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Home→Agencies→Medicaid Estate Recovery→Louisiana

Medicaid Estate Recovery in Louisiana

After a Medicaid recipient dies, federal and Louisiana law require the Louisiana Department of Health to seek repayment from the succession estate for long-term care, home and community-based services, and related hospital and prescription drug services the person received at age 55 or older. The claim is a privilege on the succession with the same priority as the expense of last illness.

OverviewWhen someone dies

Medicaid Recovery

Louisiana

ldh.la.gov/medicaid/long-term-care→

Administering agency

Louisiana Department of Health — Recovery and Premium Assistance Unit

WebsiteVisit website →

Authority

La. R.S. 46:153.4; La. Admin. Code Title 50, Part I, Subpart 9 (Recovery)

Verified May 2026

Medicaid Estate Recovery in Louisiana: key facts

Recovery scope
Long-term care, home and community-based services (including PACE), and related hospital and prescription drug services paid by Medicaid for a recipient age 55 or older.
Claim priority
A privilege on the succession estate ranking equal to the expense of last illness (La. Civ. Code art. 3252 et seq.). The claim does not accrue interest.
Recovery deferred or exempt
Deferred while a surviving spouse is living. Exempt if the decedent left a surviving child who is under 21, or a surviving child who is blind or disabled as defined by the Social Security Administration.
Hardship waiver
Recovery is waived for a first-degree heir (child) whose family income was 300 percent or less of the federal poverty level the year before the decedent died, and may be waived where recovery would jeopardize an heir who uses the homestead as a livelihood or would force an heir onto public assistance.

Frequently asked questions

No. The Louisiana Department of Health seeks recovery from the succession estate only for long-term care, home and community-based services, and related hospital and prescription drug services paid by Medicaid for a recipient who was 55 or older when the services were provided.

Recovery is placed in deferred status while a surviving spouse is living. An estate is exempt if the decedent left a surviving child under 21, or a surviving child who is blind or disabled as defined by the Social Security Administration.

Yes. Recovery is waived for a first-degree heir whose family income was 300 percent or less of the federal poverty level the year before the decedent died, and may be waived where recovery would jeopardize an heir who depends on the homestead for a livelihood. The Department of Health reviews and approves waiver requests.

When someone dies

Steps after a death in Louisiana

4-step process for Louisiana Department of Health — Recovery and Premium Assistance Unit.

View details →

Medicaid Recovery

Louisiana

ldh.la.gov/medicaid/long-term-care→

Administering agency

Louisiana Department of Health — Recovery and Premium Assistance Unit

WebsiteVisit website →

Authority

La. R.S. 46:153.4; La. Admin. Code Title 50, Part I, Subpart 9 (Recovery)

Verified May 2026