in form, so drafting happens either way. This $97 guide is the research part: DSS's own requirements, cited clause by clause, so the attorney's fee reflects drafting alone. This guide does not draft the trust or advise on your specific situation — it is informational only, not legal advice.

What an attorney typically charges

An elder-law attorney typically charges $1,000–$2,500 to research Nevada's requirements and draft the trust — and because Nevada publishes no fill-in form, that research-and-draft work happens either way.

What the $97 guide covers instead

This guide is the research part of that engagement: DSS's own requirements, explained clause by clause and cited to Nevada Medical Assistance Manual (MAM), Chapter F-500 "Treatment of Trusts," Section F-520.6 ("Miller Type or Qualified Income Trusts - QITs"), MTL 03/25, effective March 25, 2025; cross-referenced by F-525 (Resources), F-530 (Income), F-540 (Transfer of Assets), F-545 (Eligibility & Payments Review), F-550 (Undue Hardship); MAM Chapter F-100 "Long Term Care Services" (MTL 08/25), Section F-110.1 (Gross Countable Income Test) and F-120.5 (Patient Liability Budgeting Procedures, incl. the actual ranked deduction order and the Medicare Part B premium sub-rule); federal authority 42 U.S.C. § 1396p(d)(4)(B) and 42 CFR 435.725, so an attorney's fee reflects drafting alone instead of research plus drafting.

When the attorney's fee is worth it anyway: significant assets, prior gifting, a second marriage, or multi-state property. Those are fact-specific questions this guide does not answer — for them, consult a Nevada-licensed elder-law attorney regardless of which route you take on the trust itself.

The trust's money and the guide's price are separate

A Nevada Miller Trust holds only the applicant's income and pays only for the applicant's own care — it is never used to pay this guide's price or an attorney's fee. Whatever you spend to set the trust up happens outside the trust.

One cost this comparison doesn't include

A wasted bank trip costs you a day you don't get back. Free one-pager: the questions to ask before you drive to a branch, emailed now. Then 4 more short emails over 3 weeks on what else trips families up — then we stop.

Email only — we never ask for income, age, or family details, and never sell your address.

Common questions

Is a Miller Trust cheaper than hiring a lawyer in Nevada?
Usually, yes, for the core setup. An elder-law attorney typically charges $400–$2,500 for the same work, depending on complexity — for complex estates (significant assets, prior gifting, a second marriage, multi-state property), the attorney's fee is worth it regardless of how the trust itself gets set up.
Does setting up the trust cost money out of the trust itself?
No. a Nevada Miller Trust holds only the applicant's own income and pays only for the applicant's own care. Whatever it costs to set the trust up — an attorney's fee or anything else — is separate from the money that flows through the trust each month.