{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2026\/code-json\/32.1-326.1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2026\/code-text\/32.1-326.1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2026\/code-xml\/32.1-326.1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2026\/code-html\/32.1-326.1.html"}],"law_id":359515,"edition_id":2,"section_id":359515,"structure_id":51418,"section_number":"32.1-326.1","catch_line":"Department to operate program of estate recovery","history":"1993, cc. 193, 700.","full_text":"In accordance with applicable federal law and regulations, including those under Title XIX of the Social Security Act, the Department shall operate a program of estate recovery for all persons who receive payments or on whose behalf payments are made for Medicaid-financed nursing facility care by the Department. The amount recovered from the estate of a deceased recipient shall not exceed the amount of total Medicaid payments made on behalf of such recipient.\n\n","order_by":null,"text":{"0":{"id":1337579,"text":"In accordance with applicable federal law and regulations, including those under Title XIX of the Social Security Act, the Department shall operate a program of estate recovery for all persons who receive payments or on whose behalf payments are made for Medicaid-financed nursing facility care by the Department. The amount recovered from the estate of a deceased recipient shall not exceed the amount of total Medicaid payments made on behalf of such recipient.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":51418,"edition_id":2,"name":"General Provisions","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":51417,"metadata":{"child_laws":43,"child_structures":0},"date_created":"2026-08-02 02:42:13","date_modified":"2026-08-02 12:32:26","permalink":{"id":1428357,"object_type":"structure","relational_id":51418,"identifier":"1","token":"32.1\/10\/1","url":"\/32.1\/10\/1\/","edition_id":2,"permalink":0,"preferred":1}},{"id":51417,"edition_id":2,"name":"Department of Medical Assistance Services","identifier":"10","label":"chapter","depth":2,"order_by":14,"parent_id":51343,"metadata":{"child_laws":51,"child_structures":4},"date_created":"2026-08-02 02:42:13","date_modified":"2026-08-02 12:32:26","permalink":{"id":1428355,"object_type":"structure","relational_id":51417,"identifier":"10","token":"32.1\/10","url":"\/32.1\/10\/","edition_id":2,"permalink":0,"preferred":1}},{"id":51343,"edition_id":2,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":75,"parent_id":null,"metadata":{"child_laws":857,"child_structures":128},"date_created":"2026-08-02 02:40:53","date_modified":"2026-08-02 12:32:12","permalink":{"id":1428101,"object_type":"structure","relational_id":51343,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":2,"permalink":0,"preferred":1}}],"structure_contents":[{"id":359498,"structure_id":51418,"section_number":"32.1-323","catch_line":"Department of Medical Assistance Services","url":"\/32.1-323\/","token":"32.1\/10\/1\/32.1-323","metadata":false},{"id":359494,"structure_id":51418,"section_number":"32.1-323.1","catch_line":"Department to submit forecast of expenditures","url":"\/32.1-323.1\/","token":"32.1\/10\/1\/32.1-323.1","metadata":false},{"id":359495,"structure_id":51418,"section_number":"32.1-323.2","catch_line":"Elimination of waiting lists for certain waivers","url":"\/32.1-323.2\/","token":"32.1\/10\/1\/32.1-323.2","metadata":false},{"id":359496,"structure_id":51418,"section_number":"32.1-323.3","catch_line":"Dependents of foreign service members; waiting lists for certain waivers","url":"\/32.1-323.3\/","token":"32.1\/10\/1\/32.1-323.3","metadata":false},{"id":359497,"structure_id":51418,"section_number":"32.1-323.4","catch_line":"Department to facilitate transition of persons between certain waiver programs","url":"\/32.1-323.4\/","token":"32.1\/10\/1\/32.1-323.4","metadata":false},{"id":359502,"structure_id":51418,"section_number":"32.1-324","catch_line":"Board of Medical Assistance Services","url":"\/32.1-324\/","token":"32.1\/10\/1\/32.1-324","metadata":false},{"id":359499,"structure_id":51418,"section_number":"32.1-324.1","catch_line":"Authority