The ability of a state’s Medicaid program to recover funds spent on long-term care services through a claim against a property is a complex issue. This recovery, often pursued after the recipient’s death, aims to recoup costs associated with nursing home care, home and community-based services, and related medical expenses.
Such estate recovery programs are authorized under federal law, allowing states to seek reimbursement from the estates of deceased Medicaid recipients. This process is intended to ensure the sustainability of Medicaid funding, allowing it to continue supporting individuals in need of long-term care. The history of these laws reflects a balance between providing essential healthcare and protecting taxpayer resources.