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If i remember the Medicaid (Medical) eligibility, correctly, if you had a home that was paid off you didn't qualfied for Medical, because, you could have an equity line of credit that would disqualify you. Yes homes are exempt. but income restrictions still apply. Like cars for example, if your car had a resale value that was higher than the limits for Medical you eeded to be dropped out.
Posted by rker321
Those were the old rules that existed back in the 1970s that I had to deal with on my job then. However if that house was used as a primary residence, it was exempt as long as the Medicaid beneficiary was alive and occupying the home. When that person died or became permanently institutionalized, the state took title to the house.
But those laws have been relaxed since the 1970s. People were putting titles of their houses in the names of their children or adding a spouse or in some other manner of disposing that asset and avoiding estate recovery. Placing the names of adult children on the title of the house (where the title is held jointly) was not considered as a disposal of an asset, but it did make the house exempt from estate recovery because another person had claim to the property. When the laws were changed, that kind of circumvention was considered as a disposal of assets.
As far as a car that was paid off, there is an asset value test applied and if the "blue book" value of the car exceeds the asset limit, that makes the person ineligible for Medicaid. But most people i have seen who are on Medicaid have beaters for cars that are seldom worth more than their junk value. In a case where one is disabled or elderly, putting another person's name on the car title and giving them driving priveleges is seldoom questioned. In the case involving a younger adult, perhaps one with dependent children, all the beneficiary has to declare is that they need the car for work or to look for work.