Many families think the biggest risk in special elder law planning considerations for parents of children with special needs planning is not having enough money. A direct inheritance or a poorly drafted trust can strip your loved one of Medicaid and SSI the moment funds transfer, undoing benefits that took years to build. Connecting with a special needs trust attorney in Philadelphia at Slutsky Elder Law means knowing exactly how Pennsylvania and federal benefit rules play together before you move a single dollar, not after.
Special Needs Planning Philadelphia, PA

PA Special Needs Trust Basics
- A direct inheritance can immediately strip a disabled person of SSI and Medicaid benefits, regardless of how long those benefits took to establish.
- Third-party special needs trusts, funded by family members, require no Medicaid payback at death, making them the preferred estate planning option.
- Pooled trusts managed by Pennsylvania nonprofits offer a practical alternative when hiring a private trustee isn’t financially feasible for smaller amounts.
- Pennsylvania’s unique Medicaid drafting requirements mean a trust valid in another state may still disqualify your loved one from local benefits.
- A qualifying special needs trust beneficiary must meet SSA’s disability definition: an impairment lasting at least 12 months that prevents substantial gainful activity.
Understanding Special Needs Trusts
A special needs trust is a legal setup that allows someone with a disability to hold assets without losing access to government programs like SSI and Medicaid. The trust manages the funds for the beneficiary, but since the trust technically owns the assets, they’re not counted against the strict resource limits these programs require.
A special needs planning attorney in Philadelphia creates and oversees trusts that let people with disabilities hold assets without losing eligibility for SSI, Medicaid, and other public benefits. To qualify as a disabled beneficiary for a special needs trust in Pennsylvania, the individual must meet the Social Security Administration’s definition of disability, meaning a medically determinable physical or mental impairment that has lasted or is expected to last at least twelve months or result in death, and which prevents substantial gainful activity.
Setting up a special needs trust in Philadelphia means working with an attorney who knows how to draft a legally sound trust document, make sure it fits Pennsylvania Medicaid rules, and fund it correctly to safeguard your loved one’s benefits.
Types of Special Needs Trusts
- A first-party special needs trust uses the assets of the person with a disability, like money from a personal injury settlement or a direct inheritance, and requires a Medicaid payback upon the beneficiary’s death.
- A third-party special needs trust is funded by family members and doesn’t need Medicaid reimbursement, making it preferred for those leaving assets to a disabled loved one through an estate plan.
- A pooled trust, managed by a nonprofit (Pennsylvania has several active programs), combines assets from multiple beneficiaries into a single investment pool while maintaining individual accounts. It’s a practical option for smaller amounts where hiring a private trustee isn’t feasible.
Why Choose a Special Needs Trust Attorney in Philadelphia
Partnering with a special needs trust attorney in Philadelphia means you’re working with someone familiar with Pennsylvania Medicaid rules, state court procedures, and the specific benefit programs that families depend on daily. Pennsylvania has unique requirements for trust drafting and administration, and a document that works elsewhere might not protect your loved one’s eligibility here. A local attorney practicing in this field knows those nuances and can prepare a trust that stands up to scrutiny by the Pennsylvania Department of Human Services.
Personalized service is key here because each family faces unique circumstances. Some are planning for a child with an intellectual disability transitioning to adult services at 21. Others are dealing with a sudden injury that’s changed everything. A knowledgeable special needs lawyer in Philadelphia will sit down with you, evaluate your family’s assets, your loved one’s current benefits, and your long-term goals, then craft a trust structure tailored to your actual situation rather than a generic template.
The Role of a Special Needs Lawyer
A special needs lawyer does much more than draft paperwork. That attorney makes sure the trust complies with federal SSI and Medicaid regulations, advises on funding decisions (what goes into the trust and how), and clarifies the trustee’s ongoing responsibilities so distributions are made properly and don’t put benefits at risk. Setting up a special needs trust in Philadelphia involves working with an attorney who can draft a legally compliant document, confirm it meets Pennsylvania Medicaid needs, and organize funding to protect your loved one’s access to public programs for years to come.
The Process of Setting Up a Special Needs Trust
Setting up a special needs trust in Philadelphia requires working with a special needs trust attorney who can draft a legally compliant trust document, confirm it meets Pennsylvania Medicaid standards, and fund it properly to protect your loved one’s government benefits. The process has several distinct steps, each with significant consequences if mishandled.
- Initial Consultation: A qualified special needs trust attorney in Philadelphia will start by reviewing your family’s complete financial picture, the beneficiary’s disability, and which public benefits (SSI, Medicaid, or both) are currently active or anticipated. This conversation shapes every decision that follows.
