不動産回復プログラム
エステートリカバリーとは?
Medi-Calプログラムは、特定の死亡したMedi-Cal受益者の財産から返済を求める必要があります。 返済は、これらの受益者が55歳の誕生日以降に受け取った給付金、および死亡時に資産を所有していた人にのみ適用されます。 死亡した受益者が死亡したときに何も所有していない場合、何も支払う必要はありません。
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)
- 返済は、死亡時に死亡した受益者が所有していた遺言検認の対象となる不動産資産のみに限定されます。
- 返済は、介護施設サービス、在宅および地域密着型サービス、および受益者が介護施設の入院患者であったとき、または在宅および地域密着型サービスを受けた場合に受けた関連病院および処方薬サービスに対して支払われたマネージドケア保険料を含む支払いに限定されます。
For Medi-Cal beneficiaries who died prior to January 1, 2017:
- 返済は、死亡時に死亡した受益者が所有していたすべての資産から求められます。
- 返済は、Medi-Calの受益者に代わって支払われた、受けたほとんどのサービスに対して行われた支払い、および/または毎月のマネージドケア保険料に対して支払われます。
死亡届の提出
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.
免除/免除
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).
請求の支払い
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.
連絡先
- 不動産回復メール: ER@DHCS.CA.GOV
- 苦難免除メール: HW@DHCS.CA.GOV
- Phone: (916) 650-0590
- 書面での通信の郵送先住所:
Department of Health Care Services
第三者賠償責任・回収部門
Estate Recovery Program – MS 4720
私書箱 ボックス997425
サクラメント、カリフォルニア州95899-7425
- 支払いの郵送先住所:
Department of Health Care Services
第三者賠償責任・回収部門
Estate Recovery Program – MS 4720
私書箱 ボックス997421
サクラメント、CA 95899-7421
遺産回収の対象となる医療費の請求
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.