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Mississippi Medicaid Estate Recovery

After someone who received Medicaid long-term care dies, Mississippi can file a claim against their estate. This guide explains what is recovered, who is protected, and how to ask for relief.

Based on Miss. Code Ann. 43-13-317

By Settled Estate Editorial
Probate estate only
Recovery reach
55+
Age when care was received
Protected
While a spouse is alive
Yes
Hardship waiver

What Mississippi recovers

Payments the Division of Medicaid made for nursing facility services, home- and community-based services, and related hospital and prescription drug services on behalf of a Medicaid recipient who was age 55 or older when the assistance was received. Recovery is pursued as a probate creditor claim against the recipient's estate, with the Division noticed as an identified creditor under Miss. Code Ann. 91-7-145.

Mississippi recovers only from the probate estate. Assets that pass outside probate, such as joint property with survivorship, life estates, living trusts, and transfer-on-death or pay-on-death accounts, are generally beyond recovery.

55 and older

Who is protected from recovery

Surviving spouse: The claim is waived if there is a surviving spouse.

Child under 21: The claim is waived if there is a surviving dependent who is under the age of 21.

Blind or disabled child: The claim is waived if there is a surviving dependent who is blind or disabled (any age).

Undue hardship: The claim is waived, as provided by federal law and regulation, if the Division or a court determines that recovery would cause undue hardship.

Sibling equity interest: Federal baseline protection (42 U.S.C. 1396p(b)(2)): recovery of the home is barred while a sibling with an equity interest who resided in the home for at least one year before institutionalization lives there. Not separately enumerated in Miss. Code Ann. 43-13-317.

Caregiver child: Federal baseline protection (42 U.S.C. 1396p(b)(2)): recovery of the home is barred while a caregiver child who resided in the home for at least two years before institutionalization and provided care that delayed institutionalization lives there. Not separately enumerated in Miss. Code Ann. 43-13-317.

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Property that may be exempt

  • Assets that pass outside the probate estate (for example, property held in joint tenancy, by survivorship, in a living trust, or as a life estate) because Mississippi did not adopt the optional expanded-estate definition and recovers only from the probate estate.
  • Homestead property passing to the decedent's surviving spouse, children, or grandchildren (per Estate of Darby v. Stinson and the Mississippi homestead exemption).

Undue-hardship waiver

Mississippi can waive recovery when it would cause an undue hardship for the heirs. Contact Mississippi Division of Medicaid, Bureau of Recovery at 800-421-2408 to request the waiver and confirm deadlines.

Frequently asked questions

Who is protected from Medicaid estate recovery in Mississippi?
Recovery is generally blocked or delayed for: Surviving spouse: The claim is waived if there is a surviving spouse; Child under 21: The claim is waived if there is a surviving dependent who is under the age of 21; Blind or disabled child: The claim is waived if there is a surviving dependent who is blind or disabled (any age); Undue hardship: The claim is waived, as provided by federal law and regulation, if the Division or a court determines that recovery would cause undue hardship; Sibling equity interest: Federal baseline protection (42 U.S.C. 1396p(b)(2)): recovery of the home is barred while a sibling with an equity interest who resided in the home for at least one year before institutionalization lives there. Not separately enumerated in Miss. Code Ann. 43-13-317; Caregiver child: Federal baseline protection (42 U.S.C. 1396p(b)(2)): recovery of the home is barred while a caregiver child who resided in the home for at least two years before institutionalization and provided care that delayed institutionalization lives there. Not separately enumerated in Miss. Code Ann. 43-13-317.
What does Mississippi Medicaid recover after death?
Payments the Division of Medicaid made for nursing facility services, home- and community-based services, and related hospital and prescription drug services on behalf of a Medicaid recipient who was age 55 or older when the assistance was received. Recovery is pursued as a probate creditor claim against the recipient's estate, with the Division noticed as an identified creditor under Miss. Code Ann. 91-7-145.
Can I apply for an undue-hardship waiver in Mississippi?
Yes. Mississippi offers an undue-hardship waiver. Contact Mississippi Division of Medicaid, Bureau of Recovery at 800-421-2408 to request the waiver and ask about deadlines.
Who handles Medicaid estate recovery in Mississippi?
Mississippi Division of Medicaid, Bureau of Recovery, phone 800-421-2408, https://medicaid.ms.gov/medicaid-coverage/member-services/estate-recovery/.

Information current as of June 28, 2026

Settled Estate is not a law firm, and this content is for informational purposes only and does not constitute legal advice. Probate laws and procedures in Mississippi can change. Consult with a qualified attorney for advice specific to your situation. Full disclaimer.