Learning about Medi-Cal eligibility can be a time consuming, complicated and stressful process. Unless you work in the senior care field, or in another business that serves Medi-Cal beneficiaries, it’s very difficult to know where to start. I hope the information below will help.
Medi-Cal covers a variety of medical services for children and adults with limited income and limited resources. Medi-Cal is paid for with federal and state taxes.
For the purposes of this website, we are talking about seniors needing care.
There’s not one set formula to determine Medi-Cal eligibility. There are many factors that need to be considered.
These factors include income, assets, home ownership, legal relationships with family members, if and how legal documents have been prepared, type and level of care needed, and type of care facility or home care required.
*Medi-Cal and Medi-Caid are the same thing. Medi-Cal is California’s name for its Medi-Caid program.
Ways To Determine Medi-Cal Eligibility
To apply for Medi-Cal and determine Medi-Cal Eligibility, you can:
- Complete the application for Medi-Cal yourself either online or in person. Click here to go to the Covered California website.
- If you or your loved one is already in a skilled nursing facility, ask the social services and/or admissions staff if they can help you apply for Medi-Cal.
- Use an experienced, qualified Medi-Cal attorney. Using an attorney is especially important if you have income and assets and/or you have not done any legal planning yet. Some estate planning attorneys are well versed in Medi-Cal, so be sure to ask your personal attorney (if you have one) before you search for someone else. However, if you need to find a qualified, San Diego Medi-Cal attorney, please contact me for reliable references.
As you go through the process of applying for and being accepted for Medi-Cal, remember that in the state of California, Medi-Cal coverage is limited.
For a senior needing care, the only types of facilities that accepts Medi-Cal as payment are skilled nursing centers and a very few assisted living licensed facilities that are part of our assisted living waiver program.
Medi-Cal will also pay for limited in home care assistance through San Diego County’s Aging and Independence Services’ IHSS (In Home Supportive Services) program.