Insurance Verification Software – There Could Be A Lot More Than You Would Think Right Here..

Medi-Cal was established in 1965 to offer health care advantages to California residents on already receiving welfare. Ever since then, the categories of people qualified for medical care benefits under Medi-Cal is broadened significantly. The Medi-Cal program has been known as a “patchwork” of programs because of the number of categories that have been added. There are lots of eligibility categories that you may fall into. Typically, eligibility is founded on income, property, and household composition. However, each factor is complex and could vary based upon which electronic eligibility verification you fall into.

Medi-Cal for Immigrants

Can immigrants be eligible for Medi-Cal? In order to be qualified for all Medi-Cal services, an individual must be categorized as having “satisfactory immigration status.” This could include citizens, lawful permanent residents and immigrants that fit into Permanent Resident under Shade of Law” (PRUCOL).

Undocumented immigrants and immigrant groups which do not qualify as having satisfactory immigration status may be entitled to limited health coverage under Medi-Cal. Limited coverage includes emergency services, pregnancy services, dialysis, and nursing facilities. To become eligible for the full selection of services, the person must meet Federal Medicaid law requirements for any “qualified alien.”

Qualified immigrants that are exempt from your five-year waiting period. This category includes refugees, trafficking victims, veteran families, and Asylees. A qualified non-citizen includes lawful present residents or green card holders, those entering the country from Cuba or Haiti, Battered spouses and children, victims of human trafficking, refugees, and the spouses and kids of active military or veterans. Many of the qualified non-citizen groups can also be exempt through the five-year waiting period.

Lawfully present residents includes those with Humanitarian status, valid non-immigrant visa holders, those whose legal status was conferred through the following laws: temporary resident status, LIFE Act, Family Unity Individuals, and lawful residents in American Samoa and the Northern Mariana Islands.

States are permitted to extend services funded completely by the state to immigrant groups not qualified by federal standards. However, immigrants have to be aware that based on their situation, accepting public aid may negatively impact their immigration status.

The Department of Homeland Security is able to refuse an individual’s entry or re-entry into the U.S., or prevent a person from being a permanent U.S. resident if they believe the individual is likely to become a “public charge” or someone which will be influenced by public benefits.

Immigrants without having a green card and legal permeant residents are protected should they use Medi-Cal and Healthy Families, prenatal care, low-cost clinics and health centers. Those immigrant groups can utilize these programs without fear of being viewed as a potential public charge.

In order to be categorized as disabled for Medi-Cal eligibility, you need to fulfill the Social Security Administration’s concept of disability. The Social Security Administration defines disability as someone who jaaala unable to engage in substantial gainful activity (SGA) because of a medically-determined physical or mental impairment that (1) is predicted to lead to death, or (2) has lasted or possibly is expected to keep going longer than 12 continuous months.

Those asserting a disability apart from blindness underneath the Aged/Disabled or Medically Needy Programs have to meet the Social Security Administration’s criteria for not being able to engage in “substantial gainful activity” (SGA). In case your work is considered SGA, you may be disqualified. However, in case your job is considered SGA, however, you still fulfill the Social Security Administration’s concept of disabled, you may be eligible underneath the 250% Working Disabled Program.