遗产追回计划
什么是遗产追回？
The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal beneficiaries. Repayment only applies to benefits received by these beneficiaries on or after their 55th birthday and those who owned assets at the time of death. If a deceased beneficiary owns nothing when they die, nothing will be owed.
对于在1 月1 2017或之后去世的Medi-Cal会员：（参见因 SB 833 法案而于 1 月1或 1 月2017生效的Estate Recovery变更）
- 偿还范围仅限于已故受益人在去世时拥有的、需要经过遗嘱认证的遗产资产。
- 偿还范围仅限于受益人在疗养院住院或接受家庭和社区服务期间所支付的护理机构服务、家庭和社区服务以及相关的医院和处方药服务费用，包括已支付的医疗管理费。
对于在 1 月1至2017日之前去世的 Medi-Cal 受益人：
- 偿还款项将从已故受益人去世时名下的所有资产中扣除。
- 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
当您收到我们的索赔金额并准备付款时，我们接受电子资金转账 (EFT)和支票。无论你使用哪种付款方式，你都需要你的 DHCS 账户号码，以确保款项记入正确的账户。
联系信息
- Estate Recovery Email: 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：
医疗服务部
第三方责任与追偿处
遗产追回计划 - MS 4720
P.O.邮箱 997425
加利福尼亚州萨克拉门托 95899-7425
- 付款邮寄地址：
医疗服务部
第三方责任与追偿处
遗产追回计划 - MS 4720
P.O.信箱 997421
加利福尼亚州萨克拉门托 95899-7421
申请 Medi-Cal 费用以追回遗产为准
Medi-Cal会员或其授权代表可以提交一份Medi-Cal费用可由Estate Recovery申请表” DHCS 4017），每年一次，需缴纳 5 美元（5 美元）的处理费，前提是该会员符合以下任一描述：
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.