Do you have to live in California to get Medi-Cal?

Asked by: Idell Hauck  |  Last update: December 18, 2023
Score: 4.6/5 (47 votes)

To qualify for Medi-Cal, you must live in the state of California and meet certain rules.

Can you use Medi-Cal outside of California?

CCR, Title 22, Chapter 3, Article 1.3, Section 51006, allows reimbursement for medically necessary emergency services that need to be provided by an out-of-state provider to California Medicaid (Medi-Cal) recipients temporarily in another state. Note that some services require authorization.

Can you have Medi-Cal in two states?

Again, one cannot receive Medicaid coverage in more than one state simultaneously. It might be best to cancel coverage in one's original state at the end of the month, move, and immediately apply for coverage in the new state.

Can anyone qualify for Medi-Cal?

Medi-Cal gives people with low incomes access to health services, including medical and dental care. The program is available for adults, children, pregnant women, older adults and people with disabilities. People who have certain conditions, such as tuberculosis and HIV, might also qualify for Medi-Cal.

What documents are needed for Medi-Cal in California?

Documents to Confirm Eligibility
  • Social Security Number.
  • Identity.
  • Citizenship.
  • Immigration Status.
  • Income.
  • Not Incarcerated.
  • Minimum Essential Coverage.
  • American Indian or Alaskan Native.

Do I Have To Repay California Medi-Cal?

30 related questions found

Can you be denied Medi-Cal?

If you don't apply for or keep no-cost health coverage or state-paid coverage, your Medi-Cal benefits and eligibility will be denied or stopped. 11. If you do not give necessary information or if you give information that you know is false, your Medi-Cal benefits may be denied or stopped.

What is the limit for Medi-Cal in California?

On July 1, 2022, Medi-Cal asset limits increased to $130,000 for individuals, $195,000 for couples.

How do you qualify for straight Medi-Cal?

You can also get Medi-Cal if you are:
  1. 65 or older.
  2. Blind.
  3. Disabled.
  4. Under 21.
  5. Pregnant.
  6. In a skilled nursing or intermediate care home.
  7. On refugee status for a limited time, depending how long you have been in the United States.
  8. A parent or caretaker relative of an age eligible child.

What is minimum income for Medi-Cal California?

Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.

What income disqualifies you from Medi-Cal?

Adults qualify for Medi-Cal with a household income of less than 138% of FPL. However, according to the Covered California income guide, children who enroll on Obama Care California plans may qualify for Medi-Cal when the family has a household income of 266% or less.

Which state is best for Medicaid?

Their research produced a top five states for Medicaid provision:
  • Connecticut.
  • New York.
  • California.
  • Massachusetts.
  • Minnesota.

Can you have Covered California and Medi-Cal?

These two-program families are called “mixed-program families.” Your family can apply for both through Covered California application. Individuals in a mixed-program family will face different, but typically lower, costs due to their eligibility for both Covered California and Medi-Cal.

Is Medi-Cal free?

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.

Can you own a home and get Medi-Cal in California?

Property used as a home is exempt (not counted in determining eligibility for Medi-Cal).

Can I go to any hospital with Medi-Cal insurance?

Emergency Rooms: As stated above, if you have an emergency and you cannot find a doctor right away, you can go to the emergency room at any hospital. If you show your BIC to staff at the emergency room, Medi-Cal will pay for the services you receive.

What is California Medi-Cal changing to in 2023?

Starting January 2023, Medi-Cal health coverage for most remaining dually eligible beneficiaries changed from Fee-For-Service (FFS) Medi-Cal to Medi-Cal Managed Care.

Can I get Covered California if I have a job?

You may have coverage as a current worker or retiree. You can shop for health coverage through Covered California, but you won't qualify for financial help in the form of premium tax credits if your employer offers a health plan that meets minimum value standards and is considered affordable.

What is the difference between Medi-Cal and Covered California?

What is the difference in coverage between Medi-Cal and Covered California?​​​​ Medi-Cal is health coverage, just like the coverage offered through Covered California. Medi-Cal provides benefits similar to the coverage options available through Covered California, but often at lower or no cost to you or your family.

What are the different types of Medi-Cal?

​​​Find Out More About Medi-Cal Programs​​​
  • Medi-Cal Dental Program. Dental services are currently provided as one of the many benefits under the Medi-Cal program.
  • Fair Hearing. ...
  • Health Insurance Premium Payments. ...
  • Medi-Cal. ...
  • Medi-Cal Eligibility. ...
  • Medi-Cal Estate Recovery. ...
  • Medi-Cal Managed Care.

What is the max age for Medi-Cal?

Beginning May 1, 2022, a new law in California will give full scope Medi-Cal to adults 50 years of age or older and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.

How much is Medi-Cal in the California state budget?

The Governor's budget includes $38.7 billion General Fund spending on Medi‑Cal, the state's Medicaid program, in 2023‑24. This amount reflects a $6.4 billion (20 percent) net increase over the revised 2022‑23 level.

Is there an asset limit for Medi-Cal?

Phase I, implemented on July 1, 2022, increased the asset limit to $130,000 per individual and $65,000 for each additional household member. (The previous limits were $2,000 for an individual, $3,000 for a couple, and $150 for each additional household member.)