MassHealth recovers benefits it correctly paid from the probate estate of a deceased member. Under changes effective for deaths on or after August 1, 2024, recovery is narrowed to the long-term-care services federal law requires, and MassHealth waives recovery for probate estates valued at $25,000 or less.
Administering agency
MassHealth — Estate Recovery Unit (Executive Office of Health and Human Services)
Authority
M.G.L. c. 118E, s. 31 (as amended by St. 2024, c. 197)
Governing law: M.G.L. c. 118E, s. 31 (as amended by St. 2024, c. 197)
For members who died on or after August 1, 2024, recovery is limited to nursing facility services, home and community-based services, and related hospital and prescription drug services for which estate recovery is required under federal law. MassHealth also recovers from anyone who was a resident of a nursing facility or other medical institution when assistance was received.
When someone dies
5-step process for MassHealth — Estate Recovery Unit (Executive Office of Health and Human Services).
View details →Data sourced from Medicaid Estate Recovery in Massachusetts primary sources (3 pages reviewed). How we research.
Administering agency
MassHealth — Estate Recovery Unit (Executive Office of Health and Human Services)
Authority
M.G.L. c. 118E, s. 31 (as amended by St. 2024, c. 197)