Asset Transfers and Estate Recovery. Oregon’s program was recently. ![]() Your Guide to the Medicaid Estate Recovery Program Espa. Some of these services are provided to people as they grow older. Medicaid pays for services that help people stay in their own homes. It also pays for people to move to a nursing home, if that is what they need. To help pay for these long- term care services, every state must have a Medicaid Estate Recovery Program (MERP). If you received Medicaid long- term services and supports, the state of Texas has the right to ask for money back from your estate after you die. In some cases, the state may not ask for anything back, and the state will never ask for more money back than it paid for your services. Who does MERP affect? This program will affect only long- term care services and supports you receive after the age of 5. March 1, 2. 00. 5. If you applied for these services before March 1, 2. MERP does not affect you. If you were on an interest list for services before that date but did not complete an application for services until after March 1, 2. MERP does affect you. The following services and programs are affected by MERP: Nursing facility care (nursing homes) Intermediate care facility for individuals with an intellectual disability or related condition (ICF/IID) The following Medicaid waiver programs. Home and Community- based Services Community Living Assistance and Support Services Texas Home Living Consolidated Waiver Program Deaf- Blind with Multiple Disabilities Community Based Alternatives STAR+PLUS Waiver Integrated Care Management Community Attendant Services MERP also affects the costs of certain hospital and prescription drug services you receive. Primary Home Care is not affected by MERP. If you are not sure whether MERP applies to the services you receive or will be receiving, you should ask your Texas Department of Aging and Disability Services case manager. If you are a Medicaid managed care enrollee, you should ask your service coordinator with the health plan from which you receive your services. How does this program work? When a person applies for Medicaid and long- term care services and supports, the state provides a notice that explains MERP. When the person dies, the state sends a different notice to the estate representative or heirs to let them know that the state intends to file a claim. The notice will ask the representative for information so the state can decide whether to file a MERP claim. What is an estate? An estate is property, such as money, a house or other things of value that a person leaves to family members or others (heirs) when he or she dies. MERP does not apply to all property that a person may own. Here are some examples of property that the state will not collect on: Life insurance policies that name a person to receive the payment. Also, the state will not ask for money when this would cause an undue hardship for the heirs. How does the state define undue hardship? The state may consider it a hardship when: The estate property was a family business, farm or ranch for at least 1. Medicaid dies, and is the main source of income for the heirs. One type of hardship applies just to the home. If the value of the homestead is under $1. In 2. 01. 4, this income limit for one person is $3. For a family of two, it is $4. These figures are adjusted each year. What is Estate Recovery? This means that, even if the spouse never received Medicaid benefits, her estate also may be subject to estate. ESTATE RECOVERY PROGRAM Your estate and the state. Oregon law requires an estate recovery claim be paid before most of your. Iowa State Recovery: Will Medicaid take my. If I enroll in the new expanded Medicaid program. Estate Recovery (ER) Program. The state will not grant a hardship request unless the person's heirs ask for it, and provide the requested proof of the hardship. If the estate has debts, such as funeral costs, legal costs or a home mortgage, those costs are paid before a MERP claim is paid. Will the state ever reduce the amount owed? Yes, if money is spent to maintain a person's home while he or she is in the nursing facility, these costs can be deducted from the MERP claim. If money is spent to pay for care that helps keep the person living at home for as long as possible before entering the nursing home, those costs can be deducted as well. The heirs must have receipts to show what was spent on the person's home or services when they ask the state to deduct these amounts from the MERP claim. The state may allow deductions from an estate recovery claim for necessary and reasonable expenses, such as: Home maintenance costs, such as real estate taxes, utility bills, insurance, home repairs, and home maintenance expenses, such as lawn care for recipients receiving Medicaid- covered services in a nursing facility. What happens if I give away or transfer my assets before moving into a nursing home? Giving away resources for no compensation, or refusing to accept income, or reducing income you could receive before. A penalty against you for not paying for nursing facility or ICF/IID facility services when you were able to do so. This line is answered 8 a. Voicemail is available 2. You may also visit the DADS website at www. You may email questions to merp@dads. Estate representatives of deceased Medicaid recipients should contact the DADS Third Party Recovery unit by calling 5. Medicaid claims against the estate. DADS Media Services.
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