July 6, 2015
Federal law requires states to seek reimbursement from Medicaid beneficiaries by seeking reimbursement for nursing home and assisted living expenses if they are 55 or older. States usually make a claim on a beneficiary’s estate after they die. Ten states, including California, go further by seeking reimbursement for doctor visits and hospital stays. This particularly impacts beneficiaries who own their homes.
Pat McGinnis, executive director of California Advocates for Nursing Home Reform (CANHR), notes that reimbursement has only recovered about $30 million in the past decade, which is less than 1% of the billions spent.
CANHR co-sponsored SB 33, which would modify Medi-Cal’s reimbursement policies and limit reimbursement to the costs of nursing home and assisted living care.
Organizations mentioned/involved: California Advocates for Nursing Home Reform