Recipient Notice 02-03 2025

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Unfortunately, Medicaid has a requirement that it be repaid from any assets which remain at death. This is often referred to as Medicaid Payback or Medicaid Estate Recovery. It is mandatory in all states.
When you ask the person or company for money, the Department of Social Services is required to also ask them for money to repay the medical bills (medical assistance or Medicaid) and money (cash assistance) DSS paid on your behalf. This is called a lien.
Here are some examples of circumstances that lead to the establishment of medical or healthcare liens: Personal injury and motor vehicle accident cases where the patient is suing for damages. Accidents requiring extensive medical treatment not covered by insurance.
The State of New York can claim your home and other assets to pay back the money they paid for your care. Using MERP, the state can seize your bank accounts or any other liquid assets or personal belongingseven if they are designated for your heirs.
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