to administer oaths, conduct hearings; obtaining relevant documents and other information","url":"\/32.1-324.1\/","token":"32.1\/10\/1\/32.1-324.1","metadata":false},{"id":359500,"structure_id":51418,"section_number":"32.1-324.2","catch_line":"Director to facilitate communication","url":"\/32.1-324.2\/","token":"32.1\/10\/1\/32.1-324.2","metadata":false},{"id":359501,"structure_id":51418,"section_number":"32.1-324.3","catch_line":"Uninsured Medical Catastrophe Fund established","url":"\/32.1-324.3\/","token":"32.1\/10\/1\/32.1-324.3","metadata":false},{"id":359514,"structure_id":51418,"section_number":"32.1-325","catch_line":"Board to submit plan for medical assistance services to U.S. Secretary of Health and Human Services pursuant to federal law; administration of plan; contracts with health care providers","url":"\/32.1-325\/","token":"32.1\/10\/1\/32.1-325","metadata":false},{"id":359503,"structure_id":51418,"section_number":"32.1-325.001","catch_line":"Repealed","url":"\/32.1-325.001\/","token":"32.1\/10\/1\/32.1-325.001","metadata":false},{"id":359504,"structure_id":51418,"section_number":"32.1-325.01","catch_line":"Certain term life insurance considered resources","url":"\/32.1-325.01\/","token":"32.1\/10\/1\/32.1-325.01","metadata":false},{"id":359505,"structure_id":51418,"section_number":"32.1-325.02","catch_line":"Determinations of assets; disclaimers of interests to be considered uncompensated transfers of assets for Medicaid eligibility purposes under certain circumstances","url":"\/32.1-325.02\/","token":"32.1\/10\/1\/32.1-325.02","metadata":{"court_decisions":{"0":{"name":"Commonwealth v. Puckett","case_number":"1220596","citation":null,"date":"2023-11-22","url":"https:\/\/www.courtlistener.com\/opinion\/9443890\/commonwealth-v-puckett\/","abstract":" .\u202f.\u202f. PRESENT: Goodwyn, C.J., Powell, Kelsey, McCullough, Chafin, and Mann, JJ., and Millette, .\u202f.\u202f. ","court_html":"<abbr title=\"Supreme Court of Virginia\">SCV<\/abbr>"},"1":{"name":"Toulson v. Ampro Fisheries, Inc.","case_number":"Civ. No. 3:94CV433","citation":"872 F. Supp. 271","date":"1995-01-10","url":"https:\/\/www.courtlistener.com\/opinion\/8728394\/toulson-v-ampro-fisheries-inc\/","abstract":" .\u202f.\u202f. MEMORANDUM .\u202f.\u202f. ","court_html":"District Court, E.D. Virginia"},"2":{"name":"Children's Hospital of the King's Daughters, Inc. v. Price","case_number":"ACTION NO. 2:17cv139","citation":"258 F. Supp. 3d 672","date":"2017-06-20","url":"https:\/\/www.courtlistener.com\/opinion\/7326023\/childrens-hospital-of-the-kings-daughters-inc-v-price\/","abstract":" .\u202f.\u202f. OPINION AND ORDER .\u202f.\u202f. ","court_html":"District Court, E.D. Virginia"}}}},{"id":359506,"structure_id":51418,"section_number":"32.1-325.03","catch_line":"Legal presence required for certain state and local public benefits; exceptions; definitions; proof of legal presence","url":"\/32.1-325.03\/","token":"32.1\/10\/1\/32.1-325.03","metadata":false},{"id":359507,"structure_id":51418,"section_number":"32.1-325.04","catch_line":"Eligibility for medical assistance; individuals confined in state correctional facilities","url":"\/32.1-325.04\/","token":"32.1\/10\/1\/32.1-325.04","metadata":false},{"id":359508,"structure_id":51418,"section_number":"32.1-325.1","catch_line":"Appeals of agency determinations","url":"\/32.1-325.1\/","token":"32.1\/10\/1\/32.1-325.1","metadata":false},{"id":359509,"structure_id":51418,"section_number":"32.1-325.1:1","catch_line":"Definitions; recovery of overpayment for medical assistance services","url":"\/32.1-325.1_1\/","token":"32.1\/10\/1\/32.1-325.1_1","metadata":false},{"id":359510,"structure_id":51418,"section_number":"32.1-325.2","catch_line":"Department is payor of last resort","url":"\/32.1-325.2\/","token":"32.1\/10\/1\/32.1-325.2","metadata":false},{"id":359511,"structure_id":51418,"section_number":"32.1-325.3","catch_line":"Disclosure or use of information for purpose not connected with medical assistance program; Department not subject to certain disclosure","url":"\/32.1-325.3\/","token":"32.1\/10\/1\/32.1-325.3","metadata":{"court_decisions":""}},{"id":359512,"structure_id":51418,"section_number":"32.1-325.4","catch_line":"Penalty for violation","url":"\/32.1-325.4\/","token":"32.1\/10\/1\/32.1-325.4","metadata":{"court_decisions":""}},{"id":359513,"structure_id":51418,"section_number":"32.1-325.5","catch_line":"State pharmacy benefits manager","url":"\/32.1-325.5\/","token":"32.1\/10\/1\/32.1-325.5","metadata":false},{"id":359518,"structure_id":51418,"section_number":"32.1-326","catch_line":"Director may make payments to or for eligible persons in state-owned medical facilities","url":"\/32.1-326\/","token":"32.1\/10\/1\/32.1-326","metadata":false},{"id":359515,"structure_id":51418,"section_number":"32.1-326.1","catch_line":"Department to operate program of estate recovery","url":"\/32.1-326.1\/","token":"32.1\/10\/1\/32.1-326.1","metadata":{"court_decisions":""}},{"id":359516,"structure_id":51418,"section_number":"32.1-326.2","catch_line":"Pilot school\/community health centers","url":"\/32.1-326.2\/","token":"32.1\/10\/1\/32.1-326.2","metadata":false},{"id":359517,"structure_id":51418,"section_number":"32.1-326.3","catch_line":"Special education health services; memorandum of agreement between the Department of Education and the Department of Medical Assistance Services","url":"\/32.1-326.3\/","token":"32.1\/10\/1\/32.1-326.3","metadata":false},{"id":359519,"structure_id":51418,"section_number":"32.1-327","catch_line":"Claim against indigent's estate for payments made","url":"\/32.1-327\/","token":"32.1\/10\/1\/32.1-327","metadata":{"court_decisions":""}},{"id":359520,"structure_id":51418,"section_number":"32.1-328","catch_line":"Repealed","url":"\/32.1-328\/","token":"32.1\/10\/1\/32.1-328","metadata":false},{"id":359521,"structure_id":51418,"section_number":"32.1-329","catch_line":"Repealed","url":"\/32.1-329\/","token":"32.1\/10\/1\/32.1-329","metadata":false},{"id":359530,"structure_id":51418,"section_number":"32.1-330","catch_line":"Long-term services and supports screening required","url":"\/32.1-330\/","token":"32.1\/10\/1\/32.1-330","metadata":false},{"id":359523,"structure_id":51418,"section_number":"32.1-330.01","catch_line":"Reports related to long-term services and supports","url":"\/32.1-330.01\/","token":"32.1\/10\/1\/32.1-330.01","metadata":{"court_decisions":""}},{"id":359524,"structure_id":51418,"section_number":"32.1-330.02","catch_line":"Average hourly payment rates; publication","url":"\/32.1-330.02\/","token":"32.1\/10\/1\/32.1-330.02","metadata":{"court_decisions":""}},{"id":359525,"structure_id":51418,"section_number":"32.1-330.1","catch_line":"Department to implement premium assistance program for HIV-positive individuals","url":"\/32.1-330.1\/","token":"32.1\/10\/1\/32.1-330.1","metadata":false},{"id":359526,"structure_id":51418,"section_number":"32.1-330.2","catch_line":"Medicaid managed care programs; program information documents; plain language required","url":"\/32.1-330.2\/","token":"32.1\/10\/1\/32.1-330.2","metadata":false},{"id":359527,"structure_id":51418,"section_number":"32.1-330.3","catch_line":"Operation of a PACE plan; oversight by Department of Medical Assistance Services","url":"\/32.1-330.3\/","token":"32.1\/10\/1\/32.1-330.3","metadata":false},{"id":359528,"structure_id":51418,"section_number":"32.1-330.4","catch_line":"Uniform assessment instrument for PACE plans","url":"\/32.1-330.4\/","token":"32.1\/10\/1\/32.1-330.4","metadata":false},{"id":359529,"structure_id":51418,"section_number":"32.1-330.5","catch_line":"Reports related to eligibility renewal","url":"\/32.1-330.5\/","token":"32.1\/10\/1\/32.1-330.5","metadata":false},{"id":359545,"structure_id":51418,"section_number":"32.1-331","catch_line":"Repealed","url":"\/32.1-331\/","token":"32.1\/10\/1\/32.1-331","metadata":{"court_decisions":{"0":{"name":"Fralin v. Kozlowski","case_number":"Record No. 0289-93-3","citation":"447 S.E.2d 238","date":"1994-07-26","url":"https:\/\/www.courtlistener.com\/opinion\/1320305\/fralin-v-kozlowski\/","abstract":" .\u202f.