If the LTC ends up being $50K and the house is worth $100K, do they force a sale after death and keep the entire amount? Or just the 50K? What fees are added to that, if any? And has anyone had issues with Medicaid releasing their liens (for instance, if the person had 2 properties, Medicaid liens both of them. One is sold and the amount of the lien paid off, has anyone had issues with them releasing the lien on the other property?)
But I think you are getting "cart before horse".
LTC / NH Medicaid has very narrow eligibility. You wrote "If the person had 2 properties, Medicaid liens both of them". Well IF an individual medicaid applicant has 2 properties, they are NOT going to even qualify at all for Medicaid from the get go. There will be no liens as they are NOT EVEN going to be on Medicaid. Medicaid (as law is now) allows for the applicant to have a (one) home as an exempt asset. 1 house that is/was their home & with active current homestead exemption if your state does that. ONE HOME ONLY. Other properties are considered non-exempt assets. Ineligible till any non-exempt assets sold at FMV & with proceeds from act of sale spent down on the elders needs. No gifting or transferring of any of the $. No getting cute on this as real property transactions are recorded to the penny at courthouse & dovetail into local & state records. It's keystrokes away from being found & easily.
By applying for medicaid, you allow for an all access pass (& theres no lanyard or T shirt to wear....lol) to the state to request any & all financial records & background. State can request prior 5 years of bank statements, taxes, life insurance policies, health records, etc.
If your elder has assets, they & their DPOA are best off meeting with an elder law atty to discuss what the options may be. There is a expert of this site - Gabriel Heiser - who has a book on this subject, that is very solid worthwhile reading. Get the book and work up a list of elders assets & of ?'s you & dpoa have and see your atty. The key to Medicaid IMO is planning & knowledge.
Also once they go onto NH Medicaid, all monthly income must be paid to he NH as the SOC (share of cost) less a small personal needs allowance. There will be no-none-nada of their $ anymore. So family will have to pay all property & other costs from day 1 of medicaid till beyond death & through the MERP estate recovery &/or probate process. They could live another 6 mos or 6 years. Realistically to me, if the heirs do not have the time, $$, sense of humor, solid expectation of qualifying for exemptions (to MERP) & willingness to accept all this with risk for possibly years, keeping the elders home (no matter how much your elder wants still wants old house) does not make sense.
Medicaid application today means 5 yr lookback = year 2012.