How many respite care hours does L.A. Care cover per calendar year?

✓ Accepted answer

L.A. Care covers a total of 336 hours of respite care per calendar year for eligible members.

• Annual Limitation: For members of L.A. Care Medi-Cal or L.A. Care Medicare Plus plans, the coverage cap is strictly 336 hours annually. This limit includes all in-home respite services, so it is crucial to track usage throughout the year to avoid unexpected out-of-pocket costs.
• Service Types: These hours can be utilized for non-medical services provided on an hourly basis or for short-term day and overnight stays. The care focuses on attending to basic self-help needs, activities of daily living, socialization, and maintaining usual daily routines.
• Eligibility Requirements: To qualify, individuals must live in the community, be compromised in their Activities of Daily Living, and be dependent on a qualified caregiver who provides most of their support. You must meet these criteria to ensure your requests for caregiver relief are authorized.
• Exceptional Extensions: If a caregiver experiences a medical episode or other qualifying circumstances, you may apply for an extension to the standard 336-hour limit. It is wise to keep documentation of these events ready for your authorization request.
• Referral Process: Respite services typically require a referral. Working closely with your L.A. Care care manager to confirm eligibility and submit requests in advance will help ensure a smoother process and prevent service delays.

Warning Sign: If you notice that your primary caregiver is showing signs of severe emotional distress, burnout, or neglect, contact your L.A. Care care manager immediately to expedite respite authorization or seek emergency support services.

admin · 2026-10-24 01:04:48