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Special Needs Trust Disbursements After the SSI Overhaul: Paying Shelter and Food Without Reducing the Check

SSI’s in-kind support overhaul rewrote the food and shelter rules — trustee disbursements that were safe before now reduce the check. Learn to structure SNT disbursements under the new ISM framework, apply the national PMV rental subsidy rule, and coordinate ABLE accounts to preserve benefits.

2026-10-29 14:30:00

Program Details

2026-10-29 14:30:00

2026-10-29 14:30:00

2h CLE Credits

2026-10-29 14:30:00

Program Details

2026-10-29 14:30:00

Program Details

2026-10-29 14:30:00

Over 1,000+ webinars

2026-10-29 14:30:00

Course Overview

The trustee playbook for paying food and shelter expired on September 30, 2024

2026-10-29 14:30:00

A three-rule SSI overhaul took effect on September 30, 2024, rewriting how in-kind support and maintenance (ISM) treats food and shelter disbursements from special needs trusts. A national PMV standard now governs rental subsidies. And in 2026, ABLE eligibility expands to beneficiaries who never qualified before.

The old habits now carry a price. Pay rent the familiar way, and the beneficiary’s check shrinks. Some housing related expenses still reduce SSI; others no longer do. Fund an ABLE account without watching the $100,000 rule, and benefits are on the line. Ignore Medicaid payback, and the trade-offs compound. Open questions still await Treasury guidance.

Attendees walk out able to advise trustees on structuring disbursements under the new ISM framework, apply PMV rental subsidy strategies, review existing plans, identify beneficiaries who now qualify for ABLE accounts, and design coordinated trust-ABLE strategies that preserve SSI and Medicaid — practitioner judgment no template supplies.

Format

CLE Credit

2h CLE Credits

Level

Intermediate

Length

2

Key topics that will be covered

01
The Three-Rule Overhaul
What changed on September 30, 2024, and how the new ISM framework treats food and shelter disbursements.
02
PMV Rental Subsidy Strategies
How the national PMV standard reshapes rent payment strategies, and which housing related expenses still reduce SSI.
03
Trustee Decision Making
How the overhaul reshapes trustee disbursement decisions, and the open questions still awaiting Treasury guidance.
04
ABLE Eligibility & Funding
Who qualifies under the 2026 expansion, what documentation is required, and contribution mechanics from annual limits to multi source funding.
05
Preventing Shelter Reductions
Using ABLE accounts to manage shelter and other sensitive expenses without triggering SSI reductions — and where the $100,000 rule bites.
06
Coordinating Trusts And ABLE
Medicaid payback considerations, when robust ABLE funding is appropriate, and updating older SNT’s.

Program schedule

clock 2:30 pm - 3:30 pm EST

Trustee Disbursement Decisions After the SSI In-kind Support Overhaul

This session explains the recent major SSI policy changes that took effect in 2024, including the overhaul of in-kind support and maintenance (ISM) rules, with a focus on how trustees of special needs trusts must now approach food and shelter disbursements. Attendees will learn how the new ISM framework treats food and shelter, how the national PMV standard reshapes rent payment strategies, which housing related expenses still reduce SSI. Attendees will leave able to advise trustees on structuring disbursements to preserve SSI and Medicaid benefits.

Meredith H. GreeneMeredith H. Greene
Michelle M. MulvenaMichelle M. Mulvena
clock 3:40 pm - 4:40 pm EST

Use of ABLE Accounts to Protect SSI After 2026 Expansion

This session explores how special needs trusts and ABLE accounts work together under the recent SSI policy changes, including the 2024 overhaul of in-kind support and maintenance rules and the 2026 expansion of ABLE eligibility. Participants will learn the core contribution rules, how ABLE accounts can be used to manage shelter and other sensitive expenses without triggering SSI reductions, and how trusts and ABLE accounts can be structured to balance long term asset protection with flexible daily spending. The program also reviews Medicaid payback considerations and when robust ABLE funding is appropriate. Attendees will leave prepared to review existing plans, identify beneficiaries who now qualify for ABLE accounts, and design coordinated strategies that preserve SSI benefits while expanding practical support.

Meredith H. GreeneMeredith H. Greene
Michelle M. MulvenaMichelle M. Mulvena
Meredith H. Greene

Meredith H. Greene

Day Pitney LLP

Michelle M. Mulvena

Michelle M. Mulvena

Mulvena Winston, PC

Meredith H. Greene

Meredith H. Greene

Day Pitney LLP

Meredith Greene is a partner in Day Pitney’s Boston office and coleader of the firm’s Special Needs Planning practice. She advises individuals and families on special needs planning, government benefits advocacy, guardianship, conservatorship, adult services advocacy, and estate planning, and she serves as a professional trustee on special needs trusts. Her recent client publications include “ABLE Accounts in 2026: Who Qualifies, What’s Changed, and Why It Matters” and “Recent Changes to SSI Housing Rules Make it Easier to Qualify for Full Federal Benefits.”

