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Home→Agencies→Medicaid Estate Recovery→Pennsylvania

Medicaid Estate Recovery in Pennsylvania

Pennsylvania Medical Assistance (the state Medicaid program) recovers what it paid for long-term care from the probate estate of recipients who were 55 or older when they received it. Recovery covers nursing facility care, home and community-based services, and related hospital and prescription services provided on or after August 15, 1994.

OverviewWhen someone dies

Medicaid Recovery

Pennsylvania

pa.gov/agencies/dhs/resources/for-residents/estate-recovery→

Administering agency

Pennsylvania Department of Human Services — Estate Recovery Program

Phone800-528-3708
WebsiteVisit website →

Authority

62 P.S. 1412; 55 Pa. Code Chapter 258

Verified May 2026

Medicaid Estate Recovery in Pennsylvania: key facts

Recovery scope
Medical Assistance paid for nursing facility care, home and community-based services (HCBS), and related hospital and prescription services, provided on or after August 15, 1994.
Who is subject
Recipients who were 55 or older when they received the long-term care assistance. Recovery is made from the probate estate only.
Recovery deferred
While there is a surviving spouse, a surviving child under 21, or a surviving child who is blind or permanently and totally disabled.
Undue hardship waiver
Heirs or the estate may request an undue-hardship waiver from the Department of Human Services, with a separate request form for income-producing property.

Frequently asked questions

Pennsylvania recovers what Medical Assistance paid for long-term care — nursing facility care, home and community-based services, and related hospital and prescription services on or after August 15, 1994 — from the probate estate of recipients who were 55 or older when they received it.

Recovery is deferred while there is a surviving spouse, a surviving child under 21, or a surviving child who is blind or permanently and totally disabled.

Heirs or the estate may file an undue-hardship waiver request with the Department of Human Services. A separate form is used for situations involving income-producing property.

When someone dies

Steps after a death in Pennsylvania

4-step process for Pennsylvania Department of Human Services — Estate Recovery Program.

View details →

Medicaid Recovery

Pennsylvania

pa.gov/agencies/dhs/resources/for-residents/estate-recovery→

Administering agency

Pennsylvania Department of Human Services — Estate Recovery Program

Phone800-528-3708
WebsiteVisit website →

Authority

62 P.S. 1412; 55 Pa. Code Chapter 258

Verified May 2026