The Medi-Cal program must seek repayment from the estates of certain deceased members for Medi-Cal benefits received on or after their 55th birthday. Repayment includes fee-for-service and managed care premiums and capitation payments for nursing facility services, home and community-based services, and related hospital and prescription drug services received when the member was in inpatient in a nursing facility or was receiving home and community-based services. Repayment cannot exceed the value of a member’s probated estate.
To learn more, go to the DHCS Estate Recovery Program web page or call 1-916-650-0490.