How do I submit my Medi-Cal redetermination online?

Asked by: Anderson Krajcik  |  Last update: January 27, 2024
Score: 5/5 (13 votes)

Beneficiaries can submit information online by logging in or creating an online account at benefitscal.com. To submit information by phone, beneficiaries can call DPSS at 1-866-613-3777 Monday – Friday from 7:30 a.m. – 6:30 p.m. (excluding holidays). How can Medi-Cal beneficiaries receive alerts on their Medi-Cal case?

What is a Medi-Cal redetermination form?

Medi-Cal Annual

Redetermination Policies. ➢ The beneficiary must complete the Annual Redetermination form (MC 210 RV) or other acceptable Medi-Cal Statement of Facts form and provide information on changes in household circumstances and verification of income and/or property.

How do I renew my Medi-Cal in California?

How to complete your Medi-Cal renewal
  1. The quickest and easiest way to complete your renewal is online through BenefitsCal or MyBenefitsCalWIN.
  2. Find your local Medi-Cal office phone number.
  3. Visit your local Medi-Cal office for help submitting your renewal package.

What is California Medi-Cal annual redetermination?

The Annual Redetermination due month is generally set from the first day of the application month. However, if the applicant is not Medi-Cal eligible in the month of application, then the Annual Redetermination is set 12 months from the approval month.

How do I submit a Medi-Cal form?

  1. In Person: Apply at your local county social services office, where you can get personal assistance completing your application.
  2. By Mail: Apply for Medi-Cal with a Single Streamlined Application , provided in English and other languages. ...
  3. By Phone: ...
  4. Online:

BenefitsCal: How to submit a Medi-Cal renewal.

30 related questions found

Can I fill out my Medi-Cal redetermination form online?

The county will mail you a letter about your Medi-Cal eligibility. You may need to complete a renewal form. If you're sent a renewal form, submit your information by mail, phone, in person, or online, so you don't lose your coverage.

Does Medi-Cal have a portal?

Fee-for-service providers and Medi-Cal submitters (billing agencies and clearinghouses) may use the Medi-Cal Provider Portal. Users who have been granted access to the Portal by their Organization Administrator will be allowed to use the Portal based on their role privileges as set by the Organization Administrator.

Do I have to re enroll in Medi-Cal every year?

Medi-Cal members must renew their coverage each year to keep their health care benefits. For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information. Want to get started with Covered California?

Does Medi-Cal renew every year?

Local Medi-Cal offices review each member's eligibility once a year or when they report changes to their household. Everyone's renewal date is different.

Do I have to renew Medi-Cal?

Though some members may be renewed automatically, some Medi-Cal beneficiaries must renew their Medi-Cal benefits each year, on time, to keep their health care coverage.

What happens if I don't renew Medi-Cal?

Your Medi-Cal coverage will end if you don't turn in your renewal form or you are missing proof of things like income that the county asked you to send. Your local Medi-Cal office will mail you a letter (Notice of Action) to let you know if you didn't turn in your renewal form or are missing information.

How do I check my Medi-Cal status in California?

You can visit your local county human services office. You can use your information to confirm your Medi-Cal eligibility and get a temporary identification card.

Where can I update Medi-Cal?

For Medi-Cