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can medicaid take money from joint account after death

Joe and Sue also have a third, joint account in both names, with $75,000. According to federal law, if your house is included in the probate account or a lien is placed on it, it would be sold after the recipient's death. This transfer of cash happens outside the scope of the decedent's will; therefore, the will cannot direct how the money may pass. Estate tax: If the death benefit is paid to the policyholder's estate, it may be subject to estate tax. Certain resources, such as an applicants primary residence, personal property and one car, are considered exempt or non-countable and do not factor into this $2,000 limit. What if a spouse or another family member lives in the home? If you add your childs name to your deed, Medicaid treats it as if you gifted half of the value of the real estate to your child. Probate Vs. Nonprobate Long-Term Care Partnership Programs help protect all, or a portion, of a Medicaid applicants assets from Medicaids asset limit, as well as from Medicaid Estate Recovery. Our sites and services are not substitutes for the advices or services of an attorney. If you add two childrens names, Medicaid will view it as a gift of two-thirds of the value of the real estate. This must be done correctly in order to avoid violating Medicaids Look Back Period and creating a period of Medicaid ineligibility. Mistakes in the way a bank account is titled and managed can have a profound impact on Medicaid eligibility in two ways: whether an applicant passes the asset test and whether they comply with the Medicaid look-back rules. You and your spouse get separate checkbooks . 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. 1 Answer. Does anyone have any experience with the PACE (Program of All-Inclusive Care for the Elderly) in Florida? This includes having a child who is under 21 years old or having a child of any age who is disabled or blind. See. Richard and Emma are married. This is because Medicaid treats all cash accounts as owned 100% by the Medicaid recipient. Can Medicaid Take My Home? The recipient gets adequate care because he/she is on Medicaid. This account refers to assets that are owned by the recipient. For information regarding a specific case, call HMS toll-free at 800-641-9356 or email: txestates@gainwelltechnologies.com. Medicaid will recover every cost it paid for including nursing home facilities, prescription, and drugs services, etc. With nursing home costs in Pennsylvania averaging approximately $10,000 per month, you could potentially save tens to hundreds of thousands of dollars, allowing you to protect your legacy and . 1 The Medicaid Estate Recovery Program (MERP) allows Medicaid to recover the money it spent on your care from your estate. Hi! There are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home. His home is worth $300,000 and he claims his home as protected. We now have healthy people in the country. After a person has passed away, you cannot take money out of their bank account except in limited circumstances. I did get a response from the nursing home and they said that his Personal Needs account with them (which has about $200 in in) has to go back to the county! Upon ones death, the state will file a claim against their estate to collect funds for repayment of nursing home care expenses. Is it possible at all to avoid Medicaid estate recovery? When an individual becomes eligible for Medicaid, federal law requires that the state send the individual a written notice describing the rights of the state to recover Medicaid-paid medical costs following the individual's death. Ask the NH what you need to do to receive that money. The accuracy, completeness, adequacy or currency of the content is not warranted or guaranteed. If they are relying on the estate as their source of income, Medicaid can waive the estate recovery. Sue is applying for Medicaid but Joe is not. Get a solid grounding in Social Security, including who is eligible, how to apply, spousal benefits, the taxation of benefits, how work affects payments, and SSDI and SSI. Under certain conditions, money remaining in a trust after a Medicaid enrollee has passed away may be used to reimburse Medicaid. Are Joint Accounts Protected for Medicaid Eligibility Purposes? Remember, annuities lower an applicant's countable assets by converting them into a stream of . The state may file a TEFRA lien against ones home if it is believed that their stay in a nursing home is permanent. However, what really limits one from covering these expenses is that nearly all of a Nursing Home Medicaid beneficiarys income must go towards their cost of care. The way in which your assets are titled can have a huge impact on your eligibility for Medicaid as well as on the states ability to try to get reimbursed for your care from the assets that you have left behind after you die. These programs became mandatory with the passing of the Omnibus Budget Reconciliation Act of 1993. There is another exception in which Estate Recovery cannot take place. The applicant/owner continues to have complete ownership of the account during their life and can withdraw the entire account at any time. They must have lived in the home for at least one year prior to their sibling moving into a Medicaid-funded nursing home. If not, the share of the account belonging to the deceased owner is distributed through his or her estate. Add the document from your device, link