For example, a few years ago MIL paid for a large car repair for us using her credit card paid directly to the mechanic. We live with her and are her primary caregivers providing for all her transportation needs. At the time she was happy to do this and didn’t consider it a gift. Will I have to account for this kind of transaction? Does Medicaid comb through all credit card purchases too? Will I have to provide receipts for every trip to WalMart or are they just looking at cash transactions like when she wrote a $2000 check to us to buy her granddaughter a car as a graduation gift? What about every birthday and Christmas for the last 5 years when MIL would give us $50 or $100 to buy a grandchild a gift? Is all that to be paid back? Those gifts were part of a loving grandmothers daily life and had nothing to do with paying down her assets. I’m overwhelmed at the thought of this.