- Drafting the Trust Document: The attorney prepares a trust that aligns with federal and Pennsylvania-specific requirements. Language matters greatly. One poorly worded distribution provision can disqualify your loved one from benefits worth far more than the trust’s assets.
- Filing and Funding: First-party trusts (funded with the beneficiary’s own assets) often need additional steps, like court approval or notifying the Pennsylvania Department of Human Services. Third-party trusts are generally simpler but still require careful funding and coordination with any existing estate plan.
Common Challenges and Solutions
- Avoiding Distribution Mistakes: Trustees who pay rent directly to a landlord or give cash to the beneficiary can unintentionally trigger benefit reductions. A special needs trust attorney can train trustees on permissible distributions before those mistakes occur.
- Medicaid Payback Compliance: First-party trusts in Pennsylvania must include a payback provision, meaning the state may reclaim Medicaid costs from remaining trust assets after the beneficiary’s death. Families aware of this requirement in advance can plan accordingly, sometimes using a mix of trust types.
- Ongoing Recordkeeping: Proper annual accountings and consistent trustee oversight keep the trust in line over time, which is mandatory under Pennsylvania law.
Working with an experienced special needs trust attorney in Philadelphia from the start is far cheaper than fixing a trust that has already caused a benefit disqualification.
Frequently Asked Questions: Special Needs Planning in Philadelphia
The general rule is that the trust can pay for almost anything that enhances your loved one’s quality of life, except things that directly overlap with what SSI is already paying for. Because SSI is legally meant to cover basic food and shelter, using trust funds to pay directly for groceries, rent, or property taxes can accidentally reduce their SSI check.
Instead, the trustee can use the funds to pay directly to vendors for a massive variety of “extra” comforts, including:
- Medical Needs: Out-of-pocket dental work, physical therapy, specialized equipment, or medications not covered by Medicaid.
- Lifestyle & Technology: Computers, cell phones, internet bills, television subscriptions, and furniture.
- Personal Enrichment: Summer camps, movie or concert tickets, hobbies, and educational classes.
- Travel & Transport: A vehicle, car repairs, public transit passes, and vacation expenses (including the travel costs for a companion or aide).
- Professional Services: Legal fees, financial advisors, or private care managers.
Ideally, you should have a solid plan in place before your child turns 18. In the eyes of Pennsylvania law, the day your child turns 18, they are legally considered an adult with full decision-making rights over their finances, medical choices, and living arrangements regardless of their disability. This is also the exact milestone age when they can apply for adult SSI and Medicaid based on their own income and assets, rather than yours.
Starting the planning process around age 16 or 17 gives you plenty of time to decide if you will need to file for legal guardianship or set up a less restrictive Power of Attorney/Healthcare Representative framework in Philadelphia courts. It also makes sure that any financial safety nets, like a special needs trust, are fully active before any adult benefits applications are submitted.
A parent, grandparent, legal guardian, or the court can set up a special needs trust on behalf of someone with a disability. In some cases, the individual can set one up for themselves as well.

Speak With a Special Needs Trust Attorney in Philadelphia
Working with a qualified special needs trust attorney Philadelphia families trust isn’t a luxury; it’s the difference between a secure future and a preventable crisis. If you’re ready to start planning or need a Medicaid planning attorney in Philadelphia, call Slutsky Elder Law at our Philadelphia office or complete the contact form to schedule a consultation. We’ll walk through your family’s situation and explain exactly what a trust would and wouldn’t do before you make any decisions.
