Medicaid and real estate

[Rich Hupper]

Do any fellow Mass RE investors have experience dealing with properties where the purchase of the property may be subject to a medicaid lien. 

I have run into two situations as of late where the title holders were racking up medicaid bills. Any tips or tricks as to what to watch out for and how much these liens can effect the owners equity?

I do not understand how medicaid works for the most part.

Thanks