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Christopher's Substack · Apr 13, 2026

The Medi-Cal Rules Have Changed Again, And Waiting Could Cost You

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Christopher Botti · Christopher's Substack

Over the past few years, Medi-Cal eligibility has gone through significant changes. Unfortunately, much of what people believe about qualifying is either outdated or simply incorrect.

And now, with the return of asset-related rules in 2026, there is a growing risk that individuals who currently qualify for Medi-Cal could lose their benefits if they don’t take action.

Let’s break this down.

The Biggest Misconception: “I Have Too Many Assets to Qualify”

This is one of the most common and costly assumptions.

Many people never even explore Medi-Cal planning because they believe their savings, home, or investments automatically disqualify them.

In reality, with proper planning, many individuals can still qualify, often while preserving a significant portion of their estate.

The key is understanding how the rules apply to your specific situation.

A New Risk: Maintaining Eligibility in 2026 and Beyond

During recent rule changes, many individuals were able to qualify for Medi-Cal under more flexible standards.

However, those standards are shifting again.

If you qualified under the prior framework, there is a real possibility that your eligibility could be affected moving forward.

This is where urgency comes in:

Doing nothing is no longer a safe option.

Proactive planning now can make the difference between:

  • Maintaining your benefits

  • Or losing coverage when you need it most

Medi-Cal Recovery: What Happens After?

Another major concern is what happens after benefits are used.

Many families are surprised to learn that Medi-Cal may seek reimbursement from a recipient’s estate.

Without proper planning, this can result in the loss of:

  • The family home

  • Savings intended for heirs

But with the right legal strategies in place, there are ways to reduce—or in some cases avoid—this outcome.

Is Your Estate Plan Medi-Cal Compliant?

Here’s something most people don’t realize:

Having a trust does NOT mean you are protected.

In fact, many existing estate plans were never designed with Medi-Cal in mind.

That means:

  • Assets may still be exposed

  • Eligibility could be jeopardized

  • Recovery risks may still exist

A review of your current plan can identify gaps and opportunities.

What Should You Do Now?

If any of the following apply to you, it’s time to take action:

  • You believe you have too many assets to qualify

  • You recently qualified for Medi-Cal

  • You or a loved one may need long-term care

  • You already have a trust but aren’t sure if it’s compliant

The rules are changing, but with the right guidance, there are still opportunities to qualify, protect assets, and plan effectively.

Listen: What the New Rules Mean for You

We recently released a podcast episode that breaks this down in plain terms:

“What Should I Do Now That the New Medi-Cal Rules Are in Place?”

In this episode, we explain:

  • What’s changing

  • Who is most at risk

  • What steps to take now

Final Thoughts

When it comes to Medi-Cal planning, timing matters.

Waiting until a crisis or until eligibility is at risk limits your options.

Planning ahead gives you control.

If you want clarity on your eligibility or your current plan, schedule a review. The sooner you act, the more options you have. Download my e-Book for more information.

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