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Home→Agencies→Medicaid Estate Recovery→Washington

Medicaid Estate Recovery in Washington

Apple Health (Washington Medicaid) is run by the Health Care Authority, and estate recovery is collected by the DSHS Office of Financial Recovery. For services received on or after January 1, 2014, recovery is limited to long-term services and supports — nursing facility care, home and community-based services, and related hospital and prescription drug costs — provided to a recipient aged 55 or older.

OverviewWhen someone dies

Medicaid Recovery

Washington

dshs.wa.gov/ffa/office-financial-recovery→

Administering agency

DSHS Office of Financial Recovery (OFR) — Estate Recovery Unit

Phone1-800-562-6114
WebsiteVisit website →

Authority

RCW 41.05A.090; RCW 43.20B.080; WAC 182-527-2742

Verified May 2026

Medicaid Estate Recovery in Washington: key facts

Recovery scope (services received on or after Jan 1, 2014)
Nursing facility services, home and community-based services (including COPES, CFC, IFS, PACE, and Medicaid Personal Care), and related hospital and prescription drug costs paid for a client age 55 or older.
State-funded long-term care
State-only long-term care services and related charges are recoverable from estates of recipients of any age.
Recovery deferred
While a surviving spouse is living, and while there is a surviving child under 21 or a blind or permanently disabled child of any age.
Hardship deferral
A registered domestic partner or an heir may apply for a hardship deferral if recovery would deprive them of a place to live or take away their only source of income (WAC 182-527-2742).

Frequently asked questions

For services received on or after January 1, 2014, Washington recovers only long-term services and supports — nursing facility care, home and community-based services, and related hospital and prescription drug costs — provided to a client age 55 or older. Medicare savings programs and Medicare premiums are exempt.

Recovery is barred while a surviving spouse is living, and while there is a surviving child who is under 21 or who is blind or permanently disabled. A surviving spouse, minor, blind, or disabled child may continue to live in or rent out the home, and may sell or refinance it; the state must release its lien on a bona fide sale.

When someone dies

Steps after a death in Washington

5-step process for DSHS Office of Financial Recovery (OFR) — Estate Recovery Unit.

View details →

Medicaid Recovery

Washington

dshs.wa.gov/ffa/office-financial-recovery→

Administering agency

DSHS Office of Financial Recovery (OFR) — Estate Recovery Unit

Phone1-800-562-6114
WebsiteVisit website →

Authority

RCW 41.05A.090; RCW 43.20B.080; WAC 182-527-2742

Verified May 2026