<p>FRANKFORT, Ky. — Many elderly residents of nursing homes will be forced to sell their houses to help pay for their care under changes state Medicaid officials plan to implement Sept. 1.</p>
<p>And the state will no longer allow heirs a "homestead exemption'' of $50,500 when it seeks to recover its costs from estates of nursing home residents who have died, state Health Services Secretary Marcia Morgan said yesterday.</p>