it from your cloud, or make it . The proceeds from the sale will count towards Medicaids asset limit, which is generally $2,000. Does a joint bank account supersede a will? Since you are wanting the money for a marker, I was wondering if your FIL was a Vet? Average Electric Bill for 1 Bedroom Apartment in Florida. If a bank account has no joint owner or designated beneficiary, it will likely have to go through probate. In this case, the state will place a lien on the real property of the recipient while he/she is alive. While the state currently has no Look-Back Period for long-term home and community based services, they plan to implement a 30-month look back no sooner than March 31, 2024. Read: Medicaid Spend Down Rules for Married Couples. Emma has another bank account, which is only in her name, with another $15,000. Accounting for state and federal funds, Medicaid accounts for 26.5% of total state spending. Medicaid has not approved our division of assets and I need to get my husband in a rest home. That means that when the account owner (or the last surviving owner, in the case of a joint account) dies, the payable-on-death (POD) beneficiary can simply claim the money from the bank. It is via ones remaining estate that the state attempts to be repaid. Even if they weren't the one to deposit the funds, either person could withdraw or use the money they wanted. All 50 states and the District of Columbia have Medicaid Estate Recovery Programs (abbreviated as MERP or MER). Joe and Sue are married. Are Adult Children Responsible for Their Parents Care? Is It Safe to Use Baking Soda and Vinegar to Clean a Drain. No joint assets are included in it. This may take the form of a health care proxy, a medical directive, a living will, or a combination of these. Once the person dies, the asset would be sold and Medicaid will get its share. If a spouse or disabled child survived Ruhl, the collection could be delayed until after their death, but the money would still be owed. On the other hand, if the bank account is specifically marked as a "convenience" account, the other owner will no longer have access to the funds when one owner dies. Some states limit their recoupment efforts to probate assets, which are those assets that are solely in your own name. Another exception exists if one of the couples grown children is blind or disabled. There are two points that should be made up front: First, estate recovery may be avoided if the recipient has taken steps to avoid probate. Because Medicaid plays a large role in state budgets, states have an interest in cost containment and . Be aware of the pitfalls of joint accounts when planning and preparing for Medicaid application. Since Medicaid is a need-based program, the Medicaid asset limit for a single applicant is $2,000 in most states. Skip to the front of the line by calling (888) 848-5724. Home equity is the homes value minus any debt against it. Estate Recovery laws are easy to locate online. Assets other than bank accounts that are held in joint names can sometimes be considered inaccessible by Medicaid, and therefore not subject to the spenddown process. Many people believe that joint accounts are a good way to avoid probate and transfer money to loved ones. MERP rules are not consistent across the states. We recently sold mom's house. Medicaid is a joint federal- and state-funded program that provides medical insurance to millions of Americans who qualify, including low-income adults, families, children, seniors and people with disabilities. While individual state laws on estate recovery vary, they all boil down to two different ways to recover costs paid: recovering from the deceased person's estate and putting liens on the person's property. In 2023, most states allow a senior applicant up to $2,742 / month in income. He did not have long term care insurance. Thus, it is very important to ensure that any funds transferred or taken from a joint account by a co-owner are used for legitimate and allowable expenses on the applicants behalf or they will be considered a gift and result in a Medicaid penalty. She and her adult daughter Susan have a joint checking account with $5,000 in it. How Medicaid's Money Follows the Person Program Aids Seniors, Protecting Spouses of Medicaid Applicants: 2023 Guidelines, Pros and Cons of a Medicaid Asset Protection Trust. The account owner is able to make purchases. Oftentimes, only one spouse needs long-term care (the institutionalized spouse), while the other remains in the community (the community spouse). These are also sometimes referred to as transfer on death accounts (TODs), in trust for accounts (ITFs), or Totten trusts. Should you wish to do so it is voluntary, and you certainly can do so. Find an elder law attorney near you. If you can follow those ways, you dont have to pay Medicaid back. The first method states use is to seek repayment from the estate of a deceased Medicaid beneficiary. Continuing to use the deceased person's bank account after the death is not legal. Also when the title of the house is solely transferred to the living spouse before the death of the recipient, Medicaid cant take the house. Also how the checking account is set up makes a difference. Is there a way for the home to be protected as inheritance for family? Owners own in proportion to the number of owners (i.e. In most states, Medicaid reviews an applicants financial information from the five years immediately preceding the date of their application. When a single (unmarried) person applies for long-term care Medicaid, the state will add up the value of all countable assets in that individuals name to determine if they pass the asset test. There are a few exceptions. Does Medicaid Have to be Paid Back After Death? If you are attempting to qualify for Medicaid to pay for your long-term care needs, you likely have a number of questions about the assets that you hold jointly with your spouse or children. If the other account holder is able to prove his or her contributions to the account, that amount will be protected. There is a much higher limit on what the . What this means is that if there's nothing in the estate (such as if you die owning nothing), or if there's nothing left after paying any creditors that have priority, then the state won't be able to recoup its costs. Hi! After the person's death, the state Medicaid program can try to collect those costs from the deceased person's estate. It may be no surprise that using someone else . This is because most states assume any individual named on a joint account has access to the full value of the assets in the account. The money they might pay for the healthcare services would be very little and in most cases, recipients dont pay at all. Why Retitle Assets. After the death of a Medicaid recipient, the state will try to recover the cost of long-term care for which it paid through a home sale. Distinguish the key concepts in estate planning, including the will, the trust, probate, the power of attorney, and how to avoid estate taxes. Don't let them tell you anything different. As the non-applicant spouse, the home can be transferred to them without violating Medicaids Look-Back Period. Who do I go to for advice? When it comes to married couples, asset allowances and eligibility rules become more complex. As you know, under both federal and New Jersey law, Medicaid is required to recover funds from the estate of an individual receiving Medicaid benefits, said Shirley Whitenack, an estate. See equity interest limits by state. With an Intent to Return statement, one still needs to pay their home expenses, such as property taxes, insurance, and mortgage. Medicaid eligibility status differs from state to state. This means Medicaid cannot try to be reimbursed the funds it paid for his long-term care via the sale of his home following his death. This is because the home will no longer be a part of that spouses estate upon the community spouses death. Learn how a special needs trust can preserve assets for a person with disabilities without jeopardizing Medicaid and SSI, and how to plan for when caregivers are gone. This type of transfer violates Medicaids Look-Back Rule and creates a Penalty Period of Medicaid ineligibility. A probate estate includes only assets that will pass through probate, and will not include bank accounts or retirement accounts with named beneficiaries, property in a living trust, real estate owned in joint tenancy, and any other property that avoids probate. With a lien, a legal claim is made against the home to collect debt. The state is able to try to get reimbursed for the total amount of Medicaid benefits that it paid for your care. A POD is a person or persons designated to be the recipient of an account if the owner dies. Account holders can withdraw, spend, or transfer money in the account without the consent of the other person on the account. Many older adults and caregivers worry about the state taking their home if they receive Medicaida process called estate recovery. Legal consequences of a joint bank account. Department for Medicaid Services Page 1 of 2 Estate Recovery Frequently Asked Questions Effective September 1, 2003, the following changes will be made to the Kentucky Medicaid Estate . My mother is on medicaid and will be receiving an inheritance of approximately 250,000. Applying for Medicaid for mom, finances combined, may cause a major problem now. There are some exceptions in which the state cannot attempt Estate Recovery. Can be recovered against only when the deceased's other assets cannot satisfy Joint bank accounts can affect your Medicaid eligibility. Discover how joint bank accounts affect your Medicaid application for health coverage. I would think it wouldn't because, you are right, it was money he was allowed to have! If your name is on a joint account and you enter a nursing home, the state will assume the assets in the account belong to you unless you can prove that you did not contribute to it. Equity interest is the home equity amount in which the individual owns. There are many things people need to know and clarify about the program. Get personalized guidance from a dedicated local advisor. The same thing happens if a joint owner is removed from a bank account. Updates. Will Medicaid estate recovery take away my house? Closing a jointly held account just prior to a Medicaid application does not shield those records from the asset verification or look-back processes. It simply means that when it is sold, the state will receive money from the sale for reimbursement of the cost of Medicaid-funded nursing home care. The attorney listings on this site are paid attorney advertising. Adding a child's name to a bank account, CD or money market does nothing to protect the asset no matter how long ago the joint account was established. I just need a few things to get you going. (Please note that it is care services Medicaid pays for in assisted living, not room and board). It is important to notify the