To some extent, yes. In a self-settled trust, Medicaid will be the first to receive any of the trust’s remaining assets, so there may be nothing left after they are reimbursed for benefits paid during the beneficiary’s lifetime. However, for beneficiaries of a third-party trust, or if there is anything left in a self-settled trust, the trust can give the beneficiary the power to distribute assets via a limited power of appointment. The limited power of appointment gives the beneficiary the power to name, in their will, one or more individuals or charitable organizations to receive the remaining trust assets at their death.