The California Medical Assistance Program (Medi-Cal or MediCal) is California’s Medicaid program helping low-income folks, including families, seniors, persons with impairments, children in foster care, expecting mothers, 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 lasting care and supports. Around 13.3 million people were signed up for Medi-Cal as 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 since September 2015.
Medi-Cal provides health coverage for people who have low income and limited ability to pay for health coverage, such as the aged, blind, disabled, young children and adults, pregnant women, persons in a skilled nursing or intermediate care home, and persons inside the Breast and Cervical Cancer Treatment Program (BCCTP). People receiving federally funded cash assistance programs, like CalWORKs (a state implementation from the federal Temporary Assistance for Needy Families (TANF) program), the State Supplementation Program (SSP) (a state supplement towards the federal Supplemental Security Income (SSI) program), foster care, adoption assistance, certain refugee assistance programs, or even in-Home Supportive Services (IHSS) are also eligible.]
As a method-tested program, patient eligibility verification imposes asset limits on certain prospective enrollees. Medi-Cal people who receive long term supportive services or who register for Medi-Cal through certain disabilities are subjected to asset tests. This limit depends on the variety of individuals being considered for coverage; for starters enrollee, this limit is $2,000, while for just two enrollees, the limit is $3,000. Each additional individual being considered brings about yet another $150 of permitted assets, up to a total of ten individuals covered. If applicants possess property whose total value exceeds the allowed amount, they are required to reduce (“sell down”) their assets through activities like purchasing clothes, purchasing home furnishings, paying medical bills, paying a home mortgage, paying home loans, and paying down other debts.
Beginning in 2014 under the Patient Protection and Affordable Care Act (PPACA), individuals with family incomes approximately 138% of the federal poverty level became qualified for Medi-Cal (pursuant to 42 U.S.C. § 1396a(a)(10)(A)(i)(VIII)), and people with higher incomes and some small companies may choose a plan in Covered California, California’s medical insurance marketplace, with potential federal subsidies
Legal permanent residents (LPRs) with a substantial work history (defined as 40 quarters of Social Security covered earnings) or military connection qualify 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 5 years, and after that their coverage turns into a state option, and states have the option to pay for LPRs who are children or who are pregnant during the first five-years. Noncitizen SSI recipients are eligible for (and needed to be covered under) Medicaid. Refugees and asylees are eligible for Medicaid for seven years after arrival; following this term, they might be eligible at state option.
Nonimmigrants and unauthorized aliens are certainly not qualified to receive most federal benefits, whether or not they are means tested, with notable exceptions for emergency services (e.g., Medicaid for emergency health care), but states have the choice to protect nonimmigrant and unauthorized aliens who are pregnant or who definitely are children, and may meet ifepbh meaning of “lawfully residing” in america. 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 and fitness 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 one of several US states which provide Medicaid dental advantages to adults. But given Denti-Cal’s bare-bones coverage and the widespread absence of participating dentists inside the program, a patchwork of supplemental programs has expanded as much as fill out a few of the gaps, including Federally Qualified Health Centers (FQHC), a designation that identifies numerous health clinics and systems that operate in underserved, low-income and uninsured communities that private-practice dentists often avoid, and also the state’s First 5 county commissions, which can be funded by tobacco sales taxes, as well as a sprinkling of county-funded dental care