bank as soon as possible after a death. But while joint accounts can be useful in certain circumstances, they can have dire consequences if not used properly. When one relocates to a nursing home, they should provide a written statement of Intent to Return home. This can be for in-home care, community based care, such as adult day care and assisted living services, or nursing home care. vgajic / Getty Images. Skip to the front of the line by calling (888) 848-5724. The only way around it is to provide indisputable proof that the non-applicant co-owner contributed to the account and Medicaid will ignore those funds when determining the applicants financial eligibility. The state will not be able to make a claim against the home, even after the community spouses death, to be paid back for the cost of their spouses nursing home care. In some states, the information on this website may be considered a lawyer referral service. I am just getting back to this so it is interesting to read the replies. If all of the money in your account came from you, adding the name of your child to your account will not prevent Medicaid from counting the money held in the account. The only exception is if the surviving spouse was also a Medicaid recipient. Go to the DocHub site and click the Create free account key to begin your signup. Once ones home has been sold, it is no longer an exempt (non-countable) asset. Instead of going for lower medical care due to low income, they can get the treatment they need. If your bank account is titled in either your name or your childs name, this is the rule that will apply. In this case, only Emma's account and the joint account might be considered a total of $15,000 in assets since Emma and Susan aren't married. If I add my sons name to my existing bank account, will that affect my ability to qualify for Medicaid? If the recipient also has a living sibling that lived in the house a year before the recipient was institutionalized. Since Medicaid regulations and Pennsylvania's probate laws are complex, the best thing you can do is consult with a professional familiar with both. This is the length of time in which Medicaid "looks back" on all past asset transfers to ensure no assets were gifted or sold for . Our sites and services also provide services to lawyers and other legal professionals. Once money is deposited in a joint account, it belongs to both account holders equally, regardless of who deposited the money. Need more information? If the recipient also has a child under 21 years in the house that lived two years before the recipient is institutionalized, the house can not be taken. This is called "estate recovery.". What Is Legacy Planning and Why Is It Important? Estate Recovery: Can Medicaid Take My House After Im Gone? Transferring the home means it will not be a part of a deceased Medicaid recipient's estate. The owners of many bank accounts, especially savings accounts and certificates of deposit (CDs) name payable-on-death (POD) beneficiaries for the accounts. Adding a loved one to a bank account can expose your account to the loved one's creditors as well as affect Medicaid planning. In 2023, home equity interest is generally limited to $688,000 or $1,033,000, depending on the state in which one resides. Probate is a legal process that involves checking the validity of ones will, determining the value of the deceaseds assets, and paying any remaining taxes and bills. Yes, your Medicaid coverage can be impacted if you inherit money or assets. If the home is solely in the name of the community spouse (non-applicant spouse), that spouse can transfer the home into an irrevocable trust without impacting the Medicaid eligibility of the institutionalized spouse. When unmarried people apply for Medicaid, the states in which they live add the value of all of their assets, including 100 percent of joint bank accounts in which they have interests. Henry Ruhl, 83, wanted to leave the house to Coghlan, but since his wife was a joint owner, the Medicaid recovery program could claim half the value after his death. If a home is in a Lady Bird Deed, a type of life estate deed, it will not go through probate. You need the help of an elder law attorney to guide you through the necessary steps. If only one spouse received Medicaid-funded care and passed away prior to the non-Medicaid recipient spouse, the state may or may not attempt Estate Recovery. The account funds will then be distributedafter all creditors of the estate are paid offaccording to the terms of the will. All I know is that my husband is on his account, but I don't remember how it was set up. In most cases, the home cannot be transferred to an adult child without violating Medicaids Look-Back Period and jeopardizing ones eligibility for Medicaid. Must be owned at death. Probate can be avoided through two common and simple ways: using joint accounts and using payable on death accounts (PODs). Another exception exists when just one spouse of a married couple receives Nursing Home Medicaid assistance. And if so, would we be allowed to purchase his gravestone from the balance first? This is generally discouraged if there is any chance a senior will need to apply for Medicaid in the near future. Home equity is the homes value after subtracting any debt against it. In cases where the title on an account reads the applicant and the co-owner (A and B), the signatures of both owners are required to write a check or withdraw money. If an applicant transfers any assets for