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How Does the Massachusetts Medicaid Program Treat a Sale of a Life Estate?

March 23, 2011

When a person who has a life estate wants to sell the real estate, the life tenant is legally entitled to a share of the proceeds. The amount of the proceeds the life tenant is supposed to receive is based on his/her life expectancy and interest rates at the time of sale.

To calculate the value of the life estate, you must first determine what the applicable interest rate is. The interest rate in the month of the sale can be found at Once you have this figure, you then go to and look in Table S for the page displaying tables with that interest rate. Looking up the life tenant’s age on that page will get you the breakdown between the life tenant’s percentage interest in the proceeds and the other parties, who on that page are referred to as the “Remainder.” For further explanation, including an example, see  MassHealth Eligibility Operations Memo 07-18 .

The life tenant’s share of the proceeds can be eligible for the $250,000 capital gains exclusion under Internal Revenue Code Section 121, but often the persons receiving the remainder do not live there and their proceeds are subject to capital gains taxation without the ability to use that exclusion. Thus, it can often be advisable to wait until the life tenant’s death before selling real estate.

Note that the failure of the life tenant to receive the life tenant’s full share of the proceeds is considered a disqualifying transfer of assets under federal Medicaid law and MassHealth regulations, and is subject to the 5-year lookback period.

One Comment leave one →
  1. June 27, 2011 10:12 pm

    Great information here. Give it up!

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