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Home→Agencies→Medicaid Estate Recovery→Texas→When someone dies

Medicaid Estate Recovery in Texas: when someone dies

A 5-step process for Texas Health and Human Services Commission — Medicaid Estate Recovery Program (MERP) after a death in Texas.

OverviewWhen someone dies

Medicaid Recovery

Texas

hhs.texas.gov/regulations/legal-information/your-guide-medicaid-estate-recovery-program→

Administering agency

Texas Health and Human Services Commission — Medicaid Estate Recovery Program (MERP)

Phone800-641-9356
WebsiteVisit website →

Authority

1 Tex. Admin. Code §§ 373.103, 373.105, 373.205

Verified May 2026

Steps to take

  1. Determine whether the deceased received covered Medicaid long-term care services at age 55 or older and first applied for them on or after March 1, 2005.
  2. Confirm whether the estate is removed from recovery — a surviving spouse, a child under 21, a blind or permanently and totally disabled child, an estate worth $10,000 or less, or a Medicaid cost of $3,000 or less.
  3. Contact MERP through HHSC to confirm whether a claim applies and request the amount.
  4. Gather receipts for amounts that may be deducted, such as costs to maintain the home or to pay for care that kept the person at home longer.
  5. Submit Form 5006, Application for Hardship Waiver, with proof if recovery would cause an undue hardship for the heirs.

Texas Health and Human Services Commission — Medicaid Estate Recovery Program (MERP)

Phone: 800-641-9356

Visit the agency website →

Frequently asked questions

Heirs download and submit Form 5006, Application for Hardship Waiver, with proof of the hardship. MERP may waive its claim in whole or in part when recovery would cause an undue hardship for a legatee or heir. The state does not grant a waiver unless heirs request it.

Medicaid Recovery

Texas

hhs.texas.gov/regulations/legal-information/your-guide-medicaid-estate-recovery-program→

Administering agency

Texas Health and Human Services Commission — Medicaid Estate Recovery Program (MERP)

Phone800-641-9356
WebsiteVisit website →

Authority

1 Tex. Admin. Code §§ 373.103, 373.105, 373.205

Verified May 2026