Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center. As a participant in the Medi-Cal program your feedback is important to us.
Full Answer
How to apply for Medi Cal?
The county estimates more than 100,000 people either have full or restricted Medi-Cal coverage. While many now have the ... People can sign up online, over the phone, through fax, by mailing in the application, or by visiting the offices in Salinas ...
What does Medi Cal cover for adults?
Medi-Cal is a program that pays medical expenses for people with low income. This includes people who are aged, disabled, or have high medical costs. If you meet the requirements of the program, Medi-Cal will help pay for doctor visits, hospital stays, prescription drugs, rehabilitation, and other medical services.
What is straight Medi Cal insurance?
Medi-Cal is your secondary insurance. It pays for costs not covered by Medicare and provides additional benefits not covered by Medicare. What is Medicare? People of any age with End-Stage Renal Disease (ESRD) – permanent kidney failure requiring dialysis or a kidney transplant
Is Medi Cal Medicaid?
Medi-Cal is California's Medicaid program. This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer, or HIV/AIDS. Medi-Cal is financed equally by the state and federal government.
What is Medi-Cal assistance?
Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.
How do I talk to someone at Medi-Cal?
(800) 541-5555 Medi-Cal Members and Providers: If you have a question, need help, or need to report a problem, please call (800) 541-5555 (outside of California, please call (916) 636-1980) for our Telephone Service Center. DHCS' hours are Monday through Friday from 8 a.m. to 5 p.m., except holidays.
What are the two types of Medi-Cal?
This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans.
What is the income limit to qualify for Medi-Cal?
Income-based Medi-CalYour family size:1 2 3 4 5 6 7 8 9 10 11 12$12,880$4,540Income-based Medi-Cal, adults (138% FPG)$18,754Income-based Medi-Cal, children (266% FPG)$36,1496 more rows
What is the income limit for Medi-Cal 2022?
In 2022, the monthly income will increase to $1,564. In other words, an adult can earn up to $1,564 per month and still qualify for no cost Medi-Cal. MAGI Medi-Cal annual amounts for a single adult increased to $18,755, from $17,775 in 2021, for a single adult.
What is the difference between Medicaid and Medi-Cal in California?
Actually, the good news is – there is no difference between the two. Medi-Cal health insurance is merely California's Medicaid program, which is paid for with federal and state tax revenues.
How much does Medi-Cal cost?
For many individuals who enroll in Medi-Cal, there is no premium, no co-payment, and no out of pocket cost. Some households will see affordable costs, such as a low monthly premium. For some Medi-Cal children, the monthly premiums are $13 per child up to a family maximum of $39 per month.
What is the income limit for Medi-Cal 2021?
A single adult can earn up to $17,775 in 2021 and still qualify for Medi-Cal. A single adult with one dependent can earn up to $46,338 annually and the child will still be eligible for Medi-Cal.
Does Medi-Cal cover surgery?
With Medicaid for California, if you qualify and apply, can help you pay for doctor's visits, medication, dental screenings, rehabilitation, surgery, visits to the hospital and more.
Who is not eligible for Medi-Cal?
All immigrant adults who are 50 years old or older can get Medi-Cal coverage, if they meet all other program requirements. Undocumented adults who are 26 to 49 years old do not qualify for full Medi-Cal coverage, though they may qualify for Medi-Cal coverage for emergencies or during pregnancy.
Is Medi-Cal based on gross or net income?
The Modified Adjusted Gross Income (MAGI) Medi-Cal method uses Federal tax rules to decide if you qualify based on how you file your taxes and your countable income.
Can you own a home and get Medi-Cal?
First, if you own a home, you can still qualify for Medi-Cal. California has one of the best health services in this regard because California does not ask that you sell your home and pay for your medical needs, but rather it will front all the medical bills for you while you are alive.
What is a MLP?
The Medi-Cal Learning Portal (MLP) is the new, easy-to-use, one-stop learning center for Medi-Cal billers and providers.