Education & Credentials

Meredith earned her J.D., cum laude, from Suffolk University Law School and her B.A. from the College of the Holy Cross. She is admitted to practice in the Commonwealth of Massachusetts.

Recognition & Leadership

Meredith is co-leader of Day Pitney's Special Needs Planning practice. Her 2021 arrival as a Boston partner drew coverage in Law360, the Connecticut Law Tribune, and Massachusetts Lawyers Weekly, including the Law360 Pulse profile “For Day Pitney Partner, Special Needs Law Is More Than A Job.”

Professional Involvement

Meredith is a member of the Special Needs Alliance, the Massachusetts Chapter of the National Academy of Elder Law Attorneys, the Massachusetts Guardianship Association, Parent Attorney and Advocates, and the Special Needs Advocacy Network. She was trained as a parent advocate through the Federation of Children with Special Needs, representing children and families in special education matters. Her community roles include the boards of directors of Minute Man Arc and the Williams Syndrome Association, parent-mentor with the Minute Man Early Intervention Program, Operation House Call with The Arc of Massachusetts, and former chair and board positions with the MetroWest Chamber of Commerce.

Experience

Meredith develops first-party and third-party supplemental needs trusts, irrevocable trusts, marital deduction trusts, wills, health care proxies, HIPAA release authorizations, durable powers of attorney, and appointments of advocate, and she performs trust reviews. She represents clients in Social Security Administration appeals and advocates for clients with the Department of Developmental Services and disability service providers. Her publications include “Planning for the Future With Special Needs Trusts” in the December 2025 Estate Planning Update, and her speaking engagements include “Special Needs Trusts & ABLE Accounts” for Amego, Inc. and “Financial Issues and Planning for the Future” for the Profound Autism Alliance. She speaks often on special needs planning, guardianship and alternatives/supported decision making, and government benefits for individuals with special needs, represents families in guardianship and conservatorship proceedings, and has been appointed and served as guardian ad litem in probate court matters.
Michelle M. Mulvena

Michelle M. Mulvena

Mulvena Winston, PC

Michelle M. Mulvena, Esq. is the principal at Mulvena Winston, PC in Stoneham, where she has developed a thriving fiduciary services practice serving as trustee, conservator, and personal representative. Practicing law for over 20 years, she works primarily in estate planning, Medicaid and disability planning, guardianships/conservatorships, and probate and trust administration, helping families, seniors, and disabled individuals retain their independence and dignity through proper planning.

Education & Credentials

Michelle graduated from New England Law in Boston in 2001.

Recognition & Leadership

Michelle is a contributor to the Elder Law Guide published annually by the Massachusetts Bar Association and frequently lectures on estate planning, estate and trust administration, and disability and Medicaid planning.

Professional Involvement

Michelle is a member of several organizations and boards, including the Massachusetts Bar Association, the Massachusetts Chapter of the National Academy of Elder Law Attorneys, the Massachusetts Guardianship Association, and SCM Transportation in Somerville.

Experience

Through her fiduciary services practice, Michelle serves as trustee, conservator, and personal representative. Her practice centers on Medicaid and disability planning, probate and trust administration, guardianships/conservatorships, and estate planning, and her lecture topics run to the same ground: disability and Medicaid planning and estate and trust administration.
Meredith H. Greene

Meredith H. Greene

Day Pitney LLP

Meredith Greene is a partner in Day Pitney’s Boston office and coleader of the firm’s Special Needs Planning practice. She advises individuals and families on special needs planning, government benefits advocacy, guardianship, conservatorship, adult services advocacy, and estate planning, and she serves as a professional trustee on special needs trusts. Her recent client publications include “ABLE Accounts in 2026: Who Qualifies, What’s Changed, and Why It Matters” and “Recent Changes to SSI Housing Rules Make it Easier to Qualify for Full Federal Benefits.”

Education & Credentials

Meredith earned her J.D., cum laude, from Suffolk University Law School and her B.A. from the College of the Holy Cross. She is admitted to practice in the Commonwealth of Massachusetts.

Recognition & Leadership

Meredith is co-leader of Day Pitney's Special Needs Planning practice. Her 2021 arrival as a Boston partner drew coverage in Law360, the Connecticut Law Tribune, and Massachusetts Lawyers Weekly, including the Law360 Pulse profile “For Day Pitney Partner, Special Needs Law Is More Than A Job.”

