This guide equips advocates with strategies to mitigate the harmful effects of Medicaid estate recovery by examining state practices and identifying opportunities for advocacy. It explores key areas such as narrowing the scope of recovery, enhancing hardship waivers and deferral protections, implementing cost-effectiveness thresholds, and improving public transparency and accessibility through enhanced reporting, training, and notice requirements.
The burden of Medicaid recovery can push families into poverty or homelessness, while any “recovered” funds cover only a small portion of Medicaid expenditures.
