How are loan paybacks to family members handled in Medicaid 's 5 year lookback?

Correction. You will need written documentation.

You won't hold need written documentation that is was a loan. Otherwise it would be viewed as a gift. I could see some people trying that tactic to spend down funds to get her eligible for Medicaid. It would never fly.

Thanks, some written, some verbal.

Was there written documentation, perhaps prepared by a lawyer, of the loan agreement?