LD 468
pg. 332
Page 331 of 348 An Act Making Unified Appropriations and Allocations for the Expenditures of St... Page 333 of 348
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LR 2149
Item 1

 
2-I. Claims against estates of MaineCare recipients. Claims
against the estates of MaineCare recipients are governed by this
subsection.

 
A. The department has a claim against the estate of a
MaineCare recipient when, after the death of the recipient:

 
(1) Property or other assets are discovered that
existed and were owned by the recipient during the
period when MaineCare benefits were paid for the
recipient and disclosure of the property or assets at
the time benefits were being paid would have rendered
the recipient ineligible to receive the benefits;

 
(2) It is determined that the recipient was 55 years
of age or older when that person received MaineCare
assistance; or

 
(3) It is determined that the recipient has received
or is entitled to receive benefits under a long-term
care insurance policy in connection with which assets
or resources are disregarded and medical assistance was
paid on behalf of the recipient for nursing facility or
other long-term care services.

 
B. The amount of MaineCare benefits paid and recoverable
under this subsection is a claim against the estate of the
deceased recipient or, if it cannot be collected because
there is a surviving spouse or child as described in
paragraph C, a claim against the estates of the surviving
spouse and such surviving child, after death, if either
received any assets from the recipient for less than fair
market value during any period while the recipient was
receiving MaineCare benefits, or from the recipient's estate
as defined in paragraph F.__The claim against either the
estate of the surviving spouse or child is enforceable as to
the value of the asset on the date of the transfer from the
recipient for less than fair market value, less any value
actually transferred to the recipient in exchange, or on the
date of the recipient's death, even if the asset received
from the deceased recipient has since been lost, diminished,
sold, encumbered, transferred or the title otherwise
affected before the death of the surviving spouse or
surviving child.

 
(1) As to assets of the recipient included in the
probated estate, this claim may be enforced pursuant to
Title 18-A, Article 3, Part 8.


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