California Care Compass

Care-type guide

Understanding the California senior-care system.

Sourced from CDPH, CDSS, DHCS, and California Department of Aging records. Each page lists its sources with access dates and is updated when a program changes.

Medi-Cal

Medi-Cal redetermination: keeping coverage at renewal

Most seniors who lose Medi-Cal lose it on paperwork, not eligibility. The annual renewal, ex parte auto-renewal, deadlines, and the 90-day cure period.

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Public programs

PACE: all-inclusive care that keeps a parent at home

For a parent who qualifies for a nursing home but wants to stay home, one team delivers all Medicare and Medi-Cal services. For most with Medi-Cal, it is free.

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Public programs

MSSP: the Multipurpose Senior Services Program

Care management and gap-filling services for nursing-home-eligible seniors who stay home. Capped enrollment, waitlists, and the CalAIM transition.

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Medi-Cal

Medi-Cal estate recovery: what California can take back

Since 2017, recovery reaches only probate assets. Why how the home is titled matters more than the Medi-Cal bill, plus the surviving-spouse and disabled-child protections.

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CalAIM

What is CalAIM and what does it cover for seniors?

The 2022 Medi-Cal reform that adds care management and supplemental services. Does not pay assisted-living rent.

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Medi-Cal

Medicare vs. Medi-Cal for senior care in California

What each covers, the long-term-care gap, and why dual eligibility (Medi-Medi) changes the math.

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IHSS

IHSS eligibility for California seniors, including Protective Supervision

Hours, who qualifies, how a family member can be paid, and how dementia changes the hour calculation.

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IHSS

Does live-in IHSS income count for CalFresh or CalWORKs?

Live-in IHSS wages are excluded from both programs when SOC 2298 is on file. Non-live-in wages are counted. The legal basis, the form, and how to fix a denial that ignored the exclusion.

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Medi-Cal

The Assisted Living Waiver, explained

How Medi-Cal may pay RCFE rent, the waitlist reality, and which counties have available slots.

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Medi-Cal

Medi-Cal eligibility for California seniors in 2026

Income limits, the 2024 asset-limit elimination, Share of Cost, A&D FPL Program, nursing-home rules, spousal impoverishment.

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Medi-Cal

How to apply for Medi-Cal in California

Three ways to apply, what documents you need, expected processing time, why applications stall, and how to escalate.

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Medi-Cal

Medi-Cal asset limits in California: what changed and what didn't

The 2024 asset-limit elimination, what still has asset rules (spousal impoverishment), and California's protective estate-recovery rules.

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