遗产追回计划
什么是遗产追回？
Medi-Cal 计划必须从某些已故 Medi-Cal 受益人的遗产中寻求偿还。 偿还仅适用于这些受益人在 55 岁生日当天或之后收到的福利以及死亡时拥有资产的人。 如果受益人去世时没有任何东西，那么他们也就不欠任何东西。
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)
- 偿还范围仅限于受益人死亡时所拥有的、经过遗嘱认证的遗产资产。
- 偿还范围仅限于支付的款项，包括受益人住院在疗养院或接受家庭和社区服务时获得的疗养院服务、家庭和社区服务以及相关医院和处方药服务，包括支付的管理式医疗保险费。
For Medi-Cal beneficiaries who died prior to January 1, 2017:
- 将从受益人死亡时所拥有的所有资产中寻求偿还。
- 对于所收到的大部分服务的费用和/或代表 Medi-Cal 受益人支付的每月管理医疗保险费，均需偿还。
提交死亡通知
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.
豁免/弃权
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).
支付索赔
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.
联系信息
- 遗产追回电子邮件： ER@DHCS.CA.GOV
- 困难豁免电子邮件： HW@DHCS.CA.GOV
- Phone: (916) 650-0590
- 书面通信邮寄地址：
Department of Health Care Services
第三方责任及追偿部门
Estate Recovery Program – MS 4720
邮局 信箱 997425
萨克拉门托，加利福尼亚州 95899-7425
- 付款邮寄地址：
Department of Health Care Services
第三方责任及追偿部门
Estate Recovery Program – MS 4720
邮局 信箱 997421
萨克拉门托，加利福尼亚州 95899-7421
申请 Medi-Cal 费用以追回遗产为准
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.