My question is, my Aunt died 4 years ago in a nursing home in Pa., they took her Social Security check and Medicaid paid the rest while she was there, after she passed we sold her house. My question is with the Medicaid Recovery Act are we to pay back what Medicaid paid from the proceeds from the sale of her house?
I am the executor of her estate and I have her money in a bank account not being touched, in her will she wanted my brother and me to have the house, 4 years is a long time and we haven't had any contact from Medicaid, would appreciate any info you could give me, my brother passed 2 years ago.
My Mother was a resident at Riverview back in 2002, she passed in 2003, wonderful place!!
Established under federal law, the medical assistance estate recovery program requires the Department of Public Welfare to recover the Medical Assistance costs from the estates of individuals who have died. Repayment is required for the amount the state paid, even if the individuals paid part of the bill themselves or through insurance. If an individual 55 years of age or older received certain Medical Assistance benefits and dies, the department will reimburse the Medical Assistance program by recovering these costs from the assets of the person's estate. An estate exists when a person dies and his or her assets are distributed by will or state law. All monies collected by the Medical Assistance Estate Recovery Program are returned to the Department of Public Welfare's long-term care programs to assist others in need of long-term care services.
Only individuals age 55 years and older who were receiving Medical Assistance benefits for the following services: * Nursing facility care; * Home and community based services; and * Any related hospital care and prescription drug services provided while receiving nursing facility care or care at home or in a community setting.
When a recipient dies, the personal representative of the deceased recipient's estate shall give notice to the department requesting a statement of claim, which is an accounting of all Medical Assistance payments made for the decedent for nursing home services, home and community based services and related hospital and prescription drug services. The notice shall be sent by certified mail return receipt or fax, with the deceased's name, deceased's last known address, deceased's Social Security number, deceased's date of birth, deceased's date of death, and written documentation of the gross value of the deceased's estate to:
Division of Third Party Liability Department of Public Welfare Estate Recovery Program P.O. Box 8486 Harrisburg, PA 17105-8486 Fax # (717) 772-6553
Please be sure to include the personal representative's name, address, and telephone number in the letter so the Medical Assistance Estate Recovery staff can respond. Within 45 days of receipt of an accurate and complete notice, the Department of Public Welfare must send to the personal representative of the estate, a statement of claim listing the amount of Medical Assistance paid. If the personal representative of the estate has questions about the amount owed or disagrees with it, he or she should contact the Medical Assistance Estate Recovery Program by telephone or letter. The Medical Assistance Estate Recovery Program will address any issues regarding the claim with the personal representative of the estate.
ESTATE RECOVERY PROGRAM
P. O. BOX 8486 Harrisburg, PA 17105-8486
or Estate Recovery Program Hotline 1-800-528-3708 or Welfare Helpline 1-800-692-7462 Or
Long Term Care Helpline 1-866-286-3636
Estate Recovery Program Web site: http://www.dpw.state.pa.us/ foradults/estaterecoveryprogram/S_001025
Jane Bohn, LAC, CSW
Director of Social Services
If you or someone you know has a question for Jane please send her an email at
and remember to put "Ask Jane" in the subject line.