Medicaid

Estate of Virginia Ramirez, 2006 N.Y. Misc. LEXIS 4587; 236 N.Y.L.J. 107 (N.Y. Misc. 2006)

This is a motor vehicle case where Plaintiff cited Ahlborn, seeking to avoid reimbursing Medicaid. Decedent was injured in a collision on June 30, 2005 and died intestate on July 4, 2005 at age 85. A proposed settlement of $50,000 constituted the defendant’s insurance limits. All medical expenses associated with the collision were paid by defendant’s no-fault carrier, but Decedent had received $109,269.69 in medical assistance. The administrator argued that Ahlborn precluded Medicaid’s recovery since there was no recovery for medical expenses. However, Medicaid’s claim was not barred by Ahlborn because, after the Decedent’s death, an action against the estate exists to recover for medical assistance paid under 42 U.S.C. § 1396p and N.Y. Social Services Law § 366[4][h][1]. Medicaid did concede that its recovery was limited to the amounts allocated to the personal injury action since the estate does not own the wrongful death action. Decided: December 5, 2006.

Published by
David McGuffey
Tags: AhlbornLien

Recent Posts

There are only six legal reasons to discharge a nursing home resident

Valid Reasons for an Involuntary Nursing Home Discharge One thing that strikes fear in the…

2 weeks ago

2026 Statewide Average Monthly Private Pay Rate for Determining Transfer of Assets

As of April 1, 2026, the Georgia Medicaid penalty divisor will increase from $10,798 to…

2 weeks ago

Medicaid Fair Hearing Dismissed Where Estate was Not Opened

How do nursing homes get paid? Sick people go to nursing homes and sick people…

2 months ago

Medicaid Verification: When the Agency is Required to Help

Some Medicaid classes of assistance do not require verification, but most long-term care classes of…

3 months ago

Medicaid Estate Recovery – 50 States

The Estate Recovery Rules vary from State to State. The federal minimum requires states to…

5 months ago

Rights of the ward; impact on voting and testamentary capacity; O.C.G.A. § 29-4-20

Georgia Guardianship law presupposes that the guardian must act in the best interests of the…

5 months ago