FILE - The U.S. Department of Health and Human Services building is seen, April 5, 2009, in Washington. The federal government requires every state to recover money from the assets of dead people who, in their final years, relied on Medicaid for long-term care. Now, critics want the federal government to stop doing that because, they say, the program collects a bit of money from the poorest people.
State policies around this recovery process vary widely, according to a 2021 report from the Medicaid and CHIP Payment and Access Commission, which makes policy recommendations to Congress. Last month, a foundation for one of the industry's biggest health insurance giants called on Massachusetts to overhaul its process, which includes collecting reimbursement for most Medicaid costs, beyond the federal government's minimum requirement to recover long-term care expenses. The Blue Cross Blue Shield Foundation of Massachusetts recommended the state Legislature pass a law that would prohibit those additional collections.
She recalls being somewhat offended during the meeting after the representative asked her three times: “This is your mother’s home?” The representative, Mfalme said, made no mention that she could be forced to sell the house to settle her mother's bill with Medicaid once she died.
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