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When he sells his home does he need to reimburse the VA?

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No he does not pay the VA. Only Medicaid does estate recovery.
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I agrree with pamstegman, only medicaid has the asset recovery program which would subject the long-term care recipient's asset to be taken after his/her demise. In the case of VA, the veterans are not required to pay the VA, as stated in infolongtermcare.org, long-term care services should be accessible to veterans as long as they are illegible and they qualified for long-term care benefits through the US department of veterans affair.
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