California Medicaid Spend-Down & Look-Back Penalty Calculator
Estimate the California Medicaid spend-down, spousal (CSRA) protection, and the penalty a gift within the 5-year look-back creates — with California's 2026 figures pre-loaded.
Your Situation
Gifts & Transfers (Look-Back)
Your Estimate
How your assets break down
Look-back transfer penalty
Gift now vs. no gift
Community Spouse Resource Allowance (CSRA)
When one spouse enters care, the healthy “community” spouse can keep the CSRA. In 2026 the federal range is $32,532 to $162,660. Only assets above the CSRA plus the applicant’s allowance must be spent down.
Single vs. married — same assets
Your protected spousal amount
—
California is a “100% state,” so the community spouse can keep up to 100% of countable assets, capped at $162,660.
Also protected for the spouse
A minimum monthly maintenance needs allowance (MMMNA) shifts some of the applicant’s income to a low-income community spouse, and the family home is generally exempt while the spouse lives there. An elder-law attorney can often protect more.
Medicaid spend-down & look-back in California (2026)
In California, there is effectively no countable-asset limit for long-term-care Medicaid — California (Medi-Cal) eliminated its asset test in 2024, so most applicants face little or no asset spend-down. This page pre-loads the calculator with California's rules so you can still model a gift within the five-year look-back and the spousal allowance.
California's 2026 Medicaid penalty divisor is $14,440 per month. A gift of $100,000 made inside the 60-month look-back would divide by that figure to create roughly 6.9 months of ineligibility — months during which you would private-pay for care. California is a "100% state": when one spouse enters care, the healthy community spouse can keep 100% of the couple's countable assets, up to $162,660.
As in every state, California's look-back reviews the 60 months of financial records before you apply, and transfers made earlier do not count. Your primary home up to an equity limit, one vehicle, household goods, and a small burial fund are generally exempt in California and are not part of the spend-down. California (Medi-Cal) eliminated its asset limit on 1/1/2024, so there is no asset spend-down, and its transfer look-back is being phased out. The penalty divisor is shown for reference only — confirm current Medi-Cal rules with a California elder-law attorney. Confirm exempt vs. countable assets with a certified elder-law attorney before acting.
California figures were verified in July 2026 against the American Council on Aging and CMS spousal-impoverishment standards, and are reviewed annually. This is an educational estimate only — not legal or financial advice.
California Medicaid FAQ
What is the Medicaid asset limit in California in 2026?
California has eliminated its countable-asset limit for long-term-care Medicaid, so there is generally no asset-based spend-down. Income rules and the transfer look-back can still apply — confirm current California rules with an elder-law attorney.
How much is California's Medicaid penalty divisor?
California's 2026 penalty divisor is about $14,440 per month. Gifts or below-market transfers made within the five-year look-back are added together and divided by this figure to calculate how many months you are ineligible for Medicaid. A $100,000 gift, for example, creates about 6.9 months.
Can a spouse keep assets if one needs Medicaid in California?
Yes. California is a "100% state," so the healthy community spouse can keep up to 100% of the couple's countable assets, capped at $162,660 in 2026. Only assets above that plus the applicant's small allowance must be spent down.