My grandpa is in long-term care. He wants to gift me his motorcycle, but my uncle says I can’t have it because of Medicaid rules. What can I do?

My grandpa is in long-term care. He wants to gift me his motorcycle, but my uncle says I can’t have it because of Medicaid rules. What can I do?


February 27, 2026 | Peter Kinney

My grandpa is in long-term care. He wants to gift me his motorcycle, but my uncle says I can’t have it because of Medicaid rules. What can I do?


A Gift Ungiven

Your grandfather has told you over and over that he wants you to inherit his vintage motorcycle. But the problem is, he’s receiving long-term care and is on Medicaid. Your uncle has already told you the bike can’t be legally transferred to you without jeopardizing your grandpa’s care benefits or triggering penalties. To make sure the motorcycle ends up in your hands, you need to know how Medicaid treats gifts and look-backs.

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How Medicaid Reviews Asset Transfers

Medicaid has a look-back period, typically of five years, where transfers of assets for less than fair market value are looked at closely. If your grandfather gives you the motorcycle outright, Medicaid could look on that as a gift and penalize him by delaying his eligibility for coverage or charging him for care. This could potentially cause months of lost benefits.

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What Qualifies As A "Gift" Under Medicaid

Giving property like a motorcycle to a family member without getting fair market value in return is generally considered a gift under Medicaid rules. A simple transfer of the title, even if it’s just a promise in conversation, could be flagged in a Medicaid review if it happened within the look-back period. This would have consequences for your grandfather’s eligibility.

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Why The Motorcycle Matters For Eligibility

Although a motorcycle may not be as valuable as a house, its value still counts when Medicaid totals up the value of your grandfather’s assets. If the bike is considered a gift and Medicaid denies eligibility for a period of time, your grandfather could face penalty months in which he has to pay out of pocket for care that Medicaid would’ve otherwise covered.

black and gray cruiser motorcycle park on roadTorrey Loomis, Unsplash

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The Fair Market Value Rule

If your grandfather sells the motorcycle to you for its fair market value, that is, what it would reasonably sell for to somebody else, Medicaid generally doesn’t treat that as a penalizable transfer. This means you’d pay full price based on a professional valuation or comparable sales instead of just getting it for free.

Two men enjoy quality time with motorcycles outside a garage, symbolizing parenthood and bonding.Kindel Media, Pexels

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Get A Professional Valuation

Before transferring ownership of the motorcycle, have it professionally appraised or get some kind of a clear valuation from a reputable source. Examples of this could be Kelley Blue Book values or a certified appraiser. A written valuation supports the argument that any transfer you make matches fair market value and is not a gift from Medicaid’s point of view.

Two men at a motorcycle dealership discussing a motorbike purchase.Gustavo Fring, Pexels

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Buying The Bike From Your Grandfather

One surefire way to avoid penalties is to just flat out buy the motorcycle at fair market value. With a valuation in hand, you can pay the agreed price and the title can be transferred. Medicaid is unlikely to penalize a fair sale compared to a free gift. This will protect your grandpa’s eligibility for long-term care coverage.

A close-up image of hands exchanging US dollar bills, symbolizing financial transaction or payment.Kindel Media, Pexels

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A Written Contract Helps

Draft up a simple purchase contract showing the sale price, valuation, and payment terms. Even a short, written agreement adds a layer of legitimacy to the transfer, protects both of you legally, and gives Medicaid concrete evidence that it was an arm’s-length transaction rather than a gift.

Close-up of contract papers with Scrabble tiles spelling 'CONTRACT'.RDNE Stock project, Pexels

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Use A Promissory Note

If you can’t pay the full amount in cash right away, consider a promissory note where you agree to pay fair market value over time. Document the payment terms, interest if any, and the payment schedule. All of this will help show that the transaction is legitimate and may protect your grandfather from Medicaid penalties.

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Avoid Large Cash Gifts Before Sale

Don’t accept any other large cash gifts from your grandfather to help you pay for the motorcycle. Medicaid could interpret this type of work-around cash as another gift. Then you’ll be right back where you started from, potentially triggering penalties. It’s better to structure payments clearly as part of a properly documented sale.