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Josh Woolfrey13 October 2026
I had to administer my mom's estate after being her full-time, live-in caregiver for 2 years. I was really not feeling up to the task, after 2 years of my mom's dementia. Rob and Kathy were extremely helpful, professional, and patient as they helped me through the probate process, as my mother had no will. They made the process as painless as possible for my exhausted mind. I would absolutely reccomend Rob and his team to anyone who asks me.Posted on Google![]()
Lou Luciani1 September 2026
Once again I want to say thank you to Slutsky Elder Law. My mother has been doing well for 6 years thanks to all the help provided by Robert. My mother is 90 yeas old and is doing great. We could not have done it without Robert and his team.Posted on Yelp![]()
Allison B.29 August 2026Verified
We turned to Rob during an incredibly hard time when my husband was living with progressive dementia and we needed to get wills and planning in place. He was detail oriented, his office was quick to follow up, and consistently kind, which gave me a steady hand when things felt overwhelming. He also supported my mother with the same level of care as she got her affairs in order. We never felt rushed, just clearly guided. I'd recommend him without hesitation to any family navigating elder care complexities.Posted on Yelp![]()
Sam K.5 August 2026Verified
Using Slutsky Elder Law to help with navigating the end of life for my parents was a great experience!! Robert laid all of my parents wishes out including trust work so that I could concentrate on taking care of my parents and not having to make difficult emotional decisions which may have not represented my parents wishes while dealing with siblings. Robert and his staff were there for the whole ride and anytime I needed some guidance he always answered my questions. Felt so good about our relationship over a 12 year period we had Robert close my parents estate. I can not say enough good things about Slutsky Elder care and you would be blessed to be able to use this gem!!!Posted on Google![]()
Clare Higgins20 July 2026
We were initially overwhelmed with the process of sorting out our mom's estate. She had several accounts that still had her late husband on them, which complicated things even more. Bob and his team were amazing at helping to figure everything out with us and took the burden off of our family during such a difficult time. They were patient, communicative, and very thorough, and I would highly recommend them to others!Posted on Google![]()
susan hanna9 April 2026
I couldn’t have been more pleased with the experience I had with Slutsky Elder Law as the firm that helped me handle my sister’s estate. It was a complicated estate, requiring two and a half years of work. Robert Slutsky, and his paralegal Kathy Amato, made what appeared to be an excruciating and interminable task into something doable. I met Rob through several workshops that he conducted for the Montgomery County PSEA-Retired organization on various aspects of elder care. His knowledge is most impressive. When I needed help to fulfill my sister’s wishes I called on his expertise. Rob guided me through the entire process. He helped me with finding contacts and with making appointments, both virtual and in person. He helped me with completing forms and with wording. Rob answered all my questions—no matter how trivial! And he even added some levity to a very trying experience. I highly recommend Slutsky Elder Law for estate planning and related services. Susan HannaPosted on Google![]()
Michael Wimmer4 February 2026
Rob and his staff are second to none! The time, effort, and attention to detail were spectacular. Rob took his time to listen to all of our concerns and gave expert advice to help our family through a rough time. Rob is one of the kindest, genuine, and most welcoming person you will ever meet. I highly recommend him!Posted on Yelp![]()
Mike W.4 February 2026Verified
Rob and his staff are second to none! The time, effort, and attention to detail were spectacular. Rob took his time to listen to all of our concerns and gave expert advice to help our family through a rough time. Rob is one of the kindest, genuine, and most welcoming person you will ever meet. I highly recommend him!Posted on Google![]()
Zena M.31 July 2025
Rob Slutsky and his team are the Best of the Best. After many, many hours of research, only God Himself led me to Rob Slutsky. I watched many of Rob’s interviews where he methodically unpacked the extremely complex nuances of various aspects of Elder Law making it accessible and understandable to even a novice. His approachable and affable communication style is only exceeded by his extreme diligence, meticulous attention to detail and determination to get the best results for his clients. He cared about and focused on my loved one like he was a member of his own family. His team is driven and hardworking and on top of their game. You could waste a lot of time ‘kissing frogs’ before finding a real prince. Just call Rob. He is the real deal – the Best of the Best.Posted on Google![]()
Valerie Berry2 April 2025
We realized we need an elder care law expert when our Mom transferred into a long term care facility. We were given the application and a list of required documentation and left on our own to navigate the Medicaid application process. Needless to say, we were completely overwhelmed. From our first phone call to Slutsky Elder Law we knew we found the support we were looking for! At our initial consultation Rob very patiently answered all our questions and discussed a potential plan to set up power of attorney, complete the Medicaid application, and initiate the sale of her house. He explained that the house sale would incur a Medicaid penalty period and explained how we would plan to navigate her expenses during that time. For the first time in this process, we felt confident that with Rob’s help Mom’s best interests would be protected. Gathering the documents for the Medicaid application is a lengthy and sometimes complicated process, but Rob guided us through it every step of the way. He patiently and promptly answered all our questions as they came up. His paralegal Shelia assisted with the painstaking review of all our documents and alerted us to things we were missing or needed to be resolved prior to submitting the application. Once the application process was completed, Rob guided us through the sale of her house and the subsequent process of notifying Medicaid and preparing for the penalty period that was incurred by the house sale. Thanks to his expertise we have a step-by-step plan in place to cover her expenses during this penalty period. We never would have been able to navigate this process alone and are so grateful to Rob for his assistance. We highly recommend Slutsky Elder Law – Rob’s exceptional service and commitment to his clients is outstanding!Posted on Google![]()
