Vermont handles Medicaid estate recovery as a probate-court claim. DVHA's Long-Term Care Recovery from Estates notice explains that the department will file a claim in probate court to recover the cost of covered Medicaid benefits from the estate of someone who died on or after January 1, 1994 and who was 55 or older at the time they received nursing-facility or home-based long-term-care services. For this purpose, DVHA defines the 'estate' as the real property, personal property, and other assets that get included when the estate is formally filed in probate court.
Based on that published description, Vermont's recovery process is scoped to probate assets rather than asserting a general claim against every nonprobate arrangement a person might have set up — a joint account, a deed with retained powers, a trust, or a beneficiary designation. That said, this is a description of process, not a guarantee that a specific asset falls outside recovery; the actual title and probate facts of an individual's estate still need review by a Vermont-licensed attorney. Families who do receive a recovery notice also have access to a documented homestead-hardship process, which is worth pursuing promptly if it might apply.
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