What happens after the death of a beneficiary? Is there a Medicaid payback?

After all outstanding bills for any Qualified Disability Expenses are paid, which may include funeral and burial expenses, the remaining balance will become part of the individual's estate and normal probate process.

STABLE Kentucky accounts are not subject to 529A claims against the beneficiary of a STABLE Kentucky account for total medical assistance paid after the establishment of an account by the Kentucky Department of Medicaid Services.

However, the Kentucky Department of Medicaid may recover payments from the estate of Medicaid beneficiaries as required by Section 1917(b) of the Social Security Act and Kentucky Medicaid estate recovery rules. Those impacted will be the estates of those age 55 or older and who have received Nursing Facility Services, Intermediate Care Facility for Individuals with Intellectual Disabilities, Home and Community Based Services, Supports for Community Living, Michelle P. Waiver, Acquired Brain Injury, Acquired Brain Injury Long Term Care Waiver; or A person who has received Nursing Facility Services or Intermediate Care Facility for Individuals with Intellectual Disabilities for 6 months.