Medicare Blog

who to save dads house from medicare recovery

by Ms. Mozelle Bailey MD Published 2 years ago Updated 1 year ago
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The best way to save your house from Medicaid recovery is by putting the house into an irrevocable trust. A trust protects the home because the individual no longer owns the house. The parents can also be protected from the children deciding it’s time for the parents to move out.

Common Strategies to Protect the Home from Medicaid Recovery
  • Sell the House and Use Half a Loaf. ...
  • Medicaid Recovery Where the Community Spouse Outlives the Nursing Home Spouse. ...
  • When the Nursing Home Spouse Outlives the Community Spouse. ...
  • Avoiding Recovery in Probate Only States.
May 14, 2018

Full Answer

How can I protect my home from Medicaid estate recovery?

For most Medicaid recipients, their house is the only asset available, but there are steps you can take to protect your home. For many people, setting up a "life estate" is the simplest and most appropriate alternative for protecting the home from estate recovery. A life estate is a form of joint ownership of property between two or more people.

How can I protect my money and my house from MaineCare?

It sounds simple, but our number 1 of the Top Ten Ways to Protect Your Money and Your House from Mainecare, Medicaid or a Nursing Home is to make a plan. Working with an estate planning attorney, you can find out which of these strategies fit your family situation.

How much will Medicaid recovery eat up my home value?

The amount of recovery against the house depends on how much Medicaid has to pay for the beneficiary. If this is a sizable monthly amount it could add up quickly. Under these circumstances, over a period of a year or two, recovery could eat up the value of the home.

Can a Medicaid recipients keep their home out of probate?

In states that only seek Medicaid estate recovery through probate, there are ways for a Medicaid recipient to keep his/her home out of probate. (Remember, probate is a legal process that involves checking the validity of one’s will, determining the value of the deceased’s assets, and paying any remaining taxes and bills).

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Can Medi-cal take your house?

I. Can the State Take My Home If I Go on Medi-Cal? The State of California does not take away anyone's home per se. Your home can, however, be subject to an estate claim after your death.

How do I avoid MassHealth estate recovery?

MassHealth will not pursue any estate recovery if the value of the member's estate is $25,000 or less. In other cases, MassHealth may decide that recovering assets would be unduly hard on the member's family or on the person who inherited the estate (the “heir”). In these cases, MassHealth may grant a hardship waiver.

How do I avoid Medicaid estate recovery in Ohio?

If you think you might successfully avoid Medicaid estate recovery by simply failing to provide notice, not so fast. The Ohio Supreme Court has ruled that the 90 day period in which the state may file a claim against the deceased recipient's estate does not begin to run unless proper notice is given.

How do I avoid Medicaid estate recovery in NY?

Yes. Medicaid estate recovery may be waived by the state on the basis of undue hardship that may befall the surviving heirs or beneficiaries of the deceased's estate.

Can MassHealth put a lien on my house?

A lien will only be placed if the member is receiving long-term care in a nursing home or other medical institution and MassHealth determines that the member is not reasonably expected to return home.

What is MassHealth estate recovery?

What is estate recovery? MassHealth is required by law to recover money from the estates of some MassHealth members after they die. This process is called “estate recovery”. The recovered money is used to pay back the state and federal govern- ment for the cost of care that MassHealth paid for the member.

Can Ohio Medicaid take your house?

If you die before selling the home, the State of Ohio will usually put a lien on the home. If that happens, the State will make a claim for the amount they have paid out in Medicaid benefits.

How do I protect my assets from Medicaid in Ohio?

Protecting Your Assets from Spend Down A common strategy to protect your assets from spend down is to use an Irrevocable Medicaid Trust. This is a special type of trust where a trustee of your choosing will hold your title to your assets in this trust, and you remain the income beneficiary of the trust.

Do you have to pay Medicaid back in Ohio?

In fact, many people who have benefited from Medicaid do indeed die with money. If that person dies owning assets, the state of Ohio has the right to get paid back for the benefits it paid for that person to be on Medicaid and in the nursing home.

Can Medicaid take your house in NY?

