ECS Trust

Pooled income trusts in New York

Need home care, but your income is too high for Medicaid?

A pooled income trust lets you keep Medicaid and your income. We set it up and pay your bills from it.

Hear it read aloud

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A person answers. A real person answers. Monday to Thursday 9 to 5, Friday 9 to 12 in winter and 9 to 1 in summer, Eastern.

  • Written into New York and federal law
  • Hundreds of New York families
  • Fees shown up front
  • Home visits
Five smiling older adults standing close together

How can we help?

Already a member? Client portal ›

How it works, in one example

Your monthly income
$2,100
2026 Medicaid limit for one person
$1,856
Goes into your trust account each month
$244
  1. Each month the $244 goes into your own account, not to Medicaid.
  2. Medicaid reviews and approves the trust paperwork, then counts you as under the limit, so your home care continues.
  3. We pay your rent, utilities and other bills from the account.

For a couple the limit is $2,509. Medicaid sets your exact amount; we work it out with you on the first call. Estimate yours ›

We work out your number on the first call. A person picks up.

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What your account pays for

Not sure about a bill? Ask us. What the trust does not pay for ›

What it costs

Monthly
10% of your deposit, at least $35, at most $300
Each year
$150
To join
Usually $300, once. Waived when you switch.

In the example: 10% of $244 is $24.40, so you pay the $35 minimum. Every client signs a fee schedule when they join, and that schedule is the final word. The four steps to join ›

More answers

Call us. A person picks up.

On the call we work out your amount, explain the fees, and start the paperwork if you want. Monday to Thursday 9 to 5, Friday 9 to 12 in winter and 9 to 1 in summer, Eastern.

Call 718-701-7777Text us

Call 718-701-7777 or email info@ecstrust.org.

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