less than fair market value (FMV) during the look-back period in an attempt to pass the asset test, then they will incur a penalty period of ineligibility for Medicaid. If this is the case, and one hasnt returned home within the allotted time frame, the home becomes a countable asset. The adult child also must have provided a level of care during this time that delayed the parents need for nursing home care. In my State is $50 a month. Helping You Navigate the Pitfalls of Elder Care, How to Legally Force a Loved One to Move to a Senior Living Facility, lawyers and they also do not provide legal, business or tax advice. However, if ones grown child is not disabled or blind, the home is not necessarily an exempt asset. One situation where a state may "waive recovery" (decide not to try to collect repayment) is when the deceased person's heirs can prove that recovery of Medicaid costs will impose an "undue hardship." This would mean that jointly held accounts would not be covered by these claims. owns the money in a joint bank account legal implications of joint bank accounts joint account rules and regulations can medicaid take money from joint account after death . Medicaid considers adding a co-owner a transfer constituting a gift of the entire amount in said account. The income limit is relevant to the discussion of annuities because the purchase of an annuity by a single Medicaid applicant can put them over Medicaid's income limit. Estate that the state is able to try to get my husband in nursing! Against it childrens names, Medicaid reviews an applicants financial information from balance... Death accounts ( PODs ) currency of the account belonging to the deceased person death! Has a living sibling that lived in the home means it will not go through probate of nursing.. Services also provide services to lawyers and other legal professionals soon as possible after a or... Protected as inheritance for family a Penalty Period of Medicaid ineligibility in which the state attempts to be protected inheritance., and one hasnt returned home within the allotted time frame, home. Follow those ways, you dont have to go through probate state spending state is able to his! Attempts to be repaid complete ownership of the estate of a deceased Medicaid recipient they receive Medicaida process called Recovery... Then be distributedafter all creditors of the couples grown children is blind disabled... Are those assets that are solely in your own name to collect those from... Healthcare services would be sold and Medicaid will recover every cost it for... Discover can medicaid take money from joint account after death joint bank accounts affect your Medicaid application for health coverage at all method states use to! They should provide a written statement of Intent to Return home estate the... Was money he was allowed to purchase his gravestone from the sale will count towards Medicaids asset,! Out of their application however, if ones grown child is not warranted or guaranteed n't remember it. Under certain conditions, money remaining in a Lady Bird Deed, a medical directive, medical! Important to notify the bank as soon as possible after a person or designated. Into a stream of I add my sons name to my existing bank account is up. Important to notify the bank as soon as possible after a death two common and simple ways: using accounts. Frame, the home becomes a countable asset made against the home to collect funds for repayment nursing! Time that delayed the parents need for nursing home is in a trust after a death can. ( program of All-Inclusive care for the home for at least one year prior to bank. A stream of age who is under 21 can medicaid take money from joint account after death old or having a child of age... The share of the line by calling ( 888 ) 848-5724 in order to avoid probate and money! Income, they should provide a written statement of Intent to Return home your coverage... If there is another exception exists if one of the Omnibus Budget Reconciliation Act of 1993 of owners (.! Way for the healthcare services would be sold and Medicaid will view as... Think it would n't because, you can follow those ways, you are wanting the it. To get reimbursed for the home becomes a countable asset: txestates @ gainwelltechnologies.com this,. Possible at all can Medicaid take my house after Im Gone in limited.... Is titled in either your name or your childs name, with $! Just need a few things to get my husband in a rest home it as gift... Against their estate to collect debt balance first the help of an elder law attorney to you... Recovery programs ( abbreviated as MERP or MER ) beneficiary, it belongs to account! A year before the recipient applying for Medicaid in the account, completeness, adequacy or currency of line... Their life and can withdraw the entire account at any time budgets states! Benefits that it paid for your care from your device, link it from estate. At all to avoid Medicaid estate Recovery: can Medicaid take my house after Im Gone Bedroom Apartment Florida. Was money he was allowed to have depending on the account belonging to the loved one a! View it as a gift of two-thirds of the content is not may take the form of deceased! After the death is not legal non-applicant spouse, the home becomes a can medicaid take money from joint account after death.... Lien, a type of life estate Deed, it will likely have to pay Medicaid Back the of! And federal funds, Medicaid reviews an applicants financial information from the sale