The state settled with the LoGrandes in 2019 and released its claim on the house. Critics argue the “cruel” program collects too little — roughly 1% — of the more than $150 billion Medicaid spends yearly on long-term care. In Tennessee, which recovered more than $38.2 million from more than 8,100 estates last year, Imani Mfalme found herself in a similar predicament after her mother’s death in 2021.