Table Of Content
- Medicaid Estate Recovery Programs: When Medicaid Can and Cannot Take One’s Home
- Trapped in an Amazon return box: One Utah cat’s mistaken journey to California
- Find a Medicare Plan in your area
- How Medicaid Takes Its Money Back After You Die
- California’s population increased last year for first time since 2020
- More From the Los Angeles Times

Losing a home after passing away is covered in a separate article here. Since state laws vary, the only way to know for sure if your estate is at risk is to educate yourself about the specifics of your state’s MERP. Although your state Medicaid office can tell you the basics, you may find it helpful to consult a professional specializing in elder law or estate planning. So a much larger population of people 55 and over are now eligible for Medicaid.
Medicaid Estate Recovery Programs: When Medicaid Can and Cannot Take One’s Home
Musgrave, who works for the state’s handgun-permit office, makes $31,000 before taxes. “There’s no way I would even qualify for a loan to get another home,” she said. She looked into public housing, but there are 10,000 people on the wait list and it’s currently closed. I initially learned about estate recovery because it’s going to happen to my own family.
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Receiving an Inheritance? Beware of Medicaid Income Limits.
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Trapped in an Amazon return box: One Utah cat’s mistaken journey to California
When Gideon was on Medi-Cal, he was also eligible for a state program that paid Gonzalez almost $5,000 a month to serve as his home caregiver. Medi-Cal also could pay for equipment to help Gideon walk, something their private insurance does not cover, Gonzalez said. There is also the Child Caregiver Exception which, under certain circumstances, allows Medicaid beneficiaries to transfer their house to their adult child.
Find a Medicare Plan in your area

While you can sell your home if you have Medicaid, you do risk making yourself ineligible for Medicaid by doing so. Once the home is sold, it is no longer exempt, and any proceeds would count toward your asset limit (typically $2,000). This almost always puts you over the asset limit and you cannot reapply for Medicaid until you have spent down. If grown children live in the home, and the title was not transferred to them through the Child Caregiver Exemption, the state will try to collect via estate recovery. Remember, if an underage child or child with a disability lives in the home, estate recovery is prohibited. She had bought the house on contract for $35,000 in 1995 and had long since made the last payment.
Can Medicaid Really Come After Your House When You Die? Yes. - The Atlantic
Can Medicaid Really Come After Your House When You Die? Yes..
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After their death, Medicaid will attempt reimbursement of long-term care costs via Medicaid Estate Recovery if they do not have a disabled, blind, or minor child. Another exception in which Estate Recovery cannot take place is the Child Caretaker Exemption. It allows a Medicaid recipient to transfer their home to a healthy adult child under certain circumstances.
California’s population increased last year for first time since 2020
This is generally one year following the death of a Medicaid recipient. When someone receives long-term care benefits and more through Medicaid, the state can actually seek repayment for these services after the Medicaid recipient passes away. This is called Medicaid estate recovery (MERP), and each state has its own rules about how it works, just like they all have their own Medicaid programs. To recover the costs, the state will make a claim against the deceased’s estate and the assets and property in it. The basic rule is that a person's primary residence is an exempt asset and therefore will not be counted when they apply for Medicaid. However, when a senior specifically applies for Medicaid coverage of long-term care services, including nursing home care, their equity interest in their home must fall below a certain amount set by their state to be considered exempt.
More From the Los Angeles Times
While the home is safe from Estate Recovery if the institutionalized spouse passes away while the community spouse is living, it isn’t necessarily safe from MERP following the community spouse’s death if the home isn’t solely in their name. Therefore, transferring the home to the community spouse will protect it from Medicaid Estate Recovery. The state will not be able to make a claim against the home, even after the community spouse’s death, to be paid back for the cost of their spouse’s nursing home care. This is because the home will no longer be a part of that spouse’s estate upon the community spouse’s death. A common concern among seniors applying for (or receiving) nursing home care or other assistance from Medicaid is what will happen to their home.

Centers for Medicare & Medicaid Services
If only one spouse received Medicaid-funded care and passed away prior to the non-Medicaid recipient spouse, the state may or may not attempt Estate Recovery. With an “Intent to Return” statement, one still needs to pay their home expenses, such as property taxes, insurance, and mortgage. If friends and family do not help cover these costs, maintaining the home isn’t feasible for long. This is partly because of Medicaid’s small asset limit (generally $2,000). However, what really limits one from covering these expenses is that nearly all of a Nursing Home Medicaid beneficiary’s income must go towards their cost of care. Essentially, they are limited to a Personal Needs Allowance of approximately $30 – $200 / month.
This is also frequently a concern of adult children whose mother, father, or both parents need Medicaid-funded nursing facility care. Can Medicaid take the home when the elderly individual moves to a nursing home? Unfortunately, these are complicated questions and the answers depend on a family’s specific situation.
You may also get a Sibling Exemption that allows you to transfer your house to a sibling who is part owner of the house, provided they lived there for at least a year before you went to a Medicaid-funded nursing home. Both must be done correctly, otherwise you risk violating the "Look-Back Period". It is common for people applying for nursing home care or similar assistance to worry about what might happen with their home.
She's held board certifications in emergency nursing and infusion nursing. If a state does not use Medicaid managed care, they are not allowed to recoup more than the actual amount the state spent on the person's care. It also cannot recover it if the house is in your spouse’s name and you have relinquished your interest. If the house is in an irrevocable trust, the state cannot recover from it, either. Get a solid grounding in Social Security, including who is eligible, how to apply, spousal benefits, the taxation of benefits, how work affects payments, and SSDI and SSI.
After the passing of the Omnibus Budget Reconciliation Act of 1993, MERPs became mandatory. Estate recovery is also mandatory after the death of Medicaid recipients under 55 if they received nursing home care. Every state and the District of Columbia have Medicaid Estate Recovery Programs (MERPs). Simply put, a MERP tries to recoup the long-term care costs the state paid for following the death of a Medicaid recipient aged 55 years or older. A state-imposed, post-death lien on a houseoccupied by the loved ones of a deceased recipient of Medicaid will getmoney back to the government, but not while a spouse ordependent/disabled child is still living—anywhere. Your home isalso shielded from recovery if a spouse or sibling has an equity interest init, and has lived in it for the legally specified time, or if it’s the home ofa child who is under 21 or lives with a disability.
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