Medicaid Estate Recovery in Texas

Medicaid Estate Recovery in Texas: key facts

Recovery scope

Covered Medicaid long-term care services received at age 55 or older — nursing facility services, intermediate care facility services, home and community-based services, and related hospital and prescription drug costs.

Who is subject

Recipients who were age 55 or older when the services were received and who initially applied for covered long-term care services on or after March 1, 2005, when the program began.

No recovery is sought when

There is a surviving spouse; a surviving child under 21; a surviving child of any age who is blind or permanently and totally disabled; the value of the estate is $10,000 or less; or the Medicaid cost is $3,000 or less.

Undue-hardship waiver

Heirs may apply for a full or partial waiver using Form 5006, Application for Hardship Waiver. The state does not grant a hardship waiver unless heirs request it and supply the requested proof.

Frequently asked questions