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Money & legal · Quick answer

No Will, and a House

Without a will, a spouse may not inherit the whole house, and the state can claim back what Medicaid spent on long-term care.

Key takeaways

  • A surviving spouse does not automatically inherit everything. In many states the estate is split between the spouse and the children — including the couple's own children.
  • Federal law requires states to recover what Medicaid spent on long-term care from the estate of anyone who was 55 or older when they received it.
  • Recovery is barred while there is a surviving spouse, and barred if there is a child under 21 or a blind or disabled child of any age.
  • It cannot exceed what Medicaid actually spent from age 55 on, and it comes after other creditors are paid.
  • Every state must offer an undue hardship waiver, and the deadlines to request one are short.
  • How the house is titled can decide the whole question — in some states a house that never enters probate is never reached at all.

If there is no will, doesn't it all go to the spouse?

Usually not. In many states the estate is divided between the surviving spouse and the children, and that surprises nearly everyone.

Dying without a will is called dying intestate, and the state then applies its own formula. Most people assume the formula is "everything to the husband or wife." In a large number of states it is not.

Depending on the state, a surviving spouse may receive one-third, one-half, or all of the estate, with the remainder going to the children. Some states split it even when the children are the couple's own. Others treat it differently when there are children from a previous relationship.

Two consequences families run into:

If there is no will, that is ordinary and it is not a failure — most people do not have one. What matters is knowing that the default is a state formula rather than the arrangement the family assumed.

Does the house have to go through probate?

It depends entirely on how the title is held, and that single detail can change everything that follows.

Probate is the court process that transfers property owned by someone who has died. Whether the house goes through it depends on the deed:

Get the actual deed and read it. Not the mortgage statement, not the tax bill — the recorded deed. It is a public record and the county recorder's office can produce a copy. Families are frequently wrong about how their own house is titled.

Will Medicaid take the house?

If Medicaid paid for her long-term care after she turned 55, the state is required by federal law to try to recover that money from her estate. There are real limits, and they matter.

It usually arrives in a letter, a few weeks after the funeral.

The rule comes from federal law. For people aged 55 or older, states are required to seek recovery from the estate for nursing facility services, home and community-based services, and related hospital and prescription drug costs.

The home is treated as exempt while the person is alive and receiving Medicaid. That exemption ends at death, which is where families are caught — they were told the house was safe, and it was, right up until it was not.

Now the limits, and they are substantial:

The exemptions are not automatic in practice. Somebody generally has to raise them, in writing, within a deadline. A family that does not know the surviving-spouse protection exists can watch a claim proceed that never had standing.

What is an undue hardship waiver?

A formal request to reduce or forgive the claim, and the window to file one is short.

States are required to have a process, but they define hardship differently. It commonly covers situations where the property is the sole income-producing asset of the heirs — a farm or a small business is the classic example — or where the heirs themselves have very low income and would be made destitute.

Two practical points. The deadlines are tight — in some states the request must reach the agency within 60 days of the notice, with a decision following within weeks. And the notice arrives in the middle of a bereavement, addressed to whoever is handling the estate, in language that reads like a bill rather than an invitation to object.

If a recovery notice arrives, take it to an elder law attorney the same week. Not next month.

Why does it matter whether we are in a "probate-only" state?

Because some states can only reach what passes through probate — and in those states, how the deed reads decides whether the house is touched at all.

Federal law lets states define "estate" narrowly or broadly. Some limit recovery to the probate estate only. Others use an expanded definition that reaches assets passing outside probate — joint tenancy, life estates, living trusts, transfer-on-death deeds.

In a probate-only state, a house that passes by survivorship or a beneficiary deed may never be reached. In an expanded-recovery state, the same deed may make no difference at all.

You cannot work this out on your own. Ask an elder law attorney in your state which definition applies, and ask it before anyone changes a deed, because a transfer made at the wrong moment can create a Medicaid penalty that costs more than the house.

Can I keep living in the house?

Possibly, and there are specific exemptions worth asking about by name.

Several protections exist that families never hear of:

None of these is a form you fill out casually. All of them are reasons to see an attorney rather than assume the answer.

She has died and there is no will. What now?

In this order, and slowly. Almost nothing here has to happen this week.

And if she is still living?

Then everything above is a list of things that can still be decided rather than discovered.

While there is capacity, a will and the beneficiary designations can be put in order, and the couple's actual intentions can replace the state's formula.

Where there is no longer capacity, an agent under a durable power of attorney may still be able to act, depending on how the document is written — some grant authority over property and estate planning, many do not. That is a question for the attorney who reads the document, not one to guess at.

And the honest advice about the house specifically: do not transfer it to anybody on the strength of an article, a message board, or a relative's confident opinion. The look-back rules, the state's recovery definition, and the tax consequences of gifting a house interact in ways that regularly cost families more than the recovery would have. Ask first.

Frequently asked questions

If my wife dies without a will, do I inherit everything?
Not necessarily. Many states divide an intestate estate between the surviving spouse and the children, sometimes even when the children are the couple's own, and the spouse's share may be one-third, one-half or all depending on the state and on whether there are children from a previous relationship. Stepchildren inherit nothing under intestacy unless they were legally adopted.
Can Medicaid take the house after she dies?
Federal law requires states to seek recovery of long-term care costs from the estate of anyone who was 55 or older when they received those services. The home is exempt during her lifetime but not afterward. Recovery is barred while a surviving spouse is alive, and barred if there is a child under 21 or a blind or disabled child of any age.
Is there a limit on what the state can recover?
Yes. Recovery cannot exceed what Medicaid actually spent on her behalf from age 55 onward, and it cannot exceed what remains in the estate after other creditors have been paid. Every state must also offer an undue hardship waiver process.
What is an undue hardship waiver?
A formal request to reduce or forgive the claim, usually where the property is the heirs' sole income-producing asset or where recovery would leave them destitute. States define it differently and the deadlines are short — in some states the request must be filed within 60 days of the notice. Take a recovery notice to an elder law attorney immediately.
Does putting the house in joint names protect it?
Sometimes, and sometimes not at all. Some states can only recover from assets that pass through probate, in which case a survivorship or beneficiary deed may keep the house out of reach. Others use an expanded definition that reaches assets passing outside probate. Ask an attorney which applies in your state before changing any deed — a transfer made at the wrong time can create a Medicaid penalty.
I moved in and cared for her for years. Does that count for anything?
It may. There is a caregiver child exemption that can allow the home to pass to an adult child who lived there at least two years and provided care that delayed a move into a facility, and a separate sibling exemption. Both are exacting and require documentation, so raise them by name with an elder law attorney rather than assuming either way.

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Sources

  1. Centers for Medicare & Medicaid Services. *Estate Recovery*. medicaid.gov/medicaid/eligibility-policy/estate-recovery.
  2. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. *Medicaid Estate Recovery*.
  3. Omnibus Budget Reconciliation Act of 1993, estate recovery provisions.
  4. MACPAC. *Updates on Medicaid Estate Recovery Analyses*, 2020.
Peer support and education, not legal advice. Intestacy formulas, probate procedure and estate recovery definitions are all set state by state and change — nothing here substitutes for an elder law or probate attorney licensed where the property is. Do not transfer a house on the strength of this article.