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Why they work to avoid estate recovery is because They pass ownership of the property to go outside of probate for the transfer to be done after the property owner dies. Why this is important is that in theory, Medicaid's estate recovery (MERP, MERS) is done via an action in probate. So in theory.... no probate = no recovery. Now one issue with this is that many states are taking a wider view of probatable assets for asset recovery and some legal which was outside of probate -like life estates - is no longer.
Lady, imho as a non-legal, is especially great if they die AND have had the funds to support the property as well as all their other expenses from now till they die for however long that is (6 mos...16 years) and then pay for funeral. The issue for those that go onto Medicaid is that medicaid REQUIRES them to do a copay or a SOC (share of cost) of all their monthly income to the NH. So their SS, pension, etc MUST be paid to the NH as the required SOC. They are only allowed a modest Personal needs allowance of $ 35 - $ 105 a mo. The pna is really barely enough for barber / beauty shop vists and some toiletries. Often their PNA is the amount of their cable or phone. They will have no - none -nada of any $$$ anymore to ever pay on anything house once on medicaid. Taxes, insurance, utilities,yard work, repairs....etc, will have to be paid by someone else and for the rest of their elders lifetime and then for however long it takes to pay the estate or probate atty clear through the Lady bird deed transfer.
Say the house runs 15k a year to maintain & they live 5 years in a NH on Medicaid.....that's 75k someone has paid on the house before they can get the house fully transferred to whomever is the new owner via Lady. Hopefully the person who has been paying all house costs is the one getting the house via Lady & they have the purse or wallet to front all house costs for however long.
I can see doing lady on a parents home if the costs are affordable, you have a long view on investments and dont mind risk too too much. And a really good sense of humor.
Rules vary from state to state, so check your state laws on Life Estates. In NY the state can attempt to recover Medicaid costs from Life Estates.
Some states require the Life Estate be irrevocable, meaning the grantor can NOT change their mind. It is best to sit down with an attorney who is up to date on your state's laws.