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State of California Health and Human Services AgencyDepartment of Health Care ServicesCOMMITMENT TO PAY REIMBURSABLE MEDICAL LIEN AMOUNTMediCal Member Name DOCS Account Number Instructions: This form
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01
To fill out estate recovery in California, follow these steps:
02
Gather all necessary documents such as death certificate, proof of ownership of assets, and any other relevant paperwork.
03
Determine if the estate is subject to recovery. Estate recovery applies to those who received long-term care services paid for by Medi-Cal, or to individuals who received benefits through the Medi-Cal program.
04
Contact the California Department of Health Care Services (DHCS) to initiate the estate recovery process. Provide them with the required information and documentation.
05
Complete the necessary forms provided by DHCS, including the California Estate Recovery Estate Claim Form (DHCS 7044), if applicable.
06
Submit the completed forms and required documentation to DHCS.
07
Keep copies of all submitted forms and documents for your records.
08
Await further communication from DHCS regarding the estate recovery process and any potential actions you need to take.
09
Note: It is recommended to seek legal advice or consult an estate attorney for guidance throughout the estate recovery process.

Who needs estate recovery - california?

01
Estate recovery in California is necessary for individuals who have received long-term care services paid for by Medi-Cal, or those who have received benefits through the Medi-Cal program.
02
When an individual who received Medi-Cal benefits passes away, the state seeks to recover the costs of their care from their estate. Therefore, anyone who meets the criteria mentioned above needs to go through the estate recovery process in California.
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Estate recovery in California is the process by which the state seeks to recoup the costs of certain long-term care services paid for by the Medi-Cal program from the estate of a deceased Medi-Cal beneficiary.
The estate of a deceased Medi-Cal beneficiary is required to file estate recovery in California.
To fill out estate recovery in California, the estate administrator must submit a Notice of Death form and provide information about the deceased person's assets and estate.
The purpose of estate recovery in California is to ensure that the Medi-Cal program receives repayment for long-term care services provided to beneficiaries.
Information such as the deceased person's assets, estate, and any other relevant financial details must be reported on estate recovery in California.
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