Medicaid’s ability to recover costs from a deceased recipient’s estate in North Carolina is a complex issue. Federal law mandates that states operate Estate Recovery Programs to recoup certain expenses paid for long-term care services. This recovery primarily targets assets within the individual’s estate, which may include a house. However, specific conditions and exemptions can significantly impact whether a home is subject to such recovery.
The rationale behind estate recovery is to ensure the sustainability of Medicaid programs and to provide funding for future beneficiaries. Historically, this process has aimed to balance the need for public resources with the desire to protect family assets. Understanding the specifics of North Carolina’s regulations and available exemptions is crucial for individuals planning for long-term care and estate management.