Medi-Cal Planning For Skilled Nursing Home Care in California

One of the greatest fears of elderly Americans isFor married couples, a Court Petition pursuant to
that they may require nursing home care. ThisCalifornia Probate Code Section 3100 is often a
not only means a great loss of personalvaluable tool used to significantly increase the
autonomy, but also a tremendous financial price.standard Medi-Cal eligibility limit, reduce or possibly
Depending on location and level of care, nursingeliminate the "share of cost" co-payment and to
homes cost between $35,000 and $150,000 pertransfer all assets to the Medi-Cal beneficiary's
year.spouse thereby eliminating potential Medi-Cal
Most people end up paying for nursing home carerecovery.
out of their savings until they run out. Then theyFor single individuals, numerous "conversion"
can qualify for Medi-Cal to pick up the cost.strategies (which turn otherwise countable assets
However, with careful planning, whether ininto exempt asset categories) and "spend down"
advance or in response to an unanticipated needstrategies are available to quickly qualify an
for care, you can protect your estate for yourindividual for Medi-Cal benefits.
spouse or children.Unfortunately, many people are misinformed
Proper California Medi-Cal planning covers theabout the eligibility criteria Medi-Cal uses to
following three areas:determine eligibility. Such misinformation is likely
1. Eligibility Planning - to qualify for Medi-Caldue to the ever changing and complicated
benefits;Medi-Cal regulations. Despite what you might have
2. Income Planning - to reduce or potentiallyheard, you do not have to be destitute in order
eliminate a Medi-Cal beneficiary's monthly "shareto qualify for Medi-Cal benefits. With the guidance
of cost" co-payment; andof a knowledgeable elder law attorney it is
3. Estate Recovery Planning - to potentially reducepossible to implement various planning techniques
or eliminate Medi-Cal recovery against the Medi-Calin order to qualify for Medi-Cal benefits.
beneficiary's estate.