Who Pays for Long-Term Care in California?

This fact sheet provides information about how long-term care services are funded in California.

CA State Budget and Policy

Many older adults and people with disabilities of all ages require supportive services, known as long-term care. As the population ages, demand for long-term care is increasing, along with the spending on these services. Long-term care services are financed primarily by public dollars, with the largest share paid by Medi-Cal (California’s Medicaid program), the joint federal and state funded medical assistance program for low-income individuals. Long-term care services are also financed privately through out-of-pocket payments and long-term care insurance.