Section 14000, Medicaid Estate Recovery Program (MERP) Overview

Revision 19-4; Effective September 9, 2019


Texas Health and Human Services Commission (HHSC) must operate a MERP to recover the costs of Medicaid long-term care benefits received by certain Medicaid recipients, in accordance with the Texas Administrative Code, Title 1, Part 15, Chapter 373.

The local intellectual and developmental disability authority (LIDDA) must require its enrollment staff to:

Information regarding MERP is found on the HHS website or by emailing

For information regarding a specific case, call toll-free at 800-641-9356.