2019 ELIGIBILITY GUIDELINES FOR MEDI-CAL LONG TERM CARE BENEFITS (Nursing Home Care)

A Medi-CAL Long Term Care applicant must be in a skilled nursing home and be 65 years of age, blind or disabled to receive Long Term Care Medi-Cal benefits. 

A proper legal strategy in Medi-Cal eligibility planning will not only qualify our clients for Medi-Cal benefits while preserving assets in an Irrevocable Trust, but also provide asset protection from future Medi-Cal estate recovery (including the family home).  LA LAW Center has great experience in successfully preparing and implementing effective asset protection plans ​​that meet eligibility rules and provide estate recovery protection.

ASSET LIMITS TO QUALIFY

An unmarried applicant must have no more than $2,000 (for 2019) in “non-exempt” assets.

A married couple with an applicant has the following assets limits:

  • The well spouse can have $126,420 (for 2019) in “non-exempt” assets.
  • The Medi-Cal applicant must have no more than $2,000 (for 2019) in “non-exempt” assets.

Medi-Cal defines the following assets as “exempt” and their values are not counted in determining an applicant’s eligibility as listed above:

  1. One vehicle each
  2. Residence (other properties are counted and can be moved to qualify)
  3. Life insurance policies with NO CASH VALUE
  4. Burial plots
  5.  Prepaid Irrevocable Pre Needs Burial Contracts
  6. Household goods and furniture
  7. Qualified retirement accounts (IRAs, 401Ks) there are some restrictions

It is important to have an experienced elder law attorney help you set up Medi-Cal qualification plan with the existing and changing Medi-Cal regulations. Also, it is important to know the potential tax ramifications that Medi-Cal planning might trigger. Advanced planning is recommended as the laws may be changing soon and the transfers we can do now will be grandfathered in and will be allowed.

LA LAW Center staff will guide you in protecting any recovery as most asset will not be in person’s name that has passed away most likely avoid potential Medi-Cal estate recovery.

MEDI-CAL ESTATE RECOVERY

Medi-Cal keeps track of the total amount of benefits it pays out over the lifetime of a Medi-Cal beneficiary and attempts to recover that amount from the beneficiary’s remaining estate.  Medi-Cal may only potentially recover from the assets that the Medi-Cal beneficiary has an ownership interest in at the time of their passing, and only after the death of the Medi-Cal beneficiary’s spouse.  Thus, the Medi-Cal beneficiary’s spouse will have unrestricted use of the assets for the remainder of their life.  Fairly recently in 2017, the Medi-Cal recovery regulations where overhauled to the advantage of Medi-Cal beneficiaries.  

Our firm will carefully review your financial assets and strategies in order to minimize or, more than likely, completely avoid potential Medi-Cal estate recovery. A proper Medi-Cal eligibility plan will not only qualify an individual for Medi-Cal benefits (thereby preserving assets), but also provide asset protection from future Medi-Cal estate recovery (including protection of one’s home).  Our firm is highly qualified in preparing and implementing effective asset protection plans ​​that address not only eligibility, but also complete estate recovery protection.

We specialize in preparing legal Medi-Cal qualification plans for emergency situations (includes client in hospital or skilled nursing home looking at Medicare 100 days running out!).  Very quickly, once we see an overview of assets, we can create and plan and timing of how quickly we can get our clients qualified for Medi-Cal.  Medi-Cal can be made effective the first day of the month that assets are reassigned into an Irrevocable Trust (or possibly even three months retroactively if assets just need to be moved between spouses).

You will not be sorry to call us about Medi-Cal Long Term Care Planning! The sooner the better as we anticipate the laws changing as restricting asset transfers. Our rule of thumb is:

“IF YOU THINK YOU MAY NEED LONG TERM CARE IN THE NEXT 5 YEARS,CALL US NOW!”

We offer free consultations. Call (818)241-4238. Or visit www.la-lawcenter.com