Answer: No. Medicaid won't force you out of your house. Your home is an “exempt” resource for the purpose of determining Community Medicaid eligibility.

Do you have to pay back Medicaid in NY?

While the deceased individual may have put plans in place to qualify for Medicaid, without the proper plan, Medicaid benefits will turn into a zero-interest loan from the government. Generally speaking, Medicaid will seek repayment for anything it paid for after a person reaches the age of 55.

Can Medicaid Take a jointly owned home in NY?

Any jointly owned accounts with financial institutions, life estate interests, jointly held real estate property, interest in certain annuities, and trusts would also apply. This is regardless of whether or not there is a right of survivorship or a named beneficiary.

How to protect assets from Medicaid?

In order to protect assets from Medicaid estate recovery, one option for those who have the time to plan is to utilize a "Family Asset Protection Trust" or even , quite simply , a " Medicaid Five Year Trust ." In these instances, it is best to have transferred all property and assets that need protection into this trust at least five years prior to the anticipated need for Medicaid funds. This is because Medicaid has a "look back" period of five years. Moving these assets into a protected trust long before you anticipate the need for Medicaid can go a long way toward providing protection for your family as you age while also keeping them safe for your use during your lifetime.

What is Medicaid Estate Recovery?

Under this plan, states are required to recover many of the costs covered by Medicaid at the end of an individual recipient's life. These expenses include payments made to nursing facilities, home and community-based services, and many other medical expenses such as hospitalizations and prescription fees.

How long does Medicaid look back?

This is because Medicaid has a "look back" period of five years. Moving these assets into a protected trust long before you anticipate the need for Medicaid can go a long way toward providing protection for your family as you age while also keeping them safe for your use during your lifetime.

Can Medicaid be taken by the state?

The realities of Medicaid estate recovery mean that an individual's house and trust funds can be taken by the state rather than passed along to family members.

Can you recover from an estate with Medicaid?

Through the Medicaid estate recovery plan, states are allowed to impose liens on property during the recipient's lifetime and use money from the recipient's trust to cover expenses paid during the individual's life. States are not allowed to recover from an estate when there is a living spouse, a child under the age of 21, ...

Do older people need long term care?

Within this population of older adults, those who are age 85 and older are among those most likely to need ongoing long-term care. In high-income countries — including the United States — non-communicable diseases (especially Alzheimer's) already make up a vast majority of the burden of disease - collectively costing billions of dollars a year, a number that is expected to rise alongside the increasing population of older adults.

Does Medicaid collect after someone passes away?

After anyone passes away, in a typical probate, creditors are given the opportunity to get paid on debts owed (out of funds remaining in the estate). Medicaid is no different. Florida Medicaid is a creditor. Their process of attempting to collect is known as Medicaid estate recovery, and those who are planning for their future into advanced age should do so with an understanding of how Medicaid estate recovery works and what can be done to offer protection. One of our primary goals, as Florida Medicaid Lawyers - is to minimize, or even eliminate, Medicaid Estate Recovery.

How to save your house from Medicaid?

The best way to save your house from Medicaid recovery is by putting the house into an irrevocable trust. A trust protects the home because the individual no longer owns the house. The parents can also be protected from the children deciding it’s time for the parents to move out.

How Will Medicaid Affect My Assets Without A Plan or Trust in Place?

The Medicaid Estate Recovery Program (MERP) recoups this money by filing claims against any assets a Medicaid recipient held an interest in at the time of their death, such as a home. For example, say a person was in a Medicaid-certified nursing home for two years, and the state paid the nursing home $4,000 each month for their care. If the house was still in the person’s name at the time of death, then to repay the state the $90,000, the house would have to be sold. As previously stated, with expert planning, seniors can ensure that their homes will stay in the family after their deaths and not be lost to estate recovery.

What happens to a house when someone dies?

If the house was still in the person’s name at the time of death, then to repay the state the $90,000, the house would have to be sold. As previously stated, with expert planning, seniors can ensure that their homes will stay in the family after their deaths and not be lost to estate recovery.

How much does Medicaid pay for nursing homes?

