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Home→Agencies→Medicaid Estate Recovery→North Carolina→When someone dies

Medicaid Estate Recovery in North Carolina: when someone dies

A 4-step process for North Carolina Department of Health and Human Services — Division of Health Benefits (NC Medicaid), Estate Recovery Program after a death in North Carolina.

OverviewWhen someone dies

Medicaid Recovery

North Carolina

medicaid.ncdhhs.gov/17-005-estate-recovery→

Administering agency

North Carolina Department of Health and Human Services — Division of Health Benefits (NC Medicaid), Estate Recovery Program

Phone888-245-0179
WebsiteVisit website →

Authority

N.C.G.S. 108A-70.5

Verified May 2026

Steps to take

  1. Determine whether the deceased received NC Medicaid medical assistance at age 55 or older, or while institutionalized and not expected to return home.
  2. Contact the NC Medicaid Estate Recovery Program to confirm whether a claim applies and request the amount; the Department files its claim as a sixth-class creditor of the estate (N.C.G.S. 28A-19-6).
  3. Address the claim as a debt of the estate before distributing assets to heirs.
  4. If an heir qualifies, submit a complete undue-hardship application on the Department's form within 60 days of the date the estate claim is served.

North Carolina Department of Health and Human Services — Division of Health Benefits (NC Medicaid), Estate Recovery Program

Phone: 888-245-0179

Visit the agency website →

Frequently asked questions

No. North Carolina does not impose TEFRA liens on a living recipient's real property. The state pursues recovery from the estate after death under N.C.G.S. 108A-70.5.

Medicaid Recovery

North Carolina

medicaid.ncdhhs.gov/17-005-estate-recovery→

Administering agency

North Carolina Department of Health and Human Services — Division of Health Benefits (NC Medicaid), Estate Recovery Program

Phone888-245-0179
WebsiteVisit website →

Authority

N.C.G.S. 108A-70.5

Verified May 2026