The Medi-Cal program must seek repayment from probated estates of certain deceased members for Medi-Cal benefits received on or after their 55th birthday. Repayment includes Fee-for-Service (FFS) and managed care premiums or capitation payments for nursing facility services, home and community-based services, and related hospital and prescription drug services received when the member was an 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 1-916-650-0590.