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What Is the Relationship Between Probate and Medicaid?

Medecine concept - Blackboard with text "Medicaid" and stethoscope on blue wooden background

When it comes to estate planning, understanding the interplay between probate and Medicaid is essential for preserving assets and ensuring proper distribution to heirs. Both probate and Medicaid involve critical legal and financial considerations, particularly for families navigating elder care and estate administration. Below, we’ll explore the connection between these two areas and why careful planning is vital. For help with estate planning, probate, Medicaid asset protection and more, contact Shalloway & Shalloway, P.A. in West Palm Beach.

What Is Probate?

Probate is the legal process through which a deceased person’s estate is settled and distributed. It involves validating the will (if one exists), paying off debts and taxes, and transferring remaining assets to beneficiaries. In Florida, probate proceedings can be formal or summary, depending on the size and complexity of the estate. Assets titled solely in the decedent’s name and lacking designated beneficiaries typically must pass through probate.

What Is Medicaid and How Does It Affect Estate Planning?

Medicaid is a government program that provides health coverage to low-income individuals, including seniors needing long-term care, such as in a nursing home. Many seniors use Medicaid to help cover the significant costs of nursing home care or in-home care, but the program’s strict income and asset limits make it hard to plan for financial security but also secure vital help from Medicaid when needed.

Additionally, Medicaid has a mechanism called Medicaid Estate Recovery, which allows the state to seek reimbursement from a recipient’s estate for benefits paid during their lifetime. In Florida, Medicaid estate recovery applies primarily to probate assets, such as real estate, bank accounts, or other property titled in the decedent’s name alone.

The Intersection of Probate and Medicaid

The relationship between probate and Medicaid is significant because the assets subject to probate are also subject to Medicaid estate recovery. Without proper planning, families may find that the deceased’s assets are used to repay Medicaid benefits rather than being passed on to heirs. Here’s how the two intersect:

  1. Medicaid Estate Recovery in Florida
    Under Florida law, the Agency for Health Care Administration (AHCA) pursues claims against the estates of deceased Medicaid recipients aged 55 or older. Recovery is limited to assets passing through probate, such as a home or savings account without a designated beneficiary.

  2. Impact on Heirs
    If no estate planning strategies are implemented, heirs may inherit little or nothing after Medicaid estate recovery. For example, if a Medicaid recipient owned a home solely in their name, the state could place a claim against the property during probate.

  3. The Role of Exemptions
    Some assets are exempt from Medicaid estate recovery, including those held in irrevocable trusts, jointly owned property, or accounts with named beneficiaries. Additionally, Florida law protects homestead property from creditors, including Medicaid, under certain conditions.

How to Avoid Probate and Protect Assets from Medicaid Estate Recovery

Estate planning can minimize the impact of probate and Medicaid estate recovery. The following strategies are commonly used to safeguard assets for heirs:

  • Creating a Revocable Living Trust
    Assets placed in a revocable living trust avoid probate and are not subject to Medicaid estate recovery. This ensures a smoother transfer of assets to beneficiaries while bypassing the court process.

  • Joint Ownership or Transfer-on-Death Accounts
    Titling assets jointly with a right of survivorship or using payable-on-death (POD) or transfer-on-death (TOD) designations can keep those assets out of probate.

  • Utilizing Florida’s Homestead Protections
    Florida’s homestead laws may shield a primary residence from Medicaid estate recovery if it passes directly to a spouse or other qualifying heirs.

  • Lady Bird Deeds
    Also known as enhanced life estate deeds, these deeds allow property owners to retain control of their home during their lifetime while transferring it to a designated beneficiary upon death. This approach keeps the property out of probate and Medicaid’s reach.

The Importance of Medicaid Planning

Because Medicaid eligibility and estate recovery rules are complex, consulting an experienced attorney is critical. Medicaid planning involves structuring assets to qualify for Medicaid while preserving wealth for the next generation. Proactive planning often includes using trusts, re-titling property, or making strategic gifts. However, these actions must be taken carefully to avoid penalties or disqualification from Medicaid benefits.

Why Work with Shalloway & Shalloway?

At Shalloway & Shalloway, P.A., we have extensive experience helping families navigate the complex processes of probate and Medicaid planning. Our West Palm Beach attorneys can develop a comprehensive plan to protect your assets, secure Medicaid benefits, and ensure your loved ones are provided for. Whether you need assistance with establishing trusts, avoiding probate, or understanding Medicaid eligibility, we’re here to help.

Take Control of Your Future Today

The intersection of probate and Medicaid underscores the importance of proactive estate planning. Without it, your family may face unnecessary financial burdens and delays in settling your estate. Contact Shalloway & Shalloway, P.A., today by calling 561-686-6200 to schedule a consultation and take the first step toward securing your legacy.

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