As a skilled attorney in Medicaid Estate Recovery law, Roman Aminov delivers precise, legally sound solutions tailored to the unique circumstances of each client’s estate.
Are you worried about what happens to your family home if you've received Medicaid benefits? Many families share this concern. The Medicaid Estate Recovery Program can claim costs from the estates of those who received aid after turning 55.
This fear is understandable, and I have researched ways to protect your assets. One key fact: Using trusts can shield your home from recovery by Medicaid.
Medicaid is a federally funded program providing medical care for disabled and elderly individuals. To offset costs, the federal government initiated the Medicaid Estate Recovery Program ("Estate Recovery"). States must seek reimbursement from the estates of individuals who received benefits after age 55.
In New York State, elderly individuals can receive assistance in paying for their medical care, particularly if they reside in a nursing home or receive support from a home health aide. Medicaid allows beneficiaries to retain their primary residence while receiving benefits, with the idea being that they can return home after a nursing home stay or receive home health aide care.
Under the Estate Recovery Program, states are required to place a lien on any real property or co-op remaining in the recipient's name if they required nursing home care. An estate claim is placed on their probate estate as well. This enables Medicaid to seek reimbursement for provided services upon an individual's death. The lien or claim must be settled before any remaining assets can be distributed to beneficiaries, even if a will exists. An experienced estate planning or elder law attorney can shield against financial harm caused by Estate Recovery.
Families can protect their home by engaging in asset protection planning. A knowledgeable estate planning and elder law attorney can assist in establishing a Medicaid trust or asset protection trust during your lifetime, ideally five years before needing care. Your home and other significant assets are transferred into the trust’s name. Once in the trust, these assets are not considered yours when applying for Medicaid and are exempt from Estate Recovery. In New York, unlike in many other states, only probate assets are targeted by Medicaid, so avoiding probate avoids Estate Recovery.
The asset protection trust allows you to live in the house, although it's owned by the trust. Depending on the trust's terms, you can sell and buy new homes (also titled under the trust), and trustees have discretion to use the principal for selected beneficiaries during your lifetime. The trust also functions as an estate planning tool, directing asset distribution after your death.
If asset protection planning wasn't done prior to applying for Medicaid, there are exceptions where estate recovery does not apply:
If you worry about Medicaid taking your home, the right steps can help. Using trusts may protect what is yours. Some family members living at home might stop recovery efforts too. Talking to a lawyer can make everything clearer and easier. Consider your family and plan ahead, it could save a lot later on!
The Medicaid Estate Recovery Program seeks to reclaim costs from a deceased person's estate, including their family home, for services paid by Medicaid.
If a person received Medicaid benefits, the state might claim repayment from their estate after they pass away... This can include selling the family home to cover those costs.
Yes—there are some protections! For example, if a surviving spouse or dependent child lives in the house, recovery may be delayed or waived.
Absolutely! Families can take steps like setting up trusts or transferring property ownership before applying for Medicaid... It's wise to consult with an elder law attorney for guidance on these options.