Under Medicaid's family caregiver rules, a sibling caregiver can be part of that protected class to whom a transfer of property in exchange for giving care would be an exception to the look back rules of medicaid. The fact your mom had been paying her sister may factor into this if what she was paying your sister was not reimbursement for expenses, but a local elder law attorney can usually structure this to show that the payments were really reimbursement to the sister for the expenses she was paying for your mother and are not commensurate with the actual services the sister is providing. Therefore, it is likely that the transfer of the home would be exempted under the Family Caregiver Exemption for the transfer of the assets to the sibling caregiver.

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