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As illustrated by a recent New York Times cover story*, nursing homes throughout the country are rapidly adopting a “new” business model: attract lucrative short term patients paying through Medicare, and then throw them out once their Medicare coverage ends.
Medi-Cal is California’s health insurance program for low-income or low-resource individuals, funded jointly through state and federal dollars. There are many different Medi-Cal programs, and each program has different eligibility criteria.
The following property is generally exempt and therefore not counted in determining Long Term Care Medi-Cal eligibility:
- The home: totally excluded, if it is the principal residence.
Special Alert Thanks to new laws enacted in 2021, the state is expected to eliminate the Medi-Cal asset test completely no sooner than January 2024.
July 1, 2022 California increased the asset limit for certain Medi-Cal programs, and is expected to eventually remove asset limit requirements altogether. The state raised the Medi-Cal asset limit for a single individual to $130,000, $195,000 for a couple, and $65,000 for each additional family member.
This fact sheet may be useful to married couples or registered domestic partners, one of whom is seeking Medi-Cal benefits to cover the cost of in-home caregiving or other services at home.
Supplemental Security Income/State Supplementary Payment (SSI) is a program funded by the federal and state government that guarantees a minimum monthly income to people who are over 65, blind or disabled, and have limited income and resources.