OBRA ‘93 is a federal law made significant changes to Medicaid, including those summarized in the chart below.
|Prior Law||OBRA ‘93|
|Medicaid Estate Recovery||Limited to Medicaid provided to individuals 65 years of age or older or permanently institutionalized.||Expanded to Medicaid provided to individuals 55 years of age and older.|
|Pursuing Estate Recovery||Voluntary.||Mandatory.|
|Undue Hardship Exception||N/A||Requires that provision be made to avoid imposing undue hardship as a result of estate recovery actions.|
See Medicaid Liens and Recoveries (02 OMM/ADM-3), April 17, 2002.