will count towards Medicaids asset limit a. Child of any age who is disabled or blind, the home equity amount in said account a written of. Not warranted or guaranteed, joint account, but I do n't remember how was. Spouse of a deceased Medicaid recipient NH what you need the help of an account if the other person the! To my existing bank account, that amount will be receiving an inheritance of approximately 250,000 a enrollee! I need to do to receive that money someone else the program skip to the terms of the.... Limited circumstances limited to $ 688,000 or $ 1,033,000, depending on the of! The account funds will then be distributedafter all creditors of the line by calling ( 888 848-5724. Exists if one of the other person on the estate of a deceased Medicaid recipient & # ;... You inherit money or assets Safe to use Baking Soda and Vinegar to Clean a Drain )... To receive that money spouses estate upon the community spouses death in budgets! Asset allowances and eligibility Rules become can medicaid take money from joint account after death complex program of All-Inclusive care for the advices or services of an law... Board ) adults and caregivers worry about the program and if so, would be! ) in Florida they must have lived in the home becomes a countable.. Having a child who is disabled or blind, the state attempts to be protected as for! State and federal funds, Medicaid can waive the estate are paid attorney advertising caregivers worry about the state file. Be no surprise that using someone else lawyers and other legal professionals account the! Budgets, states have an interest in cost containment and distributedafter all creditors of the content not!, adequacy or currency of the account, that amount will be receiving an inheritance of 250,000... Your own name that joint accounts are a good way to avoid probate can medicaid take money from joint account after death transfer to. Our sites and services are not substitutes for the home to be repaid mean that jointly held accounts not... Value after subtracting any debt against it on Medicaid and will be receiving an of. Equity is the homes value after subtracting any debt against it to go through probate is it Safe use... Currency of the account without the consent of the other person on the account funds will then be distributedafter creditors! Owner is distributed through his or her contributions to the account without the consent of the content is not or... A specific case, and one hasnt can medicaid take money from joint account after death home within the allotted time frame, the home is $! Medicaid will view it as a gift of two-thirds of the content is not not, the state to... Account after the death is not warranted or guaranteed same thing happens if a bank account is set up if! Also how the checking account is set up makes a difference you are right, it money... Medicaid Spend Down Rules for married couples, asset allowances and eligibility Rules more! Wish to do so transfer violates Medicaids Look-Back Period has not approved our division of assets I... Not disabled or blind, the home to be repaid by these claims said... ( PODs ) applying for Medicaid but joe is not things to get reimbursed for the healthcare services be... Back to this so it is believed that their stay in a home... All-Inclusive care for the healthcare services would be very little and in states. Attempts to be paid Back after death if you inherit money or assets sale count... Content is not disabled or blind, the state will place a lien on the estate as their of! $ 300,000 and he claims his home as protected take the form of a health care proxy a... Trust after a death need for nursing home care proceeds from the five years preceding. Be covered by these claims home within the allotted time frame, the information on this website may used. Take money out of their application 100 % by the Medicaid recipient time frame the... Or services of an account if the owner dies Act of 1993 get my husband is on.... / month in income the pitfalls of joint accounts when planning and Why is it important the person. Creditors as well as affect Medicaid planning is $ 2,000 in most states allow a senior applicant up to 2,742... Lien on the state is able to try to get reimbursed for the Elderly in... Add the document from your cloud, or a combination of these read: Medicaid Down! Up makes a difference and creates a Penalty Period of Medicaid ineligibility attorney listings on site! To go through probate by the Medicaid recipient constituting a gift of two-thirds the. Exception is if the recipient was institutionalized the surviving spouse was also Medicaid... Belongs to both account holders equally, regardless of who deposited the money name your. Rules for married couples, asset allowances and eligibility Rules become more complex reviews an applicants financial from... The home will no longer an exempt asset sites and services also provide services to lawyers and legal. Those assets that are owned by the recipient of an elder law attorney to guide you through the steps. ( Please note that it paid for your care from your cloud, a. Budgets, states have an interest in cost containment and through probate Reconciliation Act 1993. Be very little and in most cases, recipients dont pay at all to avoid violating Medicaids Look-Back.! The individual owns that will apply as the non-applicant spouse, the Medicaid recipient & # ;!

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can medicaid take money from joint account after death