What is MCSS in medical?
The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails for urgent announcements and other updates shortly after they post to the Medi-Cal website.
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that has helped 1,000+ seniors get approved for Medi-Cal in California.
What clients say about us
I have been using ADV 4 Medi-Cal Assistants for many years. I have used her for every Medi-cal case that has come into my office since I was introduced to her and I highly recommend her services. She has been very straightforward and extremely knowledgeable.
What is Medi-Cal?
Medi-Cal is the California version of the Federal Medicaid program. The Medi-Cal program provides health care coverage for low-income residents of California.
What are the requirements for Medi-Cal?
Individuals who are potentially eligible for Medi-Cal include those who are: 1 A United States Citizen or Legal Resident, and 2 A California Resident, and 3 In a household with Modified Adjusted Gross Income (MAGI) below 138% of the Federal Poverty Level (FPL) for adults and 250% FPL for children.
What is considered a restricted Medi-Cal?
Property (for individual who are blind, disabled, or over 65 years old), Citizenship/legal resident status, Social Security Number, California Residency. Individuals who are unable to provide proof of citizenship/legal resident status may be eligible for restricted Medi-Cal to cover: Pregnancy. Emergency services.
When is the Medi-Cal re-evaluation due?
When a Medi-Cal application is approved, the first annual Re-Evaluation (RE) will be due in the 12th benefit month. The Re-Evaluation packet will be mailed to the beneficiary during the 10th month from the initial application date or most recent annual re-evaluation effective date.
What is the Medi-Cal program?
Another option that California residents might want to consider is the Medi-Cal Community-Based Adult Services Program. Although not available statewide, this program offers out-of-home daytime care and supervision at designated CBAS centers.
What assets are not counted in Medicaid?
Some assets are not counted towards Medicaid’s asset limit. These generally include an applicant’s primary home, household furnishings and appliances, personal effects, and a vehicle. Assets should not be given away or sold under fair market value within 30-months of long-term care Medi-Cal application.
How much can a spouse keep on Medicaid?
In this case, the applicant spouse can retain up to $2,000 in assets and the non-applicant spouse can keep up to $130,380. This larger allocation of assets to the non-applicant spouse is called a community spouse resource allowance. Some assets are not counted towards Medicaid’s asset limit.
How many hours of care can IHSS provide?
Maximum hours are approximately 195 / month for those who do not have severe impairments, while persons severely limited in their functional ability can receive up to approximately 283 hours of care per month . IHSS services may be received in one’s home or the home of a family member.
What is IHSS in California?
The In-Home Supportive Services (IHSS) Program is a statewide Medi-Cal program that provides long-term services and supports for aged, blind or disabled California residents who are at risk of nursing home placement. Available benefits include personal care assistance and homemaker services to assist these individuals in living safely and independently in their home or the home of a loved one. Program participants have the option to self-direct their care, which allows them to choose and hire their own caregivers, including friends and relatives.
Can IHSS be received in a community?
IHSS services may be received in one’s home or the home of a family member. Persons cannot live in a community care facility or long-term care facility. This includes assisted living residences and adult foster care homes.
Does Medi-Cal have a look back rule?
This is because Medi-Cal has a look back rule and violating it results in a penalty period of Medicaid ineligibility. To determine if you might have assets over Medicaid’s countable limit, and if so, receive an estimate of the amount, use the Medi-Cal spend down calculator. Home Ownership.
What are the materials required for a health plan?
These materials can include: Your handbook of benefits (also called an Evidence of Coverage), Standard letters and notices of health plan eligibility and membership requirements,
What is an I speak card?
The “I Speak” card shows what language a person speaks. It is printed in English and in the primary language. This card can be used to tell a provider for which language an interpreter is needed. Go to the website to obtain an “I Speak” card.
How many hours a day do hospitals need interpreters?
State law requires that hospitals have interpreters, either on site or by telephone, 24 hours a day.
