Qhov Kev Pabcuam Rov Qab Av
Kev rov qab vaj tsev yog dab tsi?
Qhov kev pab cuam Medi-Cal yuav tsum nrhiav kev them rov qab los ntawm cov cuab yeej cuab tam ntawm qee cov neeg tau txais txiaj ntsig Medi-Cal uas tuag lawm. Kev them rov qab tsuas yog siv rau cov txiaj ntsig tau txais los ntawm cov neeg tau txais txiaj ntsig no thaum lossis tom qab lawv hnub nyoog 55 xyoos thiab cov uas muaj cuab tam thaum tuag. Yog tias tus neeg tau txais txiaj ntsig tuag tsis muaj dab tsi thaum lawv tuag, yuav tsis muaj nuj nqis dab tsi.
For Medi-Cal members who died on or after January 1, 2017: (See Changes to Estate Recovery effective January 1, 2017 due to Legislation SB 833)
- Kev them rov qab tsuas yog txwv rau cov cuab yeej cuab tam uas raug txiav txim siab uas yog tus tswv ntawm tus neeg tau txais txiaj ntsig thaum tuag.
- Kev them rov qab yuav raug txwv rau cov nyiaj them, suav nrog cov nqi kho mob uas tau them, rau cov kev pabcuam hauv tsev laus, cov kev pabcuam hauv tsev thiab hauv zej zog, thiab cov kev pabcuam hauv tsev khomob thiab cov tshuaj noj tshuaj uas tau txais thaum tus neeg tau txais txiaj ntsig yog tus neeg mob nyob hauv tsev laus lossis tau txais kev pabcuam hauv tsev thiab hauv zej zog. .
For Medi-Cal beneficiaries who died prior to January 1, 2017:
- Kev them rov qab yuav raug nrhiav los ntawm txhua yam khoom muaj nqis los ntawm tus neeg tau txais txiaj ntsig tuag thaum lub sijhawm tuag.
- Kev them rov qab yuav raug them rau cov nqi them rau cov kev pabcuam feem ntau tau txais thiab/lossis cov nqi khomob uas raug tswj hwm txhua hli them rau tus neeg tau txais txiaj ntsig Medi-Cal.
Xa Daim Ntawv Ceeb Toom Txog Kev Tuag
If you are the person handling the affairs of the deceased Medi-Cal beneficiary, you must provide “Notice of Death” to the Director of DHCS within 90 days of the date of death with a copy of the death certificate. To satisfy the “Notice of Death” requirement and for fastest processing, complete and submit online the “Notice of Death” form with a copy of the death certificate. You may also mail “Notice of Death” with a copy of the death certificate to DHCS at: Department of Health Care Services, Estate Recovery Program, MS 4720, P.O. Box 997425, Sacramento, CA 95899-7425.
Kev zam / zam
Specific limitations or exemptions may apply. The Department of Health Care Services (DHCS) may waive its claim if payment of the claim would cause a substantial hardship. Any request for a substantial hardship waiver must be submitted to DHCS within 60 days of the date on the DHCS Estate Recovery claim letter.
Applications for Hardship Waiver and other documentation pertaining to Hardship Waiver Applications can be submitted via email to HW@DHCS.CA.GOV or by mail.
Certain income and resources of American Indians and Alaska Natives are exempt from Estate Recovery. Please be sure to inform DHCS if the decedent’s property is on or near a federally recognized reservation, Pueblo, or Colony. A collection representative will contact you to clarify if DHCS can or cannot collect against these assets. For specific details on what assets are exempt from Estate Recovery please see the State Medicaid Manual, Section 3810 (7) and (8).
Them ib Daim Ntawv Thov
When you receive our claim amount and are ready to submit payment, we accept Electronic Fund Transfers (EFT) and checks. Regardless of which method you use to pay, you will need your DHCS Account Number to ensure payment is posted to the correct account.
Cov ntaub ntawv tiv tauj
- Estate Recovery Email: ER@DHCS.CA.GOV
- Hardship Waiver Email: HW@DHCS.CA.GOV
- Phone: (916) 650-0590
- Chaw nyob xa ntawv rau kev sau ntawv:
Department of Health Care Services
Third Party Liability and Recovery Division
Estate Recovery Program – MS 4720
PO ib 997425
Sacramento, CA 95899-7425
- Chaw nyob xa ntawv rau kev them nyiaj:
Department of Health Care Services
Third Party Liability and Recovery Division
Estate Recovery Program – MS 4720
PO ib 997421
Sacramento, CA 95899-7421
Kev thov rau Medi-Cal Cov Nqi Them Nqi Them Nqi Them Nqi Them Rov Qab
Medi-Cal members or their authorized representative may submit a Request for Medi-Cal Expenses Subject to Estate Recovery, form DHCS 4017, once per calendar year for a five dollar ($5) processing fee if the current or former member meets either of the following descriptions:
a. An individual who is 55 years of age or older when the individual received health care services.
b. A permanently institutionalized individual who is an inpatient in a nursing facility, intermediate care facility of the intellectually disabled, or other medical institution.