Published by California Probate and Trust · Published
California Medi-Cal Asset Review in 2026: A Renewal Checklist for Families
Reviewed against California Department of Health Care Services guidance current as of August 25, 2026.
California restored an asset test for certain Medi-Cal programs on January 1, 2026. That change matters most to people who are age 65 or older, have a disability, live in a nursing home, or qualify through another non-MAGI category. If you or a parent is approaching a renewal, the safest first step is to organize the records before making transfers or retitling property.
The asset limits in effect now
Through June 30, 2027, the limit is $130,000 for one person, plus $65,000 for each additional household member, up to ten people. Beginning July 1, 2027, the scheduled limits fall to $21,000 for one person, $31,000 for two people, and another $1,550 for each additional person, up to ten.
These limits do not apply to every Medi-Cal pathway. Income-based MAGI Medi-Cal generally uses different eligibility rules. Your renewal notice and county eligibility worker can identify which rules apply to your case.
What to gather before a renewal
Prepare a current, honest inventory and keep the supporting statements together. Useful records include:
- Checking, savings, credit-union, money-market, and certificate-of-deposit statements.
- Brokerage, investment, and digital-asset account statements.
- Deeds and recent statements for property other than the principal residence.
- Titles and values for vehicles other than the principal vehicle.
- Life-insurance information, including any cash value.
- Retirement-account statements and proof of regular distributions.
- Trust documents and records of assets titled in or transferred from a trust.
- Documents for gifts, sales, or transfers made since January 1, 2026.
- The renewal packet, county notices, and any deadline shown on them.
Some property may not count—but classification matters
DHCS lists a main home, one main vehicle, household items, and certain retirement funds from which the owner receives regular payments as examples of property that may not be counted. Cash, bank accounts, a second home, and an additional vehicle are examples that may be counted. The facts and the Medi-Cal program matter, so do not assume an asset is exempt merely because it is held in a particular account or trust.
For a broader explanation, see our guide to the California Medi-Cal asset limits and our Medi-Cal planning overview.
Why last-minute gifts can backfire
Asset eligibility and transfer rules are not the same thing. For long-term-care coverage, DHCS says the state may review transfers made during the 30 months before admission to a nursing home. Transfers before January 1, 2026, are not counted under the restored rules, but a gift or below-market transfer made on or after that date may delay coverage.
Some transfers may be permitted, including certain transfers to a spouse or a blind or disabled child, and transfers for fair market value. The exception must actually fit the facts and be documented. Do not give away money, add a person to a deed, sell property below value, or move assets into a trust simply because a renewal is approaching. Get case-specific advice first.
A living trust does not automatically solve Medi-Cal eligibility
A revocable living trust is primarily an estate-planning and probate-avoidance tool. Whether an asset is available or countable for Medi-Cal depends on the program, the trust terms, ownership, control, and the transfer rules. Retitling an asset can also create tax, creditor, title, and inheritance consequences. Coordinate any Medi-Cal strategy with the rest of the estate plan rather than treating the trust as a shortcut. Our guides explain the roles of living trusts and proper trust funding in California.
Eligibility and estate recovery are separate reviews
The asset test determines whether a person qualifies for certain benefits. Estate recovery asks whether the state may seek repayment after a beneficiary dies. For deaths on or after January 1, 2017, DHCS says recovery is generally limited to assets in the deceased beneficiary's probate estate and to specified long-term-care-related benefits. If there is no probate estate, there may be nothing subject to a claim.
That does not mean every transfer is wise or that every trust avoids recovery. Families should address both questions deliberately. Read our separate guide to Medi-Cal estate recovery in California.
If a renewal deadline was missed
DHCS guidance provides a 90-day cure period after termination for failure to return renewal information. If the missing information is supplied during that period and eligibility is established, coverage may be restored without requiring a new application. Act promptly and keep proof of what was submitted.
A practical order of operations
- Read the renewal notice and identify the response deadline.
- Build a complete asset list and collect the most recent statements.
- Separate potentially countable property from potentially exempt property without assuming the result.
- List every gift, sale, deed change, or trust transfer made since January 1, 2026.
- Ask the county what additional verification it requires.
- Get legal advice before changing ownership or making a below-market transfer.
- Keep copies and delivery confirmation for everything submitted.
Official sources
- DHCS Asset Limit Frequently Asked Questions
- DHCS All County Welfare Directors Letter 25-14
- DHCS Estate Recovery Program
This article provides general educational information, not legal advice. Medi-Cal eligibility and transfer consequences depend on the facts, benefit category, household, timing, and current agency guidance.
Planning before a Medi-Cal renewal?
California Probate and Trust can review how Medi-Cal planning fits with your trust and estate plan before you make an irreversible transfer.