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Sounds like all the options are off the table since there isn't any money to keep an empty house up and running. Hopefully Mom has a special insurance policy just for vacant houses, as such houses are high risk.
I am not an attorney nor have enough knowledge about Medicaid and house liens. With foreclosure looming, time to talk with the mortgage company, let them know that Medicaid is involved.... chances are Medicaid could already have a lien on the property.
You need to ask the bank if your Mom can get the remainder of the equity after the $70k loan is paid off after the house sells, or will Medicaid take all the remaining equity to help pay for your Mom's care. I know, this is such a maze. And emotionally and physically you rather wish it would all go away.
Veronica, that is a good question, who stands in line first for payment, the mortgage company or Medicaid. We'll have to wait for Igloo to see this post as I bet Igloo would know the answer :)
Medicaid might consider that a really big gift to the Buyer. Consult an Elder Law Attorney now to help Mom get through the crazy maze of Medicaid and ask about selling the house. If the Attorney is ok on waiting for the house to sell before getting paid, go for it.
I sold my Dad's house, which was also out-of-date, but first I hired a licensed appraiser to give me the market value. Thus if I had ever needed to prove why the house sold for less then other houses in the neighborhood during the same span, I had proof on paper.
Mom won't lose her Medicaid if she profits lets say $100k after paying off the mortgage, the Realtor fees, the house sale settlement fees. What will happen is that Medicaid will wait until Mom uses up that money before Medicaid kicks in. Note to self, the profit money needs to be spent on Mom's care only.