How to Maneuver Your Way Through a Medi-Cal lien.
How to Obtain the Lien Amount:1.) Go to www.dhcs.ca.gov/services/Pages/TPLRD_PersonalInjuryProgram.aspx and select "Online Forms". 2.) Under "New Case Referral" select "Medi-Cal Beneficiary Referral" and complete the "Personal Injury/Beneficiary Referral". 3.)Department of Health Care Services commonly referred to as DHCS will e-mail and mail you your DHCS account number within 30-45 business days. You will also be provided with the name and phone number of a case representative you may contact at any time with questions regarding your lien amount. 4.) Once you receive this notification with your DHCS account number return to www.dhcs.ca.gov/services/Pages/TPLRD_PersonalInjuryProgram.aspx and select "Online Forms". 5.) Select "Report a settlement for a case" and complete the "Personal Injury/Settled" form. 6.) After settlement information is submitted to DHCS it can take anywhere from 60-120 days for Medi-Cal to gather your related charges and send out a final lien with the "DHCS Invoice Amount." This is the amount DHCS is requesting for reimbursement for claims paid.
How to Reduce the Lien:o Medi-Cal's recovery is limited to the portion of the settlement that represents the amount paid by Medi-Cal for medical expenses only on behalf of the plaintiff; the government cannot recover from the portion of the settlement awarded to you for lost wages, pain and suffering or other types of damage. o Medi-Cal is entitled to the lesser of (a) 50% of the total settlement after attorney fees and costs are deducted; or (b) 75% of their total lien amount. o Medi-Cal will typically reduce their lien according to the settlement amount, injuries and other circumstances of the case through negotiation by an experienced and qualified attorney. o The plaintiff who suffers serious permanent injury and incurs medical bills for the treatment of those injuries which are paid by DHS/ Medi-Cal, and if they were to be repaid to the lien holding governmental entity would deprive the injured party of compensation for his/her pain and suffering and future loss of earnings; a judge may reduce or waive the lien after hearing on the matter. A qualified attorney will file the proper motions with the court to substantially reduce or waive the entire Medi-Cal lien through proper application of law, evidence, and oral argument in court.