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You've met along with your elder law attorney, you've come up which has a plan of action, time has gone by, as well as your parent has entered the nursing home, with Medicaid paying the total cost. Your members of the family have was able to preserve practically all of the assets through careful planning, which means you feel that this lawyer's fee was well worth it!

A amount of years pass by and your parent has passed on to your better place, to start with you've finished grieving you obtain a letter in the state Medicaid Recovery Unit requesting repayment of each dime they paid out on your own parent's behalf! You're depressed, angry, confused. You stare on the paper and can't believe it. "I thought we counseled me set, that after Mom was on Medicaid we didn't have to worry about that any more....Can this be correct?" you ask your siblings.

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Unfortunately, the answer is "Yes." What you've got just been up against is one thing called Medicaid "estate recovery." Essentially, it requires repayment from the entire amount of Medicaid benefits which are made during your household member's stay inside nursing home.

Medicaid Estate Recovery

Prior to 1993, such estate recovery was optional---a state could implement it or not. However, in that year a fresh federal law was passed (known as OBRA '93) that mandated that every state must seek estate recovery from its Medicaid-receiving residents, following their deaths.

In essence, when you thought you'd qualified your loved ones member for the government handout, all you've really received is definitely an interest-free loan! And upon your family's member's death, their state wants its loan paid back.

Now if you are sharp, you could very well be thinking "Wait a minute...if someone qualifies for Medicaid, they've being essentially broke. So where exactly are these claims money via to repay the state?" That's a fantastic question, as well as the very good news is that in case your relative died owning nothing, then indeed hawaii is away from luck. It can't go after the kids' money. There should be some assets that this nursing home resident were built with a legal interest in, at the duration of death, as a way for the state to be repaid.

In many states, the one "legal interest" of an deceased Medicaid recipient that's taken under consideration may be the individual's so-called "probate estate"; that's an asset that's titled within the sole name from the individual, or as being a "tenant in common" if jointly owned. It's the assets that will pass under someone's will. For example, something as being a joint account, stock owned in "TOD" (transfer on death) form, a account with a "POD" (pay on death) beneficiary, an annuity interest, and real estate that's titled as "JTWROS" or "joint tenants with right of survivorship," are typical non-probate assets and for that reason protected from the state's claim for reimbursement.

A variety of other states, however, have passed laws that permit recovery against an "expanded concept of estate." The federal Medicaid laws permit this. Under this expanded definition "estate" could now include joint property, life estates, living trusts, and some other asset where the deceased nursing home resident had any legal interest with the time of death. Boy, that makes it tough! This even goes against a huge selection of many years of common law, but it is legal, where there are already a amount of court cases that have backed this up.

Now in the big event you live in a single with the "probate estate only" states, you need to feel lucky, but understand that without notice your state can revise its laws and go using the broader definition. And your loved ones member will not likely be "grandfathered in" if she or he received Medicaid benefits ahead of the alteration of law in your state; there happen to be court cases who have ruled on this, proclaiming that it is the law in effect as of the date of death from the Medicaid recipient that counts.

Well, what should one does to plan for this, assuming it is possible to do anything at all? And exist exceptions to the harsh rule? See my other articles with this topic.



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