Utah Department of Health and Human Services, Office of Recovery Services

Utah · Medicaid Recovery

ors.utah.gov/medicaid-recovery

Medicaid Estate Recovery in Utah

Utah recovers correctly paid Medicaid medical assistance from the estate of a recipient who was 55 or older when the assistance was provided. The Office of Recovery Services (ORS), within the Department of Health and Human Services, files the recovery claim against the estate or against any trust in which the recipient was both grantor and beneficiary.

Steps to take when someone dies

1
Determine whether the deceased received Medicaid medical assistance at age 55 or older.
2
Contact the Office of Recovery Services to confirm whether a recovery claim applies and request the lien amount.
3
Address the lien before final distribution:
  • •For an estate, ORS presents the lien to the personal representative under Utah Code 75-3-804
  • •For a trust, ORS presents the lien to the trustee under Utah Code 75B-2-510
4
Confirm whether any deferral applies (a living surviving spouse, or a surviving child who is under 21, blind, or disabled) before paying the claim.

Medicaid Estate Recovery in Utah: key facts

What Utah says4

What is recovered

Utah Code 26B-3-1013 recovers medical assistance correctly provided when the recipient was 55 or older.1, 2

The assistance recovered can include long-term care, home and community-based services, and related hospital and prescription drug costs paid by Medicaid.3

What counts as the estate

Recovery is made from the recipient's estate and from any trust in which the recipient was the grantor and a beneficiary.1, 2

Under Utah Code 26B-3-1013(5), a trust provision that denies recovery for Medicaid assistance is void at the time it is made.1, 2

When recovery is deferred or barred

Utah Code 26B-3-1013(1)(b) bars recovery while the surviving spouse is living, or while there is a surviving child who is under 21 or who is blind or disabled as defined in the state plan.1, 2

How the state files its claim

Under Utah Code 26B-3-1013, the recovery amount is a lien against the estate or trust, with the same priority as the reasonable and necessary medical expenses of the last illness under Utah Code 75-3-805.1, 2

Governing law: Utah Code 26B-3-1013 (Estate and trust recovery)

Sources3

Utah Medicaid estate recovery

Utah Department of Health and Human Services, Office of Recovery Services

Verified Aug 2026

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