Do you have to pay back Medicaid in Alaska?

Asked by: Dr. Axel Stehr IV  |  Last update: September 15, 2025
Score: 4.7/5 (6 votes)

Which Medicaid Expenses Must Be Repaid in Alaska? Federal law requires Alaska to seek repayment for the cost of all long-term care services paid for by Medicaid, including any related drug and hospital benefits.

Will Medicaid make me pay them back?

If you save any of the lump sum payment into the months after you received it, and it pushes your resources above the Medicaid resource limit, you can be held liable to repay Medicaid for services you receive in all the months you are over the resource limit.

How does Alaska Medicaid work?

Medicaid provides medical coverage to low-income Alaskans. Eligible groups include low-income children, pregnant women, families, adults without dependent children between the ages of 19 and 64, the elderly, blind and the permanently disabled. There is no time limit and many working families may qualify.

What assets are exempt from Medicaid estate recovery rights?

Assets that are generally exempt from Medicaid estate recovery include:
  • Property jointly owned by the decedent (the deceased) and another person.
  • Life insurance proceeds paid directly to a designated named beneficiary.
  • Assets placed in a trust prior to the death of the decedent.

How do I protect my assets from Medicaid look back?

By transferring your assets into an irrevocable trust, you effectively remove them from your ownership, thereby protecting them from Medicaid's asset requirements. However, it's important to note that once assets are transferred to an irrevocable trust, you no longer have control over them.

Why I support the expansion of Medicaid in Alaska

36 related questions found

Do I have to pay back Medicaid if I sell my house?

Note: California stands apart from the other states. CA eliminated their Medicaid (Medi-Cal) asset limit effective 1/1/24. Medi-Cal applicants and beneficiaries can have unlimited assets and still be eligible for Medi-Cal. They could sell their home and it have no impact on their eligibility.

How often does Medicaid check your income?

Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

What is an Alaska Medicaid waiver?

WAIVER SERVICES

Alaska's five Medicaid waivers support the independence of Alaskans who experience physical or developmental disabilities by providing. services in their homes and in the community rather than in an institution such as a nursing home. Each waiver offers a different set of services.

Will Medicaid check my bank account?

Yes, if you're submitting a Medicaid application, the agency you're sending it to can check your bank account.

Does Medicaid take bills into consideration?

Some states require you to submit receipts or bills to Medicaid to show your monthly expenses. Other states may let you pay a monthly premium directly to Medicaid for the amount that your income is over your state's Medicaid spend-down level.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What happens if you win money while on Medicaid?

Winning the lottery generally doesn't require you to pay back Medicaid costs. However, it can affect your eligibility for Medicaid, as eligibility often depends on income levels, which vary by state. You might lose your benefits if your lottery winnings push your income above the Medicaid threshold.

What happens to assets if you go into a nursing home?

No one “takes” assets from the patient; the nursing home simply requires payment for its services if the patient intends to reside in the nursing home. The notion of assets being seized by the government or a nursing home is only one of several misconceptions about paying for long term care.

Can Medicaid be reversed?

If you are denied Medicaid due to caseworker errors, you can contact the Medicaid caseworker and ask for a Medicaid reversal.

What are the downsides of Medicaid?

Disadvantages of Medicaid

One of the primary reasons for this is that Medicaid reimbursements are lower than those of commercial insurers for most procedures and treatments.

Do you have to pay back Medicaid if you get a job?

No. Unlike employer-sponsored plans, Medicaid is not tied to your job. You'll still have it even if you lose your job because of COVID-19 or for any other reason. If you find a job, your new financial situation will determine whether you qualify for Medicaid.

What is exempt from Medicaid?

Certain types of income, such as Supplemental Security Income (SSI), veteran's benefits, and some forms of child support, are exempted from the spend down calculation. These exemptions ensure that individuals with limited income sources can still qualify for Medicaid.

Can Welfare see my bank account?

Yes. The state where you applied for benefits will research your assets, and you can lose benefits for a specific time when lying on the application. Computers have made it easy to verify your statements, and finding your bank accounts in the USA is not difficult.

Does Medicaid ask for tax returns?

A copy of any pay stubs, Social Security statements, and/or pension checks; income tax returns for the past five years; and verification of any other sources of income, for example, rental income or dividends.

Will I lose my Medicaid if I inherit a house?

California stands apart from the other states. In CA, Medicaid (Medi-Cal) recipients can gift inheritance, which is considered “income”, the month in which it is received. Furthermore, Medi-Cal recipients have no asset limit, and therefore, can have unlimited assets and still be eligible for long-term care benefits.

Does Medicaid pay back bills?

Federal law directs state Medicaid programs to cover (and provides federal matching funds for) medical bills incurred up to 3 months prior to a beneficiary's application date.

Can you own a home while on Medicaid?

Learn more about MERP. California eliminated their asset limit effective 1/1/24. While this means one's home is automatically safe from Medicaid while they are living, the home is not necessarily safe from Medicaid's Estate Recovery Program.