遺產追收專案
什麼是遺產追收？
加州Medi-Cal Program必須向某些已故Medi-Cal受益人的遺產追討欠款。 償還僅適用於這些受益人在55歲或之後領取的福利金，以及過世時擁有資產的受益人。如果去世的受益人去世時沒有任何財產，則不會有任何債務。
對於在1 月1 2017或之後去世的Medi-Cal會員：（請參閱因 SB 833 法案而於 1 月1或 1 月2017生效的Estate Recovery變更）
- 償還範圍僅限於已故受益人在過世時擁有的、需要經過遺囑認證的遺產資產。
- 償還範圍僅限於受益人在療養院住院或接受家庭和社區服務期間所支付的護理機構服務、家庭和社區服務以及相關的醫院和處方藥服務費用，包括已支付的醫療管理費。
對於在 1 月1和2017之前去世的 Medi-Cal 受益者：
- 償還款項將從已故受益人過世時名下的所有資產中扣除。
- 代表加州醫療補助健康保健計劃受益人支付的大多數服務費用和/或每月管理式護理保費將需要償還。
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 ／ 豁免
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).
支付索償
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.
聯絡資訊
- Estate Recovery信箱： ER@DHCS.CA.GOV
- 豁免責任電子郵件：HW@DHCS.CA.GOV
- Phone: (916) 650-0590
- 書面通訊的郵寄地址：
健康照護服務部
第三方責任與追討處
遺產追討計劃 - MS 4720
P.O.信箱 997425
Sacramento, CA 95899-7425
- 付款的郵寄地址：
健康照護服務部
第三方責任與追討處
遺產追討計劃 - MS 4720
P.O.信箱 997421
Sacramento, CA 95899-7421
申請加州醫療補助健康保健計畫費用須受遺產追收
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.