The California Medical Assistance Program (Medi-Cal or MediCal) is California’s Medicaid program serving low-income people, which includes families, seniors, persons with impairments, children in foster care, women that are pregnant, 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. Approximately 13.3 million individuals were enrolled in Medi-Cal since January 2018, or about one-third of California’s population; in Tulare County and Merced County, more than 50% of county residents were enrolled as of September 2015.
Medi-Cal provides health coverage for those who have low income and limited ability to fund health coverage, like the aged, blind, disabled, young adults and children, women that are pregnant, 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, such as CalWORKs (a state implementation from the federal Temporary Assistance for Needy Families (TANF) program), the State Supplementation Program (SSP) (a state supplement to the federal Supplemental Security Income (SSI) program), foster care, adoption assistance, certain refugee assistance programs, or In-Home Supportive Services (IHSS) are also eligible.]
As a way-tested program, health insurance verification imposes asset limits on certain prospective enrollees. Medi-Cal people who receive long term supportive services or who enroll in Medi-Cal through certain disabilities are subjected to asset tests. This limit depends on the number of individuals being considered for coverage; for one enrollee, this limit is $2,000, while for 2 enrollees, the limit is $3,000. Each additional individual being considered brings about an additional $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 house mortgage, paying home loans, and paying back other debts.
Starting in 2014 under the Patient Protection and Affordable Care Act (PPACA), those that have family incomes as much as 138% from 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 plus some small businesses may pick a plan in Covered California, California’s medical health 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 the full 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 gets to be a state option, and states have the choice to cover LPRs who are children or who are pregnant through the first five years. Noncitizen SSI recipients are eligible for (and necessary to be covered under) Medicaid. Refugees and asylees are eligible for Medicaid for seven years after arrival; after that term, they may be eligible at state option.
Nonimmigrants and unauthorized aliens are not qualified for most federal benefits, no matter whether these are means tested, with notable exceptions for emergency services (e.g., Medicaid for emergency health care), but states have the choice to pay for nonimmigrant and unauthorized aliens who are pregnant or that are children, and will meet ifepbh definition of “lawfully residing” in america. Special rules affect 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 insurance and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports.
California is one of a few US states that provide Medicaid dental benefits to adults. But given Denti-Cal’s bare-bones coverage and the widespread lack of participating dentists within the program, a patchwork of supplemental programs has expanded as much as fill out a number of the gaps, including Federally Qualified Health Centers (FQHC), a designation that describes hundreds of health clinics and systems that function in underserved, low-income and uninsured communities that private-practice dentists often avoid, and the state’s First 5 county commissions, which are funded by tobacco sales taxes, as well as a sprinkling of county-funded dental care