I-846 Reimbursement

[Johninfla]

Hello to all,

I have been looking around trying to find whether or not sponsors actually reimburse the government for medicaid bills of their immigrant family member BUT the only thing I can find is that it is left up to the states to decide. Does anyone know of a list of US states that require reimbursement?

Thanks,

John

[inadmissible]

Google medicaid recovery [yourstate]

I worked in a law office dealing with HNW families wanting to shift their long term care costs on to the state. The state department of health services routinely sought reimbursements of costs from the estate after the death of the surviving spouse. Thanks to our clever planning, they were only entitled to piddly amounts.

From the consumer friendly website created by USHHS:

"State Medicaid programs must recover certain Medicaid benefits paid on behalf of a Medicaid enrollee. For individuals age 55 or older, states are required to seek recovery of payments from the individual's estate for nursing facility services, home and community-based services, and related hospital and prescription drug services. States have the option to recover payments for all other Medicaid services provided to these individuals, except Medicare cost-sharing paid on behalf of Medicare Savings Program beneficiaries.

Under certain conditions, money remaining in a trust after a Medicaid enrollee has passed away may be used to reimburse Medicaid. States may not recover from the estate of a deceased Medicaid enrollee who is survived by a spouse, child under age 21, or blind or disabled child of any age. States are also required to establish procedures for waiving estate recovery when recovery would cause an undue hardship.

States may impose liens for Medicaid benefits incorrectly paid pursuant to a court judgment. States may also impose liens on real property during the lifetime of a Medicaid enrollee who is permanently institutionalized, except when one of the following individuals resides in the home: the spouse, child under age 21, blind or disabled child of any age, or sibling who has an equity interest in the home. The states must remove the lien when the Medicaid enrollee is discharged from the facility and returns home."

[Johninfla]

Thank you....it is somewhat confusing!

Sometimes just knowing the right terminology is a huge help!! I will try googling medicaid recovery!

John

Google medicaid recovery [yourstate]

I worked in a law office dealing with HNW families wanting to shift their long term care costs on to the state. The state department of health services routinely sought reimbursements of costs from the estate after the death of the surviving spouse. Thanks to our clever planning, they were only entitled to piddly amounts.

From the consumer friendly website created by USHHS:

"State Medicaid programs must recover certain Medicaid benefits paid on behalf of a Medicaid enrollee. For individuals age 55 or older, states are required to seek recovery of payments from the individual's estate for nursing facility services, home and community-based services, and related hospital and prescription drug services. States have the option to recover payments for all other Medicaid services provided to these individuals, except Medicare cost-sharing paid on behalf of Medicare Savings Program beneficiaries.

Under certain conditions, money remaining in a trust after a Medicaid enrollee has passed away may be used to reimburse Medicaid. States may not recover from the estate of a deceased Medicaid enrollee who is survived by a spouse, child under age 21, or blind or disabled child of any age. States are also required to establish procedures for waiving estate recovery when recovery would cause an undue hardship.

States may impose liens for Medicaid benefits incorrectly paid pursuant to a court judgment. States may also impose liens on real property during the lifetime of a Medicaid enrollee who is permanently institutionalized, except when one of the following individuals resides in the home: the spouse, child under age 21, blind or disabled child of any age, or sibling who has an equity interest in the home. The states must remove the lien when the Medicaid enrollee is discharged from the facility and returns home."