Lisa Tamborello24 March 2025
I had an incredible experience working with Rob Slutsky, Slutsky Edler Law, and his team. From the moment I reached out for help with elder care planning, I felt fully supported. Rob took the time to explain everything in detail, making sure I understood all my options. They were patient, compassionate, and highly professional throughout the process. What stood out the most was their sincere attentiveness to my concerns, leading to a plan that precisely met my family's needs. I never felt rushed or pressured, and I always left our meetings feeling confident that we were moving in the right direction. If you’re looking for someone who combines expertise with a genuine commitment to their clients, I wholeheartedly recommend Slutsky Elder Law. They turned a potentially overwhelming process into a much easier one to navigate. Thank you for your outstanding service!Posted on Yelp![]()
Lisa T.24 March 2025Verified
I had an incredible experience working with Rob Slutsky, Slutsky Edler Law, and his team. From the moment I reached out for help with elder care planning, I felt fully supported. Rob took the time to explain everything in detail, making sure I understood all my options. They were patient, compassionate, and highly professional throughout the process. What stood out the most was their sincere attentiveness to my concerns, leading to a plan that precisely met my family's needs. I never felt rushed or pressured, and I always left our meetings feeling confident that we were moving in the right direction. If you're looking for someone who combines expertise with a genuine commitment to their clients, I wholeheartedly recommend Slutsky Elder Law. They turned a potentially overwhelming process into a much easier one to navigate. Thank you for your outstanding service!Posted on Google![]()
Kari Altman9 February 2025
I required the expertise of an elder care attorney for Medicaid planning and Slutsky Elder Law was recommended to me. The first step was an introductory call with Rob where I explained my circumstances in detail and he outlined the steps involved in the process. From the outset, it was obvious he was an expert with an abundance of experience in this area, he was a straight shooter and a refreshingly genuine and empathetic person. He didn't sugar-coat the fact that the Medicaid application would be a lengthy process and somewhat arduous for me, but emphasized that he and his staff would be there every step of the way. The process took 6+ months and entailed a significant amount of communication and no shortage of questions on my part. Both Rob and his paralegal staff were extremely responsive, never hesitated to schedule a phone call for assistance and figuratively held my hand throughout. While the fee for these services is not insignificant, considering the number of hours his office invested on my behalf as well as the protection I'd have as a result, the cost was more than justified. Thanks Rob and Gina!Posted on Yelp![]()
Beth K.9 February 2025Verified
I required the expertise of an elder care attorney for Medicaid planning and Slutsky Elder Law was recommended to me. The first step was an introductory call with Rob where I explained my circumstances in detail and he outlined the steps involved in the process. From the outset, it was obvious he was an expert with an abundance of experience in this area, he was a straight shooter and a refreshingly genuine and empathetic person. He didn't sugar-coat the fact that the Medicaid application would be a lengthy process and somewhat arduous for me, but emphasized that he and his staff would be there every step of the way. The process took 6+ months and entailed a significant amount of communication and no shortage of questions on my part. Both Rob and his paralegal staff were extremely responsive, never hesitated to schedule a phone call for assistance and figuratively held my hand throughout. While the fee for these services is not insignificant, considering the number of hours his office invested on my behalf as well as the protection I'd have as a result, the cost was more than justified. Thanks Rob and Gina!Posted on Google![]()
Robert Curry6 February 2025
Rob and the staff at Slutsky Elder Law helped our family through some difficult times over a two-year period beginning in March 2023. We learned about Rob through an internet search, and we were initially apprehensive about dealing with an attorney. My initial contact was via phone call and Kathy, who is a paralegal at the firm, was kind and made me feel comfortable right off the bat. We set up a meeting with Rob personally at his office attended by Dad, my brother and myself. Again, Rob and the staff were great and made us feel completely comfortable. Mom had passed away in November 2022 and our initial meeting with Rob was to prepare a new will and power of attorney for Dad. Rob also helped us with a "rent to own" agreement that I had with my parents (for a PA home) that had not been properly documented previously. Dad's health began to decline shortly after, and he was in and out of the hospital and several rehab facilities. Rob was able to provide guidance and advice during this time, often at a moment's notice. Upon Dad's passing in May of 2023, we engaged with Rob to handle estate administration. Again, Rob and his staff were very kind and understanding throughout this entire process. They handled probate, deed transfer of the PA home, the inheritance tax return and more. During our time working with Rob, what stands out the most was his incredible responsiveness. And, throughout it all, Rob and staff cared … never missing an opportunity to offer words of comfort and support. We would highly recommend Rob and the staff at Slutsky Elder Law.Posted on Yelp![]()
