Can Medicaid Take My Mom's Settlement Money From Lawsuit?
My mother went into a nursing home six years ago after she broke her hip. She receives Medicaid benefits. We intended for...
Read moreThis is a great question, and the good news is that the timing you deeded the home 10-plus years ago likely works in your favor — but there are a few important nuances to understand.
Medicaid has a five-year lookback period for asset transfers when someone applies for long-term care benefits. Since the home was deeded to you and your siblings over 10 years ago, this transfer is well outside that window. This means it likely won’t be counted as a disqualifying transfer or trigger a penalty period for her Medicaid eligibility.
Because the home was legally transferred to you and your siblings a decade ago, your mother no longer owns it — you and your siblings do. This matters a great deal for the Medicaid Estate Recovery Program (MERP), which only allows states to recover costs from assets owned by the Medicaid recipient at the time of death (typically through probate).
Since the home isn’t hers anymore, it generally should not be considered part of her estate, and the nursing home/Medicaid should not have a claim to it — regardless of whether you sell it before or after she passes.
How the deed was structured: Was it a full transfer, or did she retain a life estate (the right to live there until death)? A life estate can sometimes create a partial Medicaid recovery interest in some states, even after the lookback period, so it’s worth confirming exactly how the deed was written.
Was this transfer disclosed on her Medicaid application? Even outside the lookback period, Medicaid applications often ask about all past transfers. If it wasn’t disclosed and the state asked for all transfers and not just those within the last 60 months, it is worth having it documented now.
Property tax/homestead exemptions: If she’s been claiming a homestead exemption on a home she no longer legally owns, that could raise questions — worth checking with your local tax assessor.
Maintenance costs while she’s in a nursing home: Since you and your siblings own the home, you are responsible for its upkeep, taxes, and insurance — this won’t be a Medicaid issue, but it is a practical one to plan for as a family.
Because the home was transferred outside the five-year lookback window and she has no ownership interest in it now, Medicaid generally should not be able to claim any proceeds from its eventual sale — as long as the transfer was a full, clean transfer (no life estate or other retained interest).
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Important: Medicaid rules — including life estate treatment and estate recovery — vary by state. Given your mother’s age and the fact that a nursing home stay may be imminent, have an elder law attorney in her state do a quick review of the deed itself and her Medicaid file to confirm there are no surprises.
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Read moreIn addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.
READ MORETo be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.
READ MORESpouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.
READ MOREIn addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.
READ MORETo be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.
READ MORESpouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.
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READ MOREIf steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.
READ MOREThere are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.
READ MORECareful planning for potentially devastating long-term care costs can help protect your estate, whether for your spouse or for your children.
READ MOREIf steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.
READ MOREThere are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.
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READ MOREApplying for Medicaid is a highly technical and complex process, and bad advice can actually make it more difficult to qualify for benefits.
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