“How to Eliminate Medi-Cal Share of Cost with the 250% Working Disabled Program”working disabled flow chart

👉 Eligibility subject to county Medi-Cal determination. Must meet disability, income, and program requirements.

“There are no minimum hours or amount you must earn”

How to Eliminate Medi-Cal Share of Cost

Using the 250% Working Disabled Program


A Little-Known Strategy

  • There is a Medi-Cal program that may allow you to:

    • Work (even part-time)

    • Keep full Medi-Cal coverage

    • Eliminate your Share of Cost (SOC)

  • This program is called the 250% Working Disabled Program (WDP)

👉 Eligibility subject to county Medi-Cal determination. Must meet disability, income, and program requirements.


🚨 You May Qualify with Very Small Income

  • There is no minimum number of hours required to work (DHCS guidance)

  • Even:

    • Part-time work

    • Self-employment

    • Very small income

may qualify as “working” (DHCS Working Disabled Program page)

👉 This is one of the most overlooked Medi-Cal strategies


What This Means for You

  • Instead of:

    • Paying a high monthly share of cost

  • You may qualify for:

    • Full Medi-Cal coverage

    • With a $0 or low monthly premium (DHCS WDP program updates)

👉Email us [email protected]


Why the Working Disabled Program Works

  • Disability-based income (such as SSDI) is not counted the same way as earned income (program methodology explained in WDP materials)

  • Earned income is:

    • Partially excluded

    • Not counted dollar-for-dollar (SSI income rules applied to Medi-Cal)

  • Eligibility is based on income up to:

    • 250% of the Federal Poverty Level (DHCS program description)

👉Example (Simplified)

  • SSDI income: $2,500/month

  • Small part-time work: $300/month

Result:

  • Only part of the $300 is counted

  • SSDI may not disqualify eligibility

👉 The person may qualify for:

  • Full Medi-Cal

  • No Share of Cost

(Eligibility determined by county based on full rules)


Share of Cost vs Working Disabled Program

  • Share of Cost Medi-Cal

    • Pay large medical expenses before coverage begins

  • Working Disabled Program

    • Coverage starts immediately

    • May have:

      • $0 premium

      • Or a small monthly premium

👉 This is why many people switch when eligible


Quick Eligibility Check


If You Answered YES to All 3:

👉 You may qualify for the Working Disabled Program
👉 You may be able to eliminate your Share of Cost


Asset Rules (Important Update for 2026+)

  • California previously eliminated asset limits

  • Asset limits are reinstated as of 2026

  • Current limits:

    • $130,000 (individual)

    • +$65,000 per additional household member

👉Some assets may still be excluded (home, vehicle, etc.)


Important: County Approval Required

  • The Working Disabled Program is:

  • You must:

    • Apply through the county

    • Documentation required (work + disability)

    • benefits Cal  apply and upload proofs
    •  
    • Provide documentation of:

      • Disability

      • Earned income

👉When This Strategy Works Best

  • You currently have a high share of cost

  • You can perform any level of work

  • You want predictable coverage instead of monthly spend-down


Most Agents Don’t Tell You This – it’s rather technical..

  • There are ways to reduce or eliminate Share of Cost that:

    • Do not involve spending thousands on medical bills

    • Do not require giving up income

👉 The Working Disabled Program is one of those strategies


Not Sure If You Qualify?

We can help you evaluate:

  • Your income

  • Your work situation

  • Your current share of cost

👉 Request a Share of Cost Review
👉 Schedule a Zoom Consultation

Can You Eliminate Your Medi-Cal Share of Cost?

You May Qualify Even If You Only Earn $50–$100 Per Month

 

Start Here:

  • Do you currently have a Medi-Cal Share of Cost (SOC)?

    • No → You may already qualify for full Medi-Cal

    • Yes → Continue below


Step 1: Do You Have Any Earned Income?

  • Yes → Go to Step 2

  • No → Go to Step 4


Step 2: Are You Disabled (SSDI or Similar Criteria)?

  • Yes → You may qualify for the Working Disabled 250% FPL Program (WDP)

    • Replace SOC with a zero  premium

    • Keep full Medi-Cal coverage
      (42 U.S.C. § 1396a(a)(10)(A)(ii)(XIII))

  • No → Go to Step 3


Step 3: Can You Work Even a Small Amount?

  • Yes → Consider creating earned income

    • Even part-time work may qualify you for WDP
      (DHCS Medi-Cal Eligibility Procedures Manual § 5H)

  • No → Go to Step 4


Step 4: Do You Have Medical or Dental Expenses?


Step 5: Can Your Income Be Adjusted?

  • Yes → Consider Income Structuring

    • Reduce countable income

    • Lower or eliminate SOC

  • No → SOC may still apply, but strategies may reduce impact


Step 6: Asset Check (2026 and Beyond)

  • Do your assets exceed:

    • $130,000 (individual)

    • +$65,000 per additional person

  • Yes → Planning may be needed before qualifying

  • No → Continue with strategy above

(California asset limits reinstated effective 2026 – DHCS / CANHR / CA Health Advocates)

  • Share of Cost vs
  • Working Disabled Program vs
  • Dental, Vision, Insurance Premium Strategy
Feature Share of Cost Medi-Cal Working Disabled Program Insurance Expense Strategy
Monthly Cost High / unpredictable Low fixed premium Variable
Requires Work No Yes (any level) No
Income Treatment Strict Favorable exclusions No change
Asset Rules (2026+) Yes Yes Yes
Coverage Full Medi-Cal after SOC met Full Medi-Cal Full Medi-Cal after SOC
Best Use No other options Working individuals Temporary SOC reduction

Share of Cost vs Working Disabled Program

  • Share of Cost:

    • Pay thousands before coverage starts

  • Working Disabled Program:

    • Full Medi-Cal immediately

    • Possibly $0 cost

Want More Details? (Optional)
Supporting documents, rules, and deeper explanations are below if you want them — most people don’t need them.

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