Daley v. Secretary of Executive Office of Health & Human ServicesAnnotate this Case
Neither the grant in an irrevocable trust of a right of occupancy and use in a primary residence to an applicant nor the retention of a life estate by the applicant in the applicant’s primary residence makes the equity in the home owned by the trust a countable asset for the purpose of determining Medicaid eligibility for long-term care benefits under the Federal Medicaid Act.
At issue before the Supreme Judicial Court in these two cases was whether applicants were eligible for long-term care benefits under the Act Act where they created an irrevocable trust and deeded their home - their primary asset - to the trust but retained the right to use and reside in the home for the rest of their life. The Director of the Massachusetts Office of Medicaid (MassHealth) found that the applicants were not eligible for long-term care benefits. The superior court upheld MassHealth’s determinations. The Supreme Judicial Court reversed the judgments in both cases because MassHealth found that the equity in both homes was a “countable” asset whose value exceeded the asset eligibility limitation under the Act.