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Transferring Title Properly

When changing ownership of the motorcycle, follow your state’s motor vehicle procedures for title transfer. Ensure the DMV paperwork carries all the relevant information about the transfer, including the sale price, date, and signatures. Filing any kind of incomplete or inaccurate information, like marking gift instead of sale, could later cause Medicaid or tax issues.

Wednesday, June 6, 2018 -- Governor Dannel P. Malloy today announced that beginning this Thursday, June 7, 2018, a new, state-of-the-art DMV Express Center will open at the Nutmeg State Financial Credit Union at 977 Boston Post Road in Milford.  The location will offer customers the ability to renew driver’s licenses and ID cards while utilizing services designed to help streamline the transactions, including the ability to offer appointments, provide service tickets stamped with same-day times, offer self-service information kiosks, and provide text and email messages for customer convenience.Dannel Malloy, Wikimedia Commons

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Gift Exceptions Under Medicaid Are Limited

Some Medicaid rules allow for small gifts or support for living expenses, but large gifts like vehicles typically don’t qualify as exceptions. Don’t rely on vague family arrangements to protect eligibility. Medicaid’s look-back and penalty rules are precise and are strictly enforced.

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Medicaid Vs Medicare

Medicaid eligibility and penalties are separate from those of Medicare. Medicare doesn’t penalize asset transfers for long-term care because it doesn’t cover most long-term custodial care. Your focus here needs to be on protecting Medicaid eligibility specifically, not worrying about your grandpa’s Medicare coverage.

Doctor talks with an elderly patient on a couch.Vitaly Gariev, Unsplash

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What Happens If Penalties Are Imposed?

If Medicaid finds a transfer within the look-back period, benefits can be denied for a number of months proportional to the value transferred. This means that your grandfather might have to pay out of pocket for care until that assessed penalty period ends.

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Plan Ahead With Elder Law Counsel

You may want to speak with an elder law attorney who specializes in Medicaid and long-term care planning. These lawyers can suggest legal strategies, review the situation, and help you structure the transaction to minimize any penalties and protect your grandfather’s benefits.

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Alternative: Gifting At End Of Life

If your grandfather is terminally ill and isn’t expected to live past the Medicaid look-back period, some limited transfers may carry less long-term impact. But this scenario is highly complex and almost certainly should be reviewed by an attorney before taking any action on it.

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Alternative: Hold The Motorcycle In Trust

In some cases, placing the motorcycle into a trust may help. Certain irrevocable trusts created outside the look-back period can protect these kinds of assets from Medicaid penalties. But again, trust planning has to be done carefully and usually this should have been done well before any long-term care was needed.

Lawyer discussing legal documents with clients at office desk.Pavel Danilyuk, Pexels

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Alternative: Family Care Agreements

Families sometimes create care contracts where a relative provides caregiving services in exchange for payment. A properly structured agreement can justify these kinds of transactions without them being viewed as gifts. But this is another alternative that may be more complicated than it’s worth, as these contracts must meet strict requirements and be reviewed by a qualified attorney.

A woman assists an elderly man with meals at home, showcasing care and support.Kampus Production, Pexels

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Tax Considerations Of The Transfer

No matter whether you buy the motorcycle or receive it as a gift, there may be tax implications. Gifts over the annual federal exclusion may require that you file a gift tax return. Always consult with a tax professional in order to confirm reporting obligations.

black Android smartphone near ballpoint pen, tax withholding certificate on top of white folderKelly Sikkema, Unsplash

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Keep Documentation For Medicaid Review

Keep all documentation, including valuations, contracts, payments, title transfers, and attorney correspondence. If Medicaid questions the transaction, thorough documentation demonstrating a fair market sale will strengthen your position and reduce the likelihood of penalties.

Casual woman reading documents in a stylish indoor setting with modern lighting.Mikhail Nilov, Pexels

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