Medi-Cal is a State of California, Department of Health Services entitlement program that is based on financial and medical needs. Under this program, medical providers are reimbursed directly by the Department of Health Services for medical services they provide to patients. The Medi-Cal program is financed by both federal and state dollars and is administered at the state level by the California Department of Health Services and at the county level by the Department of Social Services. Thompson Von Tungeln provides legal advice to our clients concerning eligibility for Medi-Cal Long Term Care, in nursing home or skilled nursing facility care.
To qualify for Medi-Cal Long Term Care, an applicant must meet two eligibility requirements: categorical and resource. California is not an income cap state, which means that your income may not be a consideration in determining Medi-Cal eligibility (although it can affect Share of Cost (SOC), which is the amount that an institutionalized individual must pay each month to the facility). There are also further state regulations concerning a situation where one spouse is institutionalized and the other spouse remains at home.
Thompson Von Tungeln provides advice and legal strategies to clients about eligibility in order to meet the categorical requirements and automatically receive eligibility or what may need to be done in order to meet the resource requirements and and become eligible for benefits.