Detailed Answer
1. Overview of Michigan Medicaid Estate Recovery
Under Michigan law, the Department of Health and Human Services (MDHHS) must recover Medicaid long-term care costs from a recipient’s estate after death (MCL 400.115c). This process can include a lien on real property passed to heirs.
2. Hardship Waiver Under Michigan Law
Michigan allows an heir to request a waiver of estate recovery if enforcing the claim would cause undue hardship. The statutory authority is found at MCL 400.115h. MDHHS evaluates each request on a case-by-case basis.
3. Who Can Seek a Hardship Waiver?
Eligible waiver applicants include heirs who:
- Are a surviving spouse.
- Resided in the decedent’s home for at least two years and provided care.
- Are a sibling or adult child who lived in the home for at least two years before the recipient’s Medicaid eligibility date.
- Can show that recovery would deprive them of their primary residence or cause extreme financial hardship.
4. How to Apply
- Obtain the Hardship Waiver Request form (MDHHS–5491) from MDHHS Estate Recovery: Estate Recovery Hardship Waiver Request.
- Complete the form with the decedent’s information (name, case number), your contact details and relationship.
- Describe the hardship. Provide supporting documents: proof of residence, property tax bills, income statements, medical or care records.
- Submit the form and attachments to MDHHS Estate Recovery by mail or fax as instructed on the application.
- Keep copies of all documents and note the date of submission.
5. Review Process and Appeals
MDHHS generally issues a decision within 90 days of receiving a complete application. If approved, recovery is waived or reduced as specified. If denied, you may request an administrative hearing within 90 days by filing a hearing request with the Michigan Office of Administrative Hearings and Rules (MOAHR).
Helpful Hints
- Start the process early. Estate administration has strict timelines.
- Gather clear evidence of your residency and caregiving role to support your request.
- Organize all records and keep copies of every document you submit.
- Consult a probate or elder law attorney if the estate is complex.
- Watch deadlines closely: missing an application or appeal deadline may forfeit your rights.
Disclaimer: This article is for informational purposes only and does not constitute legal advice. Consult a qualified attorney for guidance on Michigan Medicaid estate recovery.