When the Affordable Care Act (ACA) allowed states to expand Medicaid to enrollees ages 19 – 64 with incomes up to 138 percent of the federal poverty level, a new group of Medicaid enrollees between ages 55 and 64 began facing potential estate recovery in states that recovered costs that were not long-term care related.
In anticipation of the Medicaid expansion, some states chose to exempt enrollees who did not receive long-term care benefits from estate recovery, and others pared back their existing estate recovery programs so they only recovered costs related to long-term care. But some few states that have expanded Medicaid do pursue estate recovery from Medicaid expansion enrollees.
You can click on your state on this map to learn more about how Medicaid estate recovery is handled.