02/28/2026
A lot of homeowners hear this and relax: “Your primary residence is exempt for Medicaid.”
Yes — for eligibility purposes, your home is often protected while you’re alive. But what many people don’t realize is that exemption does not automatically mean protection after death.
New York, like many states, has estate recovery rules. That means the government can seek reimbursement from your estate for benefits paid — and for homeowners, that often means the house becomes the target. In nursing home cases, liens can even be placed during your lifetime.
There are also equity limits and technical requirements that determine whether the home is treated as exempt in the first place. And simply adding a child to the deed can create tax consequences and loss of control that are far more expensive than people expect.
Medicaid planning isn’t just about qualifying. It’s about protecting what happens afterward.
If you own a home and are thinking about Medicaid, this is a conversation worth having sooner rather than later.