Does Medi-Cal put a lien on your house?

Asked by: Breanne Murphy  |  Last update: May 3, 2025
Score: 4.6/5 (42 votes)

Medi-Cal places a lien against the benefi- ciary's property while the beneficiary is still alive so it can seek recovery when the individual passes away or when the property is sold. Passage of the ACA raised questions about whether and how Medicaid recovery rules would be applied to the newly eligible population.

Can the state take my home if I go on Medi-Cal?

Can the State Take my Home If I Go on Medi-Cal? The State of California does not take away anyone's home per se. Your home can, however, be subject to an estate claim after your death. For example, your home may be an exempt asset while you are alive, and not counted for Medi-Cal eligibility purposes.

Can Medi-Cal bills put a lien on your house in California?

(1) For individuals permanently residing in an institution, adjustments or recoveries are made from the individual's estate or upon sale of the property subject to a lien imposed because of medical assistance paid on behalf of the individual for services provided in a nursing facility, ICF/MR, or other medical ...

Do you ever have to pay back Medi-Cal?

The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal beneficiaries. Repayment only applies to benefits received by these beneficiaries on or after their 55th birthday and those who owned assets at the time of death.

Will I lose my Medi-Cal if I sell my house?

➢ Do assets affect my eligibility? Starting on January 1, 2024, assets, such as bank accounts, cash, a second vehicle, and homes, will no longer be counted when determining Medi-Cal eligibility.

Medi-Cal Estate Recovery – Myths vs. Facts

32 related questions found

How to protect assets from Medi-Cal in California?

Proper elder law Medi-Cal planning is having all assets held in a decedent's revocable living trust to avoid both probate and Medi-Cal recovery. It is very important to plan for your loved ones by having a revocable living trust.

Can you lose your house for not paying medical bills?

The short answer is yes, it is possible to lose your home over unpaid medical bills though the doctor or hospital would have to be willing to go to a lot of effort to make that happen. Medical debt is classified as unsecured debt. This means that your debt isn't tied to any collateral.

How do I avoid medi-cal estate recovery?

The State of California is prohibited from the recovery of any Medi-Cal expenses used if there is a surviving spouse until the surviving spouse passes away. Also, if there is a minor child under the age of 21 or a blind child, or a disabled child, then the State is prohibited from any Medi-Cal recovery.

Who can put a lien on your house in California?

A creditor may put a lien on your home to ensure you pay back your debt, and if you do not, the creditor could take your home as payment. If you have a lien on your home, you cannot sell it without paying off the debt tied to the lien.

How do I avoid a Medicaid lien?

A Medicaid lien allows the state to recover expenses paid on behalf of the Medicaid recipient after their passing, potentially impacting the inheritance of heirs. 1. Exempt Transfers: One of the most common strategies is to transfer the home out of the Medicaid applicant's name before applying for benefits.

Can Medi Cal take my inheritance?

Estate Lawyer: Christopher B, Esq. Receiving an inheritance may impact eligibility for Medi-Cal benefits. As a recipient of government benefits, you may not have more than $2,000 in assets before your eligibility for government benefits will be affected. To avoid this from happening is to disclaim your inheritance.

Can I sell my house if Medicaid has a lien on it?

Yes, one can sell their home while on Medicaid, but with the risk of losing Medicaid eligibility. Once one's home has been sold, it is no longer an exempt (non-countable) asset.

Can I keep my house if I go on Medicaid?

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.

What assets can you have on Medi-Cal?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

Is there a look-back period for Medi-Cal in 2024?

Medi-Cal's Look-Back Period is obsolete. The Look-Back Period is still relevant. On 1/1/24, California's Look-Back Period was the 30-month period that immediately preceded the date a nursing home resident submitted a Medi-Cal application or the date a Medi-Cal beneficiary was admitted to a nursing home.

Can Medi-Cal take your house if it is in a trust?

Irrevocable House Trusts Work

The primary advantage of this arrangement is that the property is no longer considered part of the homeowner's estate; therefore, it cannot be claimed for estate recovery purposes upon their death. This protects the home from being used to repay Medi-Cal benefits posthumously.

How do I protect my assets from Medi-Cal bills?

Protecting your assets from medical bills involves utilizing various legal tools designed to safeguard your financial health. Three primary instruments can be particularly effective: trusts, Health Savings Accounts (HSAs), and insurance.

Does owning a house affect Medi-Cal?

Owning a home does not automatically prevent you from being eligible for Medi-Cal benefits. For many applicants, a primary residence is a “non-countable” asset, meaning it doesn't impact their eligibility for Medi-Cal long-term care coverage.

Can you put a lien on a house for medical bills?

Placing a lien: A legal claim that a creditor can place on a patient's home, prohibiting the patient from selling, transferring, or refinancing their home without first paying off the creditor. Most states require creditors to get a court order before placing a lien on a home.

Who qualifies for medical debt forgiveness in California?

All hospitals offer discounts or bill forgiveness based on income. On average, a family of 4 earning less than $100,000 a year will qualify. You can apply for financial assistance before or at the time of your hospital treatment or service.

Can they go after your house for medical bills?

Yes, healthcare providers can place a lien on your property if you don't pay your medical bills.

How to avoid medi-cal estate recovery 2024?

Federal regulations prevent the DHCS from pursuing recovery for Medi-Cal services in the following circumstances:
  1. The deceased's spouse is still alive, whether they live in California or not.
  2. A disabled underaged child of the deceased resides in the deceased's home.

How do I legally protect my assets from Medicaid?

A Medicaid Asset Protection Trust is exactly as it sounds—a trust designed to protect assets from being counted for Medicaid eligibility. An MAPT allows a person to qualify for long term care benefits from Medicaid, while protecting assets from being depleted if long-term care is needed.

How far back does Medi-Cal look at assets?

How long before applying for Medi-Cal can a person transfer assets? The Medi-Cal "Look-Back" period in California is 30 months.