About 25% of California’s residents are covered by Medicaid, the government-funded, state-administered health plan for low-income people. Medicaid benefits include inpatient and outpatient hospital care, doctor visits, X-rays, lab tests and long-term care. Additionally, state-specific benefits may be provided, such as physical therapy, vision and dental care, expanded health screening programs and hospice care.
In order to enroll in California’s Medi-Cal plan, seniors aged 65 and older can earn up to $1,242 per month ($1,682 per couple) and own up to $2,000 in countable assets ($3,000 per couple). If only one spouse needs Medi-Cal, they fall under the single income limit and any money that their spouse makes is disregarded.
Applicants can keep one vehicle, household furnishings, a prepaid burial contract and a home that’s owner occupied regardless of its assessed value.
Share of Cost
Seniors who meet the Medi-Cal asset criteria, but have excess monthly income, may be eligible for a Share of Cost agreement if they have high, ongoing medical expenses.
SOC works like a deductible on a private health insurance policy. Seniors agree to pay for their own preapproved medical expenses each month up to a limit set by Medi-Cal. Once that limit is reached, Medi-Cal benefits are activated for the remainder of the month.
It’s important to know that seniors who enroll in Medi-Cal on a SOC basis are excluded from Medi-Cal waiver programs.
For more information about Medi-Cal enrollment and the SOC program, call the LA County Department of Public Social Services at (818) 701-8200 or visit the East Valley and Santa Clarita Sub Office in Van Nuys.
Assisted Living Waiver
The Assisted Living Waiver is a Medi-Cal home and community-based waiver that prevents institutionalization of fragile seniors by funding additional care services in select assisted living facilities.
To qualify for the ALW, seniors must be aged 65 or older, have no-cost Medi-Cal benefits and meet the clinical criteria placement in a nursing facility. Seniors who already live in a nursing home may also apply to the ALW, and if accepted, they’re provided with transitional supports.
Personal care and health services offered through the ALW are assigned based on each participant’s care plan and may include:
- Skilled and intermittent nursing
- Help with activities of daily living
- Housekeeping and laundry
- Home-delivered meals and snacks
- Adult day health and recreational programming
- Transportation
- Mobility equipment and devices
- Medical supplies
- Case management
ALW services are only delivered in participating facilities, therefore, seniors who are accepted into ALW may be placed on a wait list.
For more information on the ALW and to request an ALW assessment, contact
Access TLC Home Health Care, the Los Angeles County Care Coordinator Agency, at (818) 551-1900.