Few families can pay $90,000 a year or more to a nursing home. Fortunately, when you run out of money to pay for nursing home care, the government Medicaid program will usually pay. Since nursing homes and home care are so expensive, many care recipients eventually run out of money and rely solely on Medicaid benefits.

Can Medicaid estate recovery be used to sell a home?

Medicaid Estate Recovery can force your home to be sold to pay the government back. With expert planning, especially advanced planning, seniors can ensure that their homes will stay in the family after their death and not be lost to estate recovery.

Can you reserve an interest in a home if you transfer it to a trust?

By transferring your home and other assets into a properly designed trust, you can still reserve an interest in the transferred assets. These advantages are not available when transfers are made outright to a child or children.

How to protect your home when you are planning to live with your child?

If you are planning to live with your child, one way of protecting your home's value is by selling it and using the money towards your child's home, either by purchasing life estate in your child's home or by purchasing joint interest in your child's home. Since your child's home would be your home, you are effective spending the money on your own home and therefore the transfer of money is not a gift. And since your child becomes the sole owner after your death, the home at that point will no longer be part of your estate and therefore not subject to estate recovery.

What is estate recovery?

However, every state has an "estate recovery" program in which, following death, the value of your home may be used to reimburse the state for the Medicaid funds it provided. In order to protect your home from estate recovery, you will need to employ one of several strategies. "Protecting the home" means ensuring your home stays within your family ...

Why is the word "child" used in Medicaid?

The word "child" is used here simply because adult children of the Medicaid recipient are typically the people involved, but it could be any person or number of people.

Is a home countable for Medicaid?

Note that only one home is a "non-countable" asset (not counted when applying for Medicaid). If you own two or more houses or condominiums, each of them beyond the first will be considered a "countable asset" and therefore will impact your Medicaid eligibility. Additionally, the home will likely be a countable asset if it is outside the state in which you are applying for Medicaid.

Is a gift a gift for medicaid?

First, the transfer would be considered a " gift" for Medicaid purposes, and any gift you've given over the "lookback period" (the 5 years prior to Medicaid application) is subject to a Medicaid "penalty period," which delays your Medicaid eligibility. Second, since your child would own it, your home would be subject to any claims made ...

Can you sign a home over to a caretaker?

If your child lives with you and provides care to you, you may may be able to sign the home over to him or her without a gift penalty. This transfer of home to a caretaker child is exempt from the gift penalty only if (1) the home was the child's sole residence for the past two years and (2) the child provided care to you that otherwise would have necessitated your being in a nursing home. This can be an effective option with advanced planning and a "caregiver agreement," which documents the care service.

Can you transfer your home to a child?

Transfer to a Child. In order to protect your home from estate recovery, you will need to ensure that you have no "interest in the home" (ownership under your name) at time of death. The most obvious solution to this would be an outright transfer to child, in which you simply sign over your home to one of your children.

6 Answers

If the state collected more than was due from the house they won't keep it. Even the IRS returns the excess proceeds.

Popular Questions

How much can an elderly parent give as gifts without worrying about "look back" laws?

Why do you have to transfer your house to your kids?

Because they will pay capital gains on the difference between the selling price of the house and the tax basis (assuming the selling price is higher). If you transfer the house to your kids before death, they do not receive a step up in basis; instead, their basis is whatever you paid for the house. If you transfer the house to your kids ...

How long do you have to live in a house before you pay capital gains tax?

The only way that your child or children can avoid capital gains taxes when they sell your house is for them to live there for two years or more before they sell it.

How long does a child need to live in a nursing home?

A caretaker child is defined as a child of the Medicaid applicant who lived in the home for two years or more prior to the applicant's move to a nursing home and whose care for the applicant delayed the need for nursing home care. (Speak with an elder care attorney to be sure your child qualifies under this standard.)

How long is the look back period for Medicaid in Michigan?

As you're probably aware, under Michigan's Medicaid rules, there is a five year "look-back" period. If you transferred assets to anyone, including a family member, for less than their fair market value during the five years before you applied for Medicaid, your application may be rejected or your eligibility for benefits delayed just when you need them most. The look-back period is designed to prevent people from impoverishing themselves on paper in order to qualify for benefits—in other words to prevent them from defrauding the government.