Professional Involvement

Meredith is a member of the Special Needs Alliance, the Massachusetts Chapter of the National Academy of Elder Law Attorneys, the Massachusetts Guardianship Association, Parent Attorney and Advocates, and the Special Needs Advocacy Network. She was trained as a parent advocate through the Federation of Children with Special Needs, representing children and families in special education matters. Her community roles include the boards of directors of Minute Man Arc and the Williams Syndrome Association, parent-mentor with the Minute Man Early Intervention Program, Operation House Call with The Arc of Massachusetts, and former chair and board positions with the MetroWest Chamber of Commerce.

Experience

Meredith develops first-party and third-party supplemental needs trusts, irrevocable trusts, marital deduction trusts, wills, health care proxies, HIPAA release authorizations, durable powers of attorney, and appointments of advocate, and she performs trust reviews. She represents clients in Social Security Administration appeals and advocates for clients with the Department of Developmental Services and disability service providers. Her publications include “Planning for the Future With Special Needs Trusts” in the December 2025 Estate Planning Update, and her speaking engagements include “Special Needs Trusts & ABLE Accounts” for Amego, Inc. and “Financial Issues and Planning for the Future” for the Profound Autism Alliance. She speaks often on special needs planning, guardianship and alternatives/supported decision making, and government benefits for individuals with special needs, represents families in guardianship and conservatorship proceedings, and has been appointed and served as guardian ad litem in probate court matters.
Michelle M. Mulvena

Michelle M. Mulvena

Mulvena Winston, PC

Michelle M. Mulvena, Esq. is the principal at Mulvena Winston, PC in Stoneham, where she has developed a thriving fiduciary services practice serving as trustee, conservator, and personal representative. Practicing law for over 20 years, she works primarily in estate planning, Medicaid and disability planning, guardianships/conservatorships, and probate and trust administration, helping families, seniors, and disabled individuals retain their independence and dignity through proper planning.

Education & Credentials

Michelle graduated from New England Law in Boston in 2001.

Recognition & Leadership

Michelle is a contributor to the Elder Law Guide published annually by the Massachusetts Bar Association and frequently lectures on estate planning, estate and trust administration, and disability and Medicaid planning.

Professional Involvement

Michelle is a member of several organizations and boards, including the Massachusetts Bar Association, the Massachusetts Chapter of the National Academy of Elder Law Attorneys, the Massachusetts Guardianship Association, and SCM Transportation in Somerville.

Experience

Through her fiduciary services practice, Michelle serves as trustee, conservator, and personal representative. Her practice centers on Medicaid and disability planning, probate and trust administration, guardianships/conservatorships, and estate planning, and her lecture topics run to the same ground: disability and Medicaid planning and estate and trust administration.

Credits by state

AK2.0
AL2.0
AR2.0
AZ2.0
CA2.0
CO2.0
CT2.0
DC2.0
DE2.0
FL2.0
GA2.0
HI2.0
IA2.0
ID2.0
IL2.0
IN2.0
KS2.0
KY2.0
LA2.0
MA2.0
MD2.0
ME2.0
MI2.0
MN2.0
MO2.4
MS2.0
MT2.0
NC2.0
ND2.0
NE2.0
NH120.0
NJ2.0
NM2.0
NV2.0
NY2.0
OH2.0
OK2.5
OR2.0
PA2.0
RI2.5
SC2.0
SD2.0
TN2.0
TX2.0
UT2.0
VA2.0
VT2.0
WA2.0
WI2.0
WV2.4
WY2.0

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MCLE Credits

Alabama
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Colorado
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Connecticut
Approved
Delaware
Pending
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Kentucky
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Maryland
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Massachusetts
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Michigan
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Minnesota
Pending
Mississippi
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Missouri
Approved
Montana
Pending
Nebraska
Pending
Nevada
Pending
New Hampshire
Approved
New Jersey
Approved
New Mexico
Approved
New York
Approved
North Carolina
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Ohio
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Pennsylvania
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Rhode Island
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Washington
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West Virginia
Pending
Wisconsin
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Wyoming
Pending

Alabama

Requirements

The Alabama State Bar MCLE Commission requires attorneys to complete 12 credits, including 1 ethics, by December 31 of each year. All credits must be reported by February 15 of the following year. A maximum of 12 credits, including 1 ethics credit, may be carried over for 1 year only.  

Formats

  • Attorneys can earn unlimited “live” credit through live seminars, live webcasts, and co-sponsored locations with MyLAWCLE-Alabama approved programs
  • Attorneys are limited to 6 credits per compliance period of “online” programs through MyLAwCLE On-Demand programs