Would an advance on a reverse mortgage heloc be counted as an asset for Medicaid?

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The purpose of the advance would be to pay a grandchild's tutition or a child's credit cards and could be paid directly to the school, the child, or the credit card company. If her spouse goes into a nursing home within the year....would the advance on the reverse mortgage be counted as an asset or a gift in her medicaid application?

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Whether a reverse mortgage or home equity line of credit, the transfer, even if made directly to an institution, will be considered a gift for Medicaid eligibility purposes. This is the case whenever fair market value compensation is not received in exchange for the transferred asset.

What may work in this circumstance is a promissory note. There is no prohibition against a prospective Medicaid applicant entering into a loan agreement as long as a fair market interest rate is being charged, there are no "balloon" payments, and there are no "forgiveness" clauses...essentially establishing what can be considered an "arms length transaction". With interest rates so low, this may be the way to go...exercise the institutional loan and then create the personal loan. (The loan should be made by the well spouse).
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Medicaid takes a dim view of home equity loans and reverse mortgages and will demand to know where ALL the money went. Gifts, such as paying a grandchild's tuition will result in a penalty. Keep good records.
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Which is it a free-standing HELOC or a reverse mortgage (RM)?

If it is a RM, does the contract require the couple to both be continuing to be fully residing in the home in order to be in compliance?
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A reverse mortgage does affect Medicaid eligibility. You need independent competent financial and legal advice before obtaining a reverse mortgage if you have Medicaid.
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Can I get a HELOC without affecting my Medicaid or disability benefits?
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