Is there a particular backup person who can intervene temporarily? Medicaid (Medi-Cal in California) is a national and federal program that can cover long-term care costs for people with limited income and wealth. To qualify for Medicaid, a person`s expenses and assets are subject to a “retrospective” period of up to five years. This is sometimes referred to as “downward spending.” If the recipient needs to enter a facility or request other services for which Medicaid can pay, the personalized care agreement may demonstrate that the care was a legitimate expense and not an attempt to conceal assets by giving money to their family members. The recipient pays the “value” in personal care services. At the same time, the agreement can also give your loved one the certainty that he or she has a caring lawyer to handle care needs. The person caring for a loved one can make a considerable sacrifice: quit a job and provide employment services. . . .