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Navigating Gift Regulations for Medicaid


When it comes to Medicaid eligibility, understanding the regulations surrounding gifts is crucial. Medicaid is a state and federally funded program that assists eligible individuals with their medical expenses. However, giving or receiving gifts can affect an individual’s eligibility for Medicaid. In this blog, we’ll explore what is considered a gift for Medicaid purposes and provide some thoughtful and compliant gift ideas.

Gifts and Medicaid Eligibility

Medicaid is designed to provide support to those with limited financial means. To ensure that only individuals genuinely in need receive benefits, Medicaid has strict rules regarding gifts. A gift is generally considered a transfer of property or assets without receiving fair market value in return. Such transfers are closely examined to prevent individuals from gifting their assets in order to qualify for Medicaid.

Countable vs. Exempt Gifts

Not all gifts automatically disqualify someone from Medicaid. Some gifts are considered exempt, meaning they won’t impact Medicaid eligibility. Exempt gifts often include:

  • Gifts to Spouse: Transfers of assets between spouses are generally exempt. This helps protect the well-being of the non-applicant spouse although there are assets limitations tied to Medicaid eligibility.
  • Gifts to Disabled Children: Gifts to children with disabilities are usually exempt, as long as the child meets the Social Security Administration’s definition of disability. As a caveat, we have to be careful when gifting to children that may be receiving SSI or Medicaid themselves, as these gifts may cause them to lose their benefits if not structured correctly.
  • Caregiver Child Exemption: If an adult child has lived in the same household as the applicant and provided care for at least two years, the transfer of the home to that child might be exempt. Again, with the Medicaid regulations being so complex, there are certain requirements that need to be met.

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Many people are familiar with the IRS rules that state an individual can gift up to $17,000 per year, per person without the necessity of reporting such gift on a 709 gift tax return but Medicaid has no such provision.  Any gift, unless exempted, may result in a period of ineligibility.  Even “gifts” that we don’t normally consider gifts, such as payment of rent to a child or repayment to a child for out of pocket expenditures may be penalized for Medicaid purposes.  Such “gifts” without an written expectation of repayment in the form of a lease or promissory note, for example, may be considered a gift for Medicaid purposes and result in a penalty.


Gift-giving should always be driven by compassion and care, but it’s important to be aware of the potential implications on Medicaid eligibility. Understanding what constitutes a gift for Medicaid purposes and the exempt categories can help you make informed choices. By opting for compliant and thoughtful gift ideas, you can maintain both your loved one’s well-being and their access to essential Medicaid benefits. If you’re ever uncertain about a specific gift, consulting a legal professional with expertise in Medicaid regulations is a wise step to take. An elder law attorney at Bratton Law Group can help you understand the regulations surrounding gifts and also can help you qualify for Medicaid.

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