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Why Medicaid Can Treat a Family Loan as a Gift

Original: He Did Not Give His Son $35,000. He Lent It, Then Stopped Asking for It Back, and Medicaid Treats Those as the Same Thing

A father who lent his son $35,000 and later stopped seeking repayment has learned that Medicaid treats the arrangement as a gift, the same as an outright handout. Under the program's rules, uncompensated transfers made during the five-year look-back period can trigger penalty periods that delay benefits. The case is drawing attention to how easily families fall foul of the distinction between a loan and a gift, and to the importance of written repayment terms.

Why now: Families planning long-term care are alarmed by the fact that Medicaid can penalize unpaid family loans as if they were gifts.

Medicaid24/7 Wall St.

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