How do I avoid Medicaid estate recovery in NY?

Asked by: Giovanni Bogan  |  Last update: June 3, 2025
Score: 4.5/5 (49 votes)

In most cases, there will be no recovery made if you have a surviving spouse. The state is likewise prevented from taking your assets if you have a surviving child under age 21, or if you have a child of any age who has a permanent disability.

What assets are exempt from Medicaid estate recovery rights in NY?

Medicaid Exempt Assets
  • • The home up to a value of about $1,100,000.
  • • About $75,000 to $158,000 in resources.
  • • One automobile• Prepaid funeral and burial for applicant and spouse.
  • • Household furniture, personal effects, jewelry with sentimental value.

Do you have to pay back Medicaid in NYS?

The general rule is that any Medicaid paid after age 55 is subject to payback and the rules are complicated. A good Medicaid Lawyer can guide you and save a lot of money.

How to avoid Medicaid estate recovery in New York state?

Exemption is when a circumstance exists that prohibits any recovery. Recovery of correctly paid Medicaid expenses will be deferred if the deceased recipient has a surviving spouse, a surviving child under age 21, or surviving child of any age who is certified blind and/or disabled.

How do I keep Medicaid with an inheritance?

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.

How to Protect Against Medicaid Look Back Period & Preserve Assets

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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 can I stop inheritance from affecting benefits?

If you're writing your will and don't want the inheritance you leave somebody to affect their benefits, it could be worth seeking professional advice. They might suggest you set up a trust, especially if the person you're leaving money or assets to is vulnerable.

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.

How much can Medicaid take from an estate?

A Medicaid agency cannot collect more from one's estate than the amount in which it paid. For example, if the state paid $153,000, but one's estate is worth $300,000, Medicaid can only take $153,000. With MERP, all states are required to seek recovery from the deceased Medicaid recipient's “probate estate”.

How do I protect my assets from Medicaid in NY?

A popular strategy to protect your resources and still become eligible for Medicaid long term care benefits is by establishing a Medicaid Asset Protection Trust (MAPT). When you transfer your assets in a MAPT, Medicaid will not count the money in the trust toward its resource limit.

How many years does Medicaid look back in New York?

However, in New York—and every other state except California—there is a five-year look-back period for people seeking long-term nursing home care. The look back period refers to Medicaid's review of an applicant's financial transfers within the five years prior to submitting an application.

How far back can Medicaid recoup payments?

There are also two state exceptions when it comes to the Look-Back Period – California and New York. There is no Look-Back Period for HCBS Waivers in California, and it's 30 months (2.5 years) for Nursing Home Medicaid, although that will be phased out by July 2026, leaving California with no Look-Back Period.

Does Medicaid always do estate recovery?

Estate recovery is required for enrollees ages 55 and older who use LTSS, including enrollees eligible for Medicaid through the Affordable Care Act's Medicaid expansion.

Can Medicaid put a lien on your house in NY?

In addition to the right to recover from the estate of the Medicaid recipient, state Medicaid agencies may place a lien against the home owned by a Medicaid recipient during his or her life under several circumstances, including if she or he is considered “permanently absent” from the home because she or he resides in ...

Does Medicaid NY check assets?

Medicaid applies both asset and income limits to all applicants. Income includes funds from all sources, such as pensions, rent from income properties, interest or dividends from investments, wages, and Social Security Income. The amount of allowable income changes each year, but it's always extremely low.

Do you have to pay back Medicaid if you inherit money?

If the inheritance is modest, or it has been spent down within the month, Medicaid may only deem you ineligible for a certain period of time. It is important to note that depending on when you report the inheritance you may have to pay back the cost of any Medicaid benefits you received during that time.

How do I protect my inheritance from Medicaid?

Special needs trusts help you to manage inheritance money so it won't count toward income-based benefits like Medicaid and Supplemental Security Income (SSI). The money in special needs trusts must pay for expenses your government benefits don't cover.

Is there a statute of limitations of Medicaid recovery in New York?

The time limit or statute of limitations for Medicaid to recover costs from the estate of the Medicaid recipient is generally seven months from the time the executor or administrator is appointed by the court.

What is the Medicaid five year rule?

While Medicare does not impose a look-back period, Medicaid uses a 5-year window to review an applicant's financial transactions and ensure they did not transfer assets to allow them to qualify for benefits. Violating these rules can lead to significant penalties, delaying eligibility for much-needed care.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

How much does it cost to set up an asset protection trust?

Initial legal fees - To properly establish an asset protection trust, most attorneys will charge between $5,000-$10,000 on average. High asset trusts or complex situations may be $15,000+.

How do I stop hijacking my inheritance?

5 Ways To Protect Yourself From Inheritance Hijacking
  1. Be aware and vigilant. ...
  2. Make family members aware of your estate plan. ...
  3. Consider multiple executors. ...
  4. Have multiple sets of your estate plan documents. ...
  5. Create a comprehensive estate plan.

How much can you have in bank before it affects benefits?

Money, savings and investments limits

To claim Universal Credit you must usually have no more than £16,000 in money, savings and investments as a single claimant or if you are living with a partner. If you have below £6,000 it will not affect your award.

What can cause you to lose your inheritance?

Will disputes.
  • The will is dated and does not reflect the decedent's wishes;
  • Circumstances have changed since the will was made (i.e. a remarriage or the birth of a child);
  • The decedent expressed different wishes verbally prior to death;
  • The decedent leaves property to someone other than their spouse;