01
Check Every Resident
At the start of each month, we review each resident’s Medi-Cal eligibility, health plan, and share of cost.
MEDI-CAL COVERAGE MONITORINGCoverage Monitoring
Coverage Monitoring
Problems caught early.
Every month, we check each resident’s Medi-Cal and health plan status, flag upcoming renewals and changes, and resolve issues before payments stop.
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EVERY MONTH, EVERY RESIDENT
Medi-Cal Coverage Checks for Every Resident, Every Month
We review your residents’ coverage at the start of each month and act on anything that needs attention.
02
Flag What’s Changing
We track renewal dates, county notices, and income or asset changes so nothing arrives as a surprise.
03
Fix Problems Early
When something needs attention, we contact the county and family, submit what is needed, and keep your team informed.
WHAT WE HANDLE
Know where every resident’s coverage stands—before the bills go out.
Coverage can lapse quietly: a missed renewal letter, a county request, or a change in a resident’s finances. Monthly reviews catch these early, while there is still time to fix them.
California’s Medi-Cal asset limit drops to $21,000 for one person in July 2027, so many long-stay residents will face asset reviews at renewal.
Included in our work
- Monthly review of each resident’s Medi-Cal and health plan status
- Tracking of renewal dates and county notices
- Early alerts for coverage lapses, plan changes, and share-of-cost changes
- Renewal preparation for residents affected by the new asset limits
- A short monthly coverage report for your business office
WHY MONITORING MATTERS
What monthly coverage reviews help your facility protect.
Most coverage problems are easier to fix when they are caught early—before months of unpaid care add up.
Fewer payments taken back
Catching a lapse early helps reduce the risk of a health plan asking for payments back months later.
Renewals on schedule
Upcoming renewals are flagged early, so paperwork starts before deadlines—not after coverage ends.
Ready for the 2027 asset limit
We identify residents who may be affected by the lower asset limit and help prepare their renewals.
A clear monthly picture
Your team gets a simple summary of who is covered, what changed, and what we are handling.
THE MONTHLY REPORT
A coverage summary your team can act on.
Each month, your designated team member receives a short report: residents reviewed, coverage confirmed, issues found, and what we are doing about each one—so nothing falls through the cracks.
A CONNECTED SERVICE
Need help with another kind of case?
Our four services work together, so cases can move from application to ongoing support without an unnecessary handoff.