How do I avoid Medicaid estate recovery in Wisconsin?

Asked by: Aleen Kassulke I  |  Last update: January 1, 2026
Score: 4.1/5 (57 votes)

Which members are not subject to the Estate Recovery Program? A Medicaid or BadgerCare Plus member who is 55 or older, living in the community, and not getting services related to long-term care will not be affected by estate recovery. A member participating in a Medicare Savings Program.

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

Assets generally exempt from Medicaid estate recovery include:
  • Property jointly owned by the deceased and another person.
  • Life insurance payouts are paid directly to a named beneficiary.
  • Assets placed in a trust before the decedent's death.
  • Irrevocable funeral reserves used for funeral costs.

How do I protect my assets from Medicaid in Wisconsin?

What would make your assets safe is an Irrevocable Trust. The Irrevocable Trust allows you to protect your assets from Medicaid. For details on this and other Medicaid Planning Issues, contact us today. Learn more about estate planning options available from the Elder Law Center of Wisconsin.

Does Medicaid have to be paid back in Wisconsin?

§ 49.849, the Wisconsin DHS (Department of Health Services) Estate Recovery Program has authority to seek repayment for the cost of certain long-term care services provided to Medicaid, BadgerCare Plus, COP (Community Options Program) , or non-Medicaid Family Care members, as well as the cost of any services provided ...

What assets are exempt from Medicaid estate recovery?

Medicaid Estate Recovery Exemptions

Assets placed in a trust prior to the death of the decedent. Irrevocable funeral reserves used for the funeral costs. Certain trusts for disabled individuals. Certain property of Native American Indians.

How to Protect Against Medicaid Look Back Period & Preserve Assets

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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 far back can Medicaid go to 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.

How to avoid Medicaid estate recovery in Wisconsin?

Which members are not subject to the Estate Recovery Program? A Medicaid or BadgerCare Plus member who is 55 or older, living in the community, and not getting services related to long-term care will not be affected by estate recovery. A member participating in a Medicare Savings Program.

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”.

What is the asset limit for Medicaid in Wisconsin?

There is a monthly personal needs allowance of $45.00 that is not counted as income. Asset Limits: $2,000 or less in cash and/or nonexempt assets for the Medicaid applicant. The community spouse can generally retain up to half of the couple's countable assets (up to $148,620.00).

How to protect inheritance from Medicaid?

Medicaid Asset Protection Trust (MAPT)

The grantor names a trustee, who manages the trust, and a beneficiary (or beneficiaries) who inherits the assets contained in the trust following the grantor's death. MAPTs also protect assets from Medicaid's Estate Recovery Program (MERP).

How often does Medicaid check your assets?

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.

How much does a Medicaid asset protection trust cost per?

How Much Does it Cost to Create a Medicaid Asset Protection Trust? The cost of creating a Medicaid Asset Protection Trust varies significantly from a low of $2,000 to a high of $12,000. While the price might seem high, in reality, a MAPT ends up saving persons money in the long run.

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.

Will nursing home take all assets?

Neither the nursing home nor the government will seize your home to cover expenses while you are living in care. However, if you run out of funds to pay for the care you need, your estate's assets may be taken after your death to cover those costs.

Do nursing homes take inheritance?

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.

How to avoid nursing home taking your house?

7 Ways to Protect Your Home From Being Taken
  1. Purchase Long-Term Care Insurance. ...
  2. Sell or Transfer Assets. ...
  3. Create a Medicaid Asset Protection Trust. ...
  4. Choose Home Health Instead. ...
  5. Form a Life Estate. ...
  6. Purchase a Medicaid-Compliant Annuity. ...
  7. Pay With Your Life Insurance Policy.

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.

Which of the following empowers the government to recover Medicaid costs from a person's estate?

Federal law permits states to attempt to recoup some of the costs of Medicaid nursing facility services, home and community-based services, and related hospital and prescription drug services from a person's estate—a process called estate recovery.

Do you have to pay back Medicaid in Wisconsin?

Wisconsin is required by state and federal laws to recover certain benefits paid for on behalf of Medicaid members. These laws are designed to recover from the assets of those who received benefits.

How do I protect my assets from nursing homes in Wisconsin?

You protect assets by putting them into a lawyer-drafted irrevocable trust. You must hire a lawyer to do this properly. To protect an asset, you must give up your access to it permanently and irrevocably. You cannot use a protected asset for your own support or general welfare.

How do I shelter my assets from Medicaid?

Strategies for Medicaid Planning. Asset Protection through Irrevocable Trusts: Irrevocable trusts, such as Medicaid Asset Protection Trusts (MAPTs) and Special Needs Trusts (SNTs), are invaluable tools for shielding assets from Medicaid eligibility calculations and planning for long-term care expenses.

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.

Can I sell my car while on Medicaid?

Selling your car while on Medicaid is possible, but knowing the rules and regulations of your state's Medicaid program is crucial. If your car is considered an exempt asset, you can sell it without affecting your Medicaid eligibility if the proceeds do not exceed the allowable asset limit.