As I understand it, the states handle it but the Feds require it now.
The general concept is that when somebody goes to a medical facility for their last years, if Medicaid is to pay for it then a certain amount of personal assets need to be used up before Medicaid will pay.
After those funds are paid down, the state then puts a lien on the home (and other assets?) so they can recover additional amounts when the individual dies.
My main question is … in practice does that mean that heirs will never recieve anything from the estate if the facility costs eat it all up??
Or are their certain small amounts that the heirs always get to keep?