The California Medical Assistance Program (Medi-Cal or MediCal) is California’s Medicaid program helping low-income people, such as families, seniors, persons with handicaps, children in foster care, pregnant women, and childless adults with earnings below 138% of federal poverty level. Benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long term care and supports. Around 13.3 million individuals were enrolled in Medi-Cal at the time of January 2018, or about one-third of California’s population; in Tulare County and Merced County, greater than 50% of county residents were enrolled at the time of September 2015.
Medi-Cal provides health coverage for people who have low income and limited ability to cover health coverage, like the aged, blind, disabled, young adults and children, expecting mothers, persons in a skilled nursing or intermediate care home, and persons within the Breast and Cervical Cancer Treatment Program (BCCTP). People receiving federally funded cash assistance programs, including CalWORKs (a state implementation in the federal Temporary Assistance for Needy Families (TANF) program), their state Supplementation Program (SSP) (a state supplement for the federal Supplemental Security Income (SSI) program), foster care, adoption assistance, certain refugee assistance programs, or In-Home Supportive Services (IHSS) will also be eligible.]
As a means-tested program, verify patient insurance eligibility imposes asset limits on certain prospective enrollees. Medi-Cal people who receive long term supportive services or who sign up for Medi-Cal through certain disabilities are subject to asset tests. This limit depends on the number of individuals being considered for coverage; for starters enrollee, this limit is $2,000, while for 2 enrollees, the limit is $3,000. Each additional individual being considered results in yet another $150 of permitted assets, up to and including total of ten individuals covered. If applicants possess property whose total value exceeds the allowed amount, they have to reduce (“sell down”) their assets through activities including purchasing clothes, purchasing home furnishings, paying medical bills, paying a house mortgage, paying home loans, and paying back other debts.
Beginning in 2014 under the Patient Protection and Affordable Care Act (PPACA), those that have family incomes as much as 138% of the federal poverty level became eligible for Medi-Cal (pursuant to 42 U.S.C. § 1396a(a)(10)(A)(i)(VIII)), and people with higher incomes plus some small companies may choose a plan in Covered California, California’s medical insurance marketplace, with potential federal subsidies
Legal permanent residents (LPRs) using a substantial work history (described as 40 quarters of Social Security covered earnings) or military connection are eligible for that wide range of major federal means-tested benefit programs, including Medicaid (Medi-Cal). LPRs entering after August 22, 1996, are barred from Medicaid for five years, and after that their coverage becomes a state option, and states have the choice to protect LPRs who are children or who definitely are pregnant during the first 5 years. Noncitizen SSI recipients are eligible for (and required to be covered under) Medicaid. Refugees and asylees are eligible for Medicaid for seven years after arrival; after this term, they could be eligible at state option.
Nonimmigrants and unauthorized aliens are not eligible for most federal benefits, regardless of whether these are means tested, with notable exceptions for emergency services (e.g., Medicaid for emergency health care), but states have the option to protect nonimmigrant and unauthorized aliens that are pregnant or who definitely are children, and will meet ifepbh meaning of “lawfully residing” in the United States. Special rules pertain to several limited noncitizen categories: certain “cross-border” American Indians, Hmong/Highland Laotians, parolees and conditional entrants, and cases of abuse.
Medi-Cal health benefits include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long lasting care and supports.
California is just one of a couple of US states that provide Medicaid dental good things about adults. But given Denti-Cal’s bare-bones coverage as well as the widespread deficiency of participating dentists in the program, a patchwork of supplemental programs has grown up to fill out a few of the gaps, including Federally Qualified Health Centers (FQHC), a designation that describes numerous health clinics and systems that function in underserved, low-income and uninsured communities that private-practice dentists tend to avoid, and also the state’s First 5 county commissions, which are funded by tobacco sales taxes, in addition to a sprinkling of county-funded dental hygiene