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1.) Introduction of Supervised Community Treatment. This new power replaces supervised discharge with a power to return the patient to hospital, where the person may be forcibly medicated, if the medication regime is not being complied with in the community. (In my opinion this can be seen as a strength and a weakness

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If your grandfather passes, the home will become yours immediately only if your name is currently on the deed (as joint owner). If this happens, you will become the new owner, the home stays yours, and will not be included in the Medicaid Recovery process.. . Otherwise, your grandfather's estate will pass through Probate, and his assets, including the home will be reviewed. In addition, Probate also ensures that bills to the estate are reviewed, and paid as applicable.. . Pennsylvania recovers only from assets that pass through probate (which is governed by state law). In Pennslyvania, estate recovery is not a lien but is considered an unsecured claim, (an unsecured debt) against the decendent's estate.. . Unsecured claims (unsecured debts) against the estate are paid in order according to priority, and it's possible that a family exemption could protect the house from the unsecured Claim of Recovery. Reading the article below, it depends on whether your grandfather was still considered "residing" at home, during his stay in the nursing home. It also depends on other factors. The Department considers its position in these situations on a case by case basis. In some cases, especially small estates, or in certain "hardship" cases, the Department can waive their claim to recovery altogether.. . You may be eligible for a Caregiver Exemption. As someone who kept your grandfather out of a nursing home for at least 2 years prior to him being admitted, it is possible the home could be protected from Estate Recovery for this reason.. . Also, if you have been paying bills, and property taxes, and the costs of maintenance, and repairs to the home, the Department may waive their Claim of Recovery against the house. This would be due because maintenence expenses were advanced to your grandfather, in hopes that he would return to his home after his stay in the nursing home.. . Be sure to consult an attorney. Possibly make an appointment to visit your local Legal Aid office, to review your situation.. . In the second part of your question, you ask about selling the home and buying it at fair market value. If bills against your grandfather's estate must be paid, and the house needs to be sold, it does not need to go to a thrid party. If someone in the family is willing to pay fair market value and buy the property from the estate, they can buy the home before it goes "on the market".

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