KFF September 13, 2024
Established to provide another source of Medicaid funding and promote program integrity, the recovery of certain Medicaid costs after an enrollee dies (estate recovery) has been criticized for several reasons, including that it falls primarily on individuals with limited incomes, raises little revenue, and is applied very unevenly across the states. Family members may be unaware of the policy at the time of enrollment and only learn that the family home may be repossessed after the death of a loved one. Such criticisms have led to proposals (Box 1) that would modify or reduce the practice of estate recovery by Democrats, Republicans, and the Medicaid and CHIP Payment and Access Commission (MACPAC).
Estate recovery is a process that primarily affects...
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