Federal law requires state Medicaid programs to recover certain Medicaid benefits paid on a person’s behalf. For those individuals who are 55 or older, each state is required to seek recovery of the amount the state’s Medicaid program spent on each person’s behalf. However, states may not recover from the estate of a Medicaid enrollee who is survived by a spouse, child under 21, or a blind or disabled child. However, on the passing of the spouse, the Medicaid claim may then be pursued. States may impose liens on real property in order to recover payment for Medicaid benefits.