What happens when you transfer property to your kids?

When your children inherit property from you after your death, they receive a "stepped up" tax basis, which benefits them when it comes time to sell the house . The step up in basis means that their basis in the house is its current value.

What happens if your kids own your house?

Even if your children have the best of intentions, the house could still be at risk. If they own it, it will be vulnerable to their creditors if they are sued.

Can you transfer a house to your child if you get divorced?

If they get divorced, depending on the circumstances, the house could be considered marital property and end up in the hands of your child's ex-spouse. There are good reasons not to try to protect your house from Medicaid by transferring it to your adult child or children.

What happened to the cabin in the nursing home after the father died?

After several years the son used the power of attorney to transfer the cabin to himself. After his father died, the nursing home sued him, saying he misused the power of attorney improperly, and that he should return the value of the cabin to the estate to pay the nursing home.

What percentage of people age 65 want to stay in their current home?

The National Institute on Aging has a great article on aging in place if you’re not familiar with this concept. But you probably are, because according to the AARP “ 87 percent of adults age 65+ want to stay in their current home and community as they age.

How long does an asset protection trust save?

Typically, a good asset protection trust Preplan can save around fifty percent of the estate immediately, and one hundred percent of the assets after the five year lookback period That is why people really interested in creating an irrevocable asset protection trust do so sooner rather than later. They want the peace of mind of a backstop. In other words, they are confident they can live for another five years outside of nursing home care. But they’re concerned they might not. So they get the clock running on that five year lookback.

What happens if you give your assets to another person?

If you give your assets to another person, then the assets are subject to their creditors. You have simply traded one risk – the cost of nursing home care, for another, the risk that your child may get divorced, or get sued, or go bankrupt, or mismanage the asset.

Can you use an annuity in Mainecare?

In Mainecare asset protection planning it is far more important to know when the right time is to use an annuity than all the details surrounding Medicaid qualifying annuities. For instance, if you purchase an annuity that doesn’t pay out for a number of years, and one spouse goes into a nursing home before the payout begins – that’s a problem. If you purchase an annuity and payments go to the spouse who then needs to go into the nursing home – that’s a problem.

Is there a home based Medicaid program in Maine?

In the state of Maine, or New York, states where I practice, there are home-based Medicaid programs. You should consult with an Elder Law Lawyer if you want to know the details. Number 8 on the Top Ten Ways to Protect Your Stuff from Medicaid or a Nursing Home list means staying home as long as possible.

Do you have to know ahead of time who is going into a nursing home?

In the annuity plan, if you recall, it is important to know ahead of time who is going into the nursing home. Similarly, with the divorce or refusal to pay, it is important to know who needs nursing home care. Single people have lower resource and income limits.

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Introduction

  • Although it may be your most valuable asset, owning a home will not disqualify you from receiving Medicaid. You do not have to sell it to pay for medical care prior to receiving Medicaid. However, every state has an "estate recovery" program in which, following death, the value of your home may be used to reimburse the state for the Medicaid funds ...
See more on familyassets.com

How Does It Work?

  • There are several strategies for protecting your home from estate recovery. The optimal one depends on your particular circumstances and the state in which you reside. Each state determines its own estate recovery rules, and each strategy comes with its own benefits and caveats. Professional advice from a Medicaid expert is essential. Below are some potential strat…
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Who Is It for?

  • If you own a home and want your family to retain its value following death, then one of the above strategies will likely benefit you. The optimal strategy will depend largely on your state of residence. "Transfer on Death" deeds like the Lady Bird Deed are particularly useful for unmarried or widowed Medicaid applicants who have few assets aside from the home. It can be a powerfu…
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How Can I Take Advantage?

  • Protecting your home should be considered part of your overall Medicaid strategy, and must take into account your other assets and income. Consulting with a Medicaid expert is crucial, as the above strategies require knowledge of your state's rules governing estate recovery, property deeds, assets, capital gains, mortgages, taxes, and Medicaid. A Medicaid expert can also explai…
See more on familyassets.com

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