Medicaid can help pay for long-term care, but the state may seek repayment from a recipient’s estate after death. In Houston, understanding when Medicaid Estate Recovery Program (MERP) claims apply—and how to respond—can save families time, money, and stress. With a methodical approach, you can confirm what is owed, preserve protected assets, and close the estate cleanly.
Confirm Whether MERP Applies at All
MERP generally targets Medicaid benefits paid for long-term-care services after age 55. Start by requesting an itemized claim from the program once you have letters testamentary or administration. Verify the coverage types, dates, and amounts, and compare them to facility records and Explanation of Benefits. Sometimes charges are misattributed or fall outside the recoverable categories. If the decedent never received long-term-care Medicaid, you may be able to dismiss the claim quickly.


























