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Understanding Medicaid Estate Recovery in Ohio: What You Need to Know

February 16, 2025

Protect your assets and ensure your loved ones are cared for by understanding Medicaid Estate Recovery in Ohio.


Introduction

Medicaid provides essential healthcare services to millions of Americans, including long-term care for the elderly and disabled. When most people think about Medicaid for long-term care, they think about what it takes to become eligible for the program. However, there’s more to the story. There’s also the Medicaid Estate Recovery Program (MERP), which allows the state to recover the costs of care from a recipient’s estate after they pass away. It’s important to be aware of not only what it takes to become eligible for Medicaid, but also how the MERP may affect your estate after your death.

If you’re a resident of Ohio or have loved ones who are, read on to understand how Medicaid Estate Recovery works so you’re armed with the information you need to protect your assets and plan accordingly.


What is Medicaid Estate Recovery?

Medicaid Estate Recovery is a federal mandate requiring states to recoup expenses paid on behalf of Medicaid recipients aged 55 or older. This typically includes costs for nursing facility services, home and community-based services, and related hospital and prescription drug services. In Ohio, the program is administered by the Ohio Department of Medicaid (ODM).


How Does Medicaid Estate Recovery Work in Ohio?

Scope of Recovery

Ohio seeks recovery from the estates of deceased Medicaid recipients for the cost of services provided. Ohio is considered an “expanded recovery” state, which means that your assets that pass to beneficiaries both within probate and outside of probate are subject to estate recovery. This means that any property or asset that you own at the time of your death may be used to recover the cost of your long-term care under the MERP program.

Services Subject to Recovery

The state can recover costs for:

  • Nursing facility services
  • Home and community-based services
  • Hospital and prescription drug services related to the above
  • Any other Medicaid services provided after the recipient turned 55

Notification Process

Upon the death of a Medicaid recipient, the estate’s executor or administrator is required to notify the ODM. The state will then present a claim against the estate for the amount owed. In Ohio, the Attorney General’s Office notifies the estate of Medicaid recipients when there is a MERP claim.


Protecting Your Assets from Medicaid Estate Recovery

Estate Planning Strategies

Proper estate planning can help minimize or avoid Medicaid Estate Recovery:

  1. Irrevocable Trusts: Assets placed in an irrevocable trust may not be counted towards Medicaid eligibility and can be protected from estate recovery.
  2. Transfer of Assets: Gifting assets to heirs before applying for Medicaid can protect them, but be aware of the 60-month look-back period. Transfers during this period may incur penalties.
  3. Life Estates: Creating a life estate deed allows you to transfer property to heirs while retaining the right to use it during your lifetime.
  4. Annuities and Promissory Notes: Certain financial instruments can convert assets into income streams, potentially protecting them from estate recovery.

Consult with an Attorney

Medicaid planning is complex and highly individualized. Consulting with an experienced attorney in Ohio can help you navigate the rules and develop a plan that suits your needs.


Be Proactive

Understanding Medicaid Estate Recovery in Ohio is essential for protecting your assets and ensuring your estate is distributed according to your wishes. The earlier you plan, the more choice and control you will have. By being proactive and engaging in thoughtful estate planning, you can mitigate the impact of estate recovery on your loved ones.


Frequently Asked Questions

1. Can Medicaid take my house in Ohio?

Yes, but perhaps not the way you think. Your home can be subject to estate recovery after your death if Medicaid benefits were used for your care. However, recovery is delayed if a surviving spouse, minor, blind, or disabled child lives in the home.

2. What is the 60-month look-back period?

Medicaid reviews asset transfers made within 60 months (5 years) before your application. Transfers for less than fair market value can result in penalties or delays in eligibility.

Take Action Now

Don’t leave your estate to chance. Contact us at Ohio Heritage Law today to schedule a consultation and explore your options for protecting your assets from Medicaid Estate Recovery. Reach out via phone at (330) 571-4151 or email at info@ohioheritagelaw.com


For personalized legal advice, always consult with a qualified attorney. This blog post is for informational purposes only and does not constitute legal counsel.

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