Robert C.6 February 2025Verified
Rob and the staff at Slutsky Elder Law helped our family through some difficult times over a two-year period beginning in March 2023. We learned about Rob through an internet search, and we were initially apprehensive about dealing with an attorney. My initial contact was via phone call and Kathy, who is a paralegal at the firm, was kind and made me feel comfortable right off the bat. We set up a meeting with Rob personally at his office attended by Dad, my brother and myself. Again, Rob and the staff were great and made us feel completely comfortable. Mom had passed away in November 2022 and our initial meeting with Rob was to prepare a new will and power of attorney for Dad. Rob also helped us with a "rent to own" agreement that I had with my parents (for a PA home) that had not been properly documented previously. Dad's health began to decline shortly after, and he was in and out of the hospital and several rehab facilities. Rob was able to provide guidance and advice during this time, often at a moment's notice. Upon Dad's passing in May of 2023, we engaged with Rob to handle estate administration. Again, Rob and his staff were very kind and understanding throughout this entire process. They handled probate, deed transfer of the PA home, the inheritance tax return and more. During our time working with Rob, what stands out the most was his incredible responsiveness. And, throughout it all, Rob and staff cared ... never missing an opportunity to offer words of comfort and support. We would highly recommend Rob and the staff at Slutsky Elder Law.Posted on Google![]()
Robin Monteleone5 February 2025
My mom moved to PA from another state and Slutsky Elder Law was recommended to us. Robert Slutsky was great! He listened to mom and made sure all of her necessary documents were completed in a timely manner. He was very kind and patient with her. When mom passed away, he was very kind and provided step by step instructions regarding the process from beginning to the end, to settle mom’s estate. PA estate law is different from other states. This is a time where emotions are high amongst all family members, so I highly advise using Robert Slutsky as he will represent the decedent’s will. He helped navigate me through all phases of this process with his knowledge, kindness and efficiency.Posted on Google![]()
Miriam Peskowitz3 February 2025
When I needed to figure out Medicaid funding for my husband’s nursing home care, the social worker at University of Pennsylvania Neurology (and several other people) sent me to Rob Slutsky. Thank goodness. Rob and his team figured out a strategy to help me get ready to apply AND walked me through the process of gathering all the materials for the application. They know everything and have done this for years. Also, they held my hand through everything and were very kind. I felt like I had a group of very knowledgeable best friends to guide me through. I’d recommend them to anyone, and especially to any families with more complicated situations.Posted on Google![]()
Greg Gemgnani21 November 2024
I first learned about the legal services that Rob Slutsky and his team can provide from a previous client. This client spoke highly of his experience and recommended I contact Rob because we had similar needs for home care assistance for our wives. It became apparent to me on our first meeting that Rob and Sheila, a team member, were well organized and knew the DHS system inside and out. Ours was a more complicated case but with Rob's guidance and instructions and Sheila's review of the documents that were required for the DHS application, we were able to get the home care assistance in a timely manner and at the same time protect assets in a manner that was acceptable to DHS. There's no way I could have navigated the application on my own. During preparation of the application and afterwards, in fact to this day, there were and still are questions related to the home care assistance approval. In all cases, questions have been addressed in a timely manner and within the scope of the original contract fee. I also feel that Rob and Sheila understand the challenges that a caregiver for a loved one has and the importance of providing some home care assistance to support the family caregiver. All in all, we made a good decision to work with Rob and his team. Greg GemgnaniPosted on Google![]()
Maryellen2 September 2024
My experience was very positive. Navigating the Eldercare world for the first time meant "We didn't know what we didn't know". Rob and his staff took the worry out of it for us as we dealt with Mom's failing memory and the decisions we faced as a result. The were a phone call or email away to answer our questions and give expert advice. Caring for an aging parent is difficult, but the needs of a parent who suffers from Alzheimer's/Dementia adds another emotional layer to the situation. Retaining Slutsky Elder Law to advise us was the best decision we made. I wanted the peace of mind to know that someone was working on behalf of my family and my Mom for her to get the care she needed and deserved. I highly recommend this firm, they are good at what they do!Posted on Yelp![]()
Maryellen A.2 September 2024Verified
I highly recommend Slutsky Elder Law. Having Rob and his staff available to us gave us peace of mind and we were able to focus on our family's needs. Rob and his staff are understanding, professional and a pleasure to work with.Trustindex rating score: 4.9 of 5, based on 60 reviews
