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Virginia Medicaid Estate Recovery

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

Based on Va. Code Ann. 32.1-326 and 32.1-327; 12VAC30-20-141; federal baseline 42 U.S.C. 1396p(b)

By Settled Estate Editorial
Expanded recovery
Recovery reach
55+
Age when care was received
Yes
Hardship waiver

What Virginia recovers

DMAS recovers Medicaid (medical assistance) payments made on behalf of a member for services received on or after the member turned age 55. Recovery happens only after the member's death, by filing a claim against the estate. DMAS may collect up to the lesser of the total payments made or the value of the estate. The recoverable estate can include the member's home even if the home was not counted when determining Medicaid eligibility. The estate value is first reduced by certain expenses such as administrator costs and expenses, federal debts, and taxes.

Virginia uses an expanded estate definition and can reach certain assets that pass outside probate. Check the details and sources below, because the reach depends on the asset type.

55 and older

Who is protected from recovery

Surviving spouse: no estate recovery while there is a surviving spouse who has not been a Medicaid member; recovery is deferred until after the surviving spouse's death

Surviving child under age 21: no recovery if the member is survived by a child under age 21

Surviving blind or disabled child: no recovery if the member is survived by a child who is blind or disabled, regardless of the child's age

Undue hardship: DMAS may waive all or part of its claim if enforcement would cause undue hardship on the member's dependent or heir (appeal of a denial allowed within 30 days)

Special consideration when the estate is the sole income-producing asset of survivors, such as a family farm, family business, or a homestead of modest value

Property that may be exempt

  • Certain American Indian and Alaska Native income and resource interests, and income derived from tribal land or resources, which are exempt by other laws and regulations
  • Assets or resources that were disregarded because the member owned a qualified long-term care partnership insurance policy (per 12VAC30-40-290 G)

Undue-hardship waiver

Virginia can waive recovery when it would cause an undue hardship for the heirs. Contact Virginia Department of Medical Assistance Services (DMAS) to request the waiver and confirm deadlines.

Hardship waiver information

Frequently asked questions

Does Virginia recover Medicaid costs from non-probate assets?
Yes. Virginia uses an expanded estate definition and can pursue certain assets that pass outside the probate estate. Review the details and official sources below, because the reach varies by asset type.
Who is protected from Medicaid estate recovery in Virginia?
Recovery is generally blocked or delayed for: Surviving spouse: no estate recovery while there is a surviving spouse who has not been a Medicaid member; recovery is deferred until after the surviving spouse's death; Surviving child under age 21: no recovery if the member is survived by a child under age 21; Surviving blind or disabled child: no recovery if the member is survived by a child who is blind or disabled, regardless of the child's age; Undue hardship: DMAS may waive all or part of its claim if enforcement would cause undue hardship on the member's dependent or heir (appeal of a denial allowed within 30 days); Special consideration when the estate is the sole income-producing asset of survivors, such as a family farm, family business, or a homestead of modest value.
What does Virginia Medicaid recover after death?
DMAS recovers Medicaid (medical assistance) payments made on behalf of a member for services received on or after the member turned age 55. Recovery happens only after the member's death, by filing a claim against the estate. DMAS may collect up to the lesser of the total payments made or the value of the estate. The recoverable estate can include the member's home even if the home was not counted when determining Medicaid eligibility. The estate value is first reduced by certain expenses such as administrator costs and expenses, federal debts, and taxes.
Can I apply for an undue-hardship waiver in Virginia?
Yes. Virginia offers an undue-hardship waiver. Contact Virginia Department of Medical Assistance Services (DMAS) to request the waiver and ask about deadlines.
Who handles Medicaid estate recovery in Virginia?
Virginia Department of Medical Assistance Services (DMAS), https://www.dmas.virginia.gov.

Agency and statute sources

Settling an estate with a Medicaid claim?

Use the Virginia probate assessment to organize the estate and see how the claim fits the process.

Information current as of June 28, 2026

This content is for informational purposes only and does not constitute legal advice. Probate laws and procedures in Virginia can change. Consult with a qualified attorney for advice specific to your situation. Full disclaimer.