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My mom was receiving IHSS without any share of cost and had to be transferred into the nursing home during the pandemic. They increased her share of cost. Is this allowed?

Posted onAuthoremil@canhr.org

Dear Advocate:

My mom was receiving IHSS without any share of cost and had to be transferred into the nursing home during the pandemic. They increased her share of cost. Is this allowed?

Yours truly, Confused in Tehama

Dear Confused:

Great news! According to ACWDL 21-16, Medi-Cal recipients who received Medi-Cal in the community without a share of cost because of their participation in the Aged & Disabled Federal Poverty Level Program (A&D FPL) should not have received a share of cost if they moved into a nursing home and received Medi-Cal for Long Term Care. Medi-Cal recipients who participate in the A&D FPL Program fall under the Tier 1 coverage, “Beneficiaries…must remain in their same tier of eligibility through the end of the month in which the federal COVID-19 PHE ends.” If your mom received an increase in her share of cost after she moved into the nursing home, contact the local county Medi-Cal office immediately and provide them with a copy of the all-county letter above.