California Estate Planning Blog by Kevin Staker

July 25, 2017

Medi-Cal and Long Term Care

Filed under: Kevin Staker,Medi-Cal Planning — Kevin Staker @ 10:38 am
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StakerLaw Tax and Estate Planning
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As the principal attorney and president of the StakerLaw Tax and Estate Planning Law Corporation, Kevin Staker helps clients allocate their assets to protect themselves and their families. Kevin Staker offers advice not only on estate planning but also on the funding of long-term care through Medi-Cal.

Unlike Medicare, which pays for only 100 days of skilled nursing for patients coming from acute care, Medi-Cal can fund care in the long term for eligible individuals. Medi-Cal is available to any California resident whose income does not exceed 138 percent of the federal poverty level and who has limited nonexempt assets. These assets must be below $2,000 for individuals or below $3,000 for couples.

Medi-Cal coverage may also be available for those whose income is above the specified maximum if the person in question has high health care costs. These individuals may be able to participate in Share of Cost Medi-Cal, which requires recipients to allocate a percentage of their monthly income to medical expenses. For long-term care residents, the recipients must pay their full monthly income minus a personal needs allowance.

Similar coverage may also be available to some people through the Assisted Living Waiver, which requires that individuals require a level of care that would necessitate nursing home care without the waiver. Recipients must live in a state-approved facility.

If persons would prefer to live at home and can safely do so, they may receive coverage of medically necessary services from Medi-Cal. Any nonmedical support may be covered through the In-Home Supportive Services (IHSS) program, which is available to people who meet Medi-Cal income eligibility guidelines.

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