I handle Medicaid issues in California, however, I am familiar with the federal Medicaid law applicable in almost all states. As you may know, the home is an exempt asset and is not counted for Medicaid qualification purposes. Under the Deficit Reduction Act (DRA), a home with less than $500,000 in equity is an exempt asset. Thus, your parents likely did not even need to transfer their home to you. However, since they did, it is now effectively out of their Medicaid estate and the state cannot come back to try to recover their costs from you. You might gain a bit of peace of mind by consulting with a NC attorney who practices in this area. You can find an elder law attorney by going to www.naela.org (National Academy of Elder Law Attorneys). Good luck to you with this matter.