Reimbursement to Medicaid for nursing home coverage
Medicaid can seek reimbursement out of the family home
In every state, Medicaid allows a spouse who remains at home (the "community spouse") to keep the house he or she lives in. But once both the nursing home resident and the community spouse die, or the community spouse sells the house, Medicaid will seek reimbursement -- of the total amount it's spent on nursing home care -- out of the value of the house.
Medicaid will seek this reimbursement unless the house has been transferred out of the nursing home resident's name in one of the permissible ways discussed above. The community spouse who sells the house, or the heirs to whom the house is left when both spouses have died, must repay Medicaid the total that Medicaid has spent if they want to keep the house, or they must sell the house and pay Medicaid out of the proceeds of the sale.
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