Schlessel Law PLLC

Navigating New York Medicaid Estate Recovery

When a family is facing the astronomical cost of around-the-clock care, it can be very difficult to manage. Getting approved for Medicaid can be a huge relief, but there is one pitfall that many families fail to realize: The state has the right to claim assets from your estate after you pass, highlighting the importance of understanding medicaid estate recovery New York. A Brooklyn estate planning attorney will understand this process, and can advise you on how to protect your assets, specifically within the context of medicaid estate recovery New York.

Basically, the state can claim your property in order to reimburse themselves for money they have spent on your care, underscoring the concept of medicaid estate recovery New York. The state can do this by filing claims in your probate estate or, in some cases, placing liens on property before you die. The state is allowed to do this because the federal government has given states the option to seek reimbursement for costs incurred while caring for Medicaid recipients through a process called “estate recovery,” tying the discussion back to medicaid estate recovery New York.

New York’s law applies the term “estate” broadly, and allows them to recover against any assets that passed through your probate estate (or, in the case of someone who died without a Will, through the heirs of their estate as determined by the laws of intestacy). This includes real property, bank accounts, investments, life insurance policies with named beneficiaries, joint ownership of financial accounts or properties, and interest in certain types of annuities, emphasizing relevant aspects in the context of medicaid estate recovery New York.

The law does allow for some exemptions, however, within the framework of medicaid estate recovery New York. For instance, the state cannot claim your home if you have a surviving spouse, or a blind or disabled child living in it at the time of your death, considerations closely connected to medicaid estate recovery New York. The state can also refrain from imposing a lien on your home if you are willing to enter into an agreement with the Medicaid program that you will pay them the amount of their claim within a reasonable payment schedule, plus reasonable interest, highlighting specific circumstances within the realm of medicaid estate recovery New York.

You may be able to prevent Medicaid from recovering the costs of your long-term care by engaging in estate planning, including creating trusts and setting up your affairs so that they are less vulnerable, underscoring the importance of proactive planning in the context of medicaid estate recovery New York. These strategies can help to limit the amount of assets that are subject to estate recovery, as well as to shield your loved ones from being financially devastated by the state’s attempt to recoup their expenditures, emphasizing the protective aspect of medicaid estate recovery New York.

In order to make sure your estate plan is protecting you from this risk, it is important that you speak with an experienced elder law attorney and representatives from your local Medicaid office, highlighting the necessity of professional guidance in the realm of medicaid estate recovery New York. The law is complex, and there are often peculiarities that apply to your specific situation, emphasizing the intricacies tied to medicaid estate recovery New York.

Medicaid Repayment in New York

When a person becomes disabled and requires long term care they often need help paying for the high cost of around-the-clock care. In many cases the only way to pay for this care is to apply and be approved for Medicaid. This program has very stringent eligibility requirements that look at current assets and financial decisions made in the past. It also has an estate recovery provision that allows the state to recover money paid for long term care from any assets left behind when a Medicaid recipient passes away, highlighting the concept of medicaid estate recovery New York. This is known as Medicaid Repayment and it can have a significant impact on the amount of financial assistance a person will receive.

The state of New York along with federal agencies have been pursuing a strategy to recover the cost of these long-term care payments from heirs after a loved one passes away. In the past this has been done by attaching a lien on the home or selling the property to pay for Medicaid costs, linking to medicaid estate recovery New York. This has been very successful in many cases. However, there are strategies that can be used to protect assets from this type of recovery by working with a qualified Elder Law Attorney, who specializes in medicaid estate recovery New York.

Under New York law the state can only try to recoup funds from assets that are considered part of the deceased Medicaid beneficiary’s “estate,” demonstrating the relevance of medicaid estate recovery New York. The term estate refers to all of the real and personal property that is owned by the deceased at the time of their death. This includes all probate and non-probate assets. Non probate assets are assets that pass by beneficiary designation or through the state intestacy laws if there is no will. This would include joint accounts, life insurance policies with named beneficiaries that are not the estate, revocable trusts and irrevocable trusts, which are important aspects within the context of medicaid estate recovery New York.

Previously, in addition to seeking recovery against the above-mentioned types of assets, states could also seek to recover from other property that passes outside of a probate proceeding such as jointly held property, assets transferred to a living trust and/or property with a retained life estate, showcasing the changes related to medicaid estate recovery New York. However, under the recent settlement agreement with HHS-OIG, New York has repealed these expanded recovery provisions, specifically related to medicaid estate recovery New York.

In the present case, plaintiffs each suffered from long-term physical and mental disabilities and received Medicaid payments to cover their medical bills, tying to the discussion of medicaid estate recovery New York. As a result, each of them has a Medicaid lien against their settlement offers which was filed by HRA pursuant to New York Social Services Law 104-b, highlighting the legal aspect associated with medicaid estate recovery New York.

HRA claims that it is entitled to a lien on the settlements in order to recover the amounts paid to the plaintiffs by the City for psychiatric, occupational and speech therapy services as well as other health related services, demonstrating the practical application of medicaid estate recovery New York. Plaintiffs do not contest the propriety of Medicaid’s liens against their settlements, but they argue that the City and CSC failed to take reasonable steps to contact private insurers to verify private coverage prior to billing for services, illustrating a specific situation in the context of medicaid estate recovery New York. In a similar vein, plaintiffs allege that the City and CSC improperly coded certain claims to indicate there was no private insurance coverage, and in doing so violated federal regulations, emphasizing the regulatory framework related to medicaid estate recovery New York.

New York Medicaid Recovery Process

If you are an older adult who relies on Medicaid to pay for costly treatments like nursing home care, you need to be aware of the Medicaid estate recovery New York process. This is the process by which the state tries to recover some of the money that it has spent through Medicaid.

In general, if you have used Medicaid in your life and have assets in your estate at the time of your death, then the Medicaid estate recovery New York program will try to recoup the amounts that the state has paid on your behalf from these assets. In some cases, this can even include your family home, demonstrating the impact of Medicaid estate recovery New York on your legacy.

It is important to know the details of how this works and how it can be avoided with careful planning. A knowledgeable New York estate planning lawyer can help you develop an estate plan that will prevent this from happening to your loved ones in the context of Medicaid estate recovery New York.

Federal law requires that states attempt to recoup the cost of long term care from a person’s estate upon their death. New York is one of the few states that has opted to use the federal Medicaid estate recovery rules, which allows it to claim any assets in your probate estate including your home in certain situations. This underscores the significance of Medicaid estate recovery New York.

When the State of New York is permitted to place a lien on your home it is only when you have a surviving spouse, child under 21 years old, or an adult child that has been deemed permanently blind or disabled living in your house, relating to Medicaid estate recovery New York. The state can also only place a lien if the individual was receiving nursing home or other institutionalized care and lived in their home for over 10 years.

Typically, the most substantial asset in one’s estate is their home, and this is crucial in the context of Medicaid estate recovery New York. This can be a significant issue when dealing with Medicaid estate recovery. It is essential to understand that you can protect your home from this by transferring it into a properly-drafted trust prior to applying for Medicaid, showcasing a preventive measure in Medicaid estate recovery New York.

In addition to your home, other assets that can be claimed by MERP are cash, checking and savings accounts, investment funds in mutual or individual brokerage accounts, stocks and bonds, real estate property, interest in a Jointly Held Trust or Irrevocable Funeral Trust, and most life insurance policies with a named beneficiary. These assets become key considerations in the context of Medicaid estate recovery New York.

Having a proper and well-implemented New York estate plan will ensure that your family’s home is not subject to MERP, which is a primary goal in Medicaid estate recovery New York. It is important to consult with a qualified New York elder law attorney about this issue and implement strategies that will allow you to keep your home, emphasizing the importance of legal expertise in dealing with Medicaid estate recovery New York.  

Schlessel Law PLLC

Schlessel Law PLLC | Long Island Elder Law Attorney

34 Willis Ave Suite 300, Mineola, NY 11501, United States

(516) 574-9630