\u202f. 447 S.E.2d 238 (1994) .\u202f.\u202f. ","court_html":"<abbr title=\"Court of Appeals\">COA<\/abbr>"}}}},{"id":359531,"structure_id":51418,"section_number":"32.1-331.01","catch_line":"Health Care Coverage Assessment Fund","url":"\/32.1-331.01\/","token":"32.1\/10\/1\/32.1-331.01","metadata":{"court_decisions":""}},{"id":359532,"structure_id":51418,"section_number":"32.1-331.02","catch_line":"Health Care Provider Payment Rate Assessment Fund","url":"\/32.1-331.02\/","token":"32.1\/10\/1\/32.1-331.02","metadata":{"court_decisions":""}},{"id":359533,"structure_id":51418,"section_number":"32.1-331.03","catch_line":"Process for payment directly to nursing facility or ICF\/MR","url":"\/32.1-331.03\/","token":"32.1\/10\/1\/32.1-331.03","metadata":false},{"id":359534,"structure_id":51418,"section_number":"32.1-331.04","catch_line":"Personal care aides; orientation program","url":"\/32.1-331.04\/","token":"32.1\/10\/1\/32.1-331.04","metadata":{"court_decisions":""}},{"id":359535,"structure_id":51418,"section_number":"32.1-331.05","catch_line":"Coordinated specialty care; work group","url":"\/32.1-331.05\/","token":"32.1\/10\/1\/32.1-331.05","metadata":{"court_decisions":""}},{"id":359536,"structure_id":51418,"section_number":"32.1-331.06","catch_line":"Annual review of medications and treatment for sickle cell disease; report","url":"\/32.1-331.06\/","token":"32.1\/10\/1\/32.1-331.06","metadata":false}],"previous_section":{"id":359518,"structure_id":51418,"section_number":"32.1-326","catch_line":"Director may make payments to or for eligible persons in state-owned medical facilities","url":"\/32.1-326\/","token":"32.1\/10\/1\/32.1-326","metadata":false},"next_section":{"id":359516,"structure_id":51418,"section_number":"32.1-326.2","catch_line":"Pilot school\/community health centers","url":"\/32.1-326.2\/","token":"32.1\/10\/1\/32.1-326.2","metadata":false},"metadata":{"court_decisions":""},"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-326.1\/","history_text":"<p>This law was first created in 1993. The record of its establishment is cataloged in chapters 193 and 700 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1993 \u201cActs\u201d aren\u2019t available online.<\/p>","references":false,"refers_to":false,"permalink":{"id":1428447,"object_type":"law","relational_id":359515,"identifier":"32.1-326.1","token":"32.1\/10\/1\/32.1-326.1","url":"\/32.1-326.1\/","edition_id":2,"permalink":0,"preferred":1},"url":"\/32.1-326.1\/","token":"32.1\/10\/1\/32.1-326.1","dublin_core":{"Title":"Department to operate program of estate recovery","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-326.1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>In accordance with applicable federal <span class=\"dictionary\">law<\/span> and regulations, including those under Title XIX of the Social Security Act, the <span class=\"dictionary\">Department<\/span> shall operate a program of estate recovery for all <span class=\"dictionary\">persons<\/span> who receive payments or on whose behalf payments are made for Medicaid-financed nursing facility care by the <span class=\"dictionary\">Department<\/span>. The amount recovered from the estate of a deceased recipient shall not exceed the amount of total Medicaid payments made on behalf of such recipient.<\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nDEPARTMENT TO OPERATE PROGRAM OF ESTATE RECOVERY (\u00a7 32.1-326.1)\n\nIn accordance with applicable federal law and regulations, including those under\nTitle XIX of the Social Security Act, the Department shall operate a program of\nestate recovery for all persons who receive payments or on whose behalf payments\nare made for Medicaid-financed nursing facility care by the Department. The\namount recovered from the estate of a deceased recipient shall not exceed the\namount of total Medicaid payments made on behalf of such recipient.\n\nHISTORY: 1993, cc. 193, 700.","edition":{"id":2,"name":"2026","slug":"2026","date_created":"2026-07-16 18:40:23","date_modified":"2026-08-02 15:14:36","current":1,"order_by":2,"last_import":"2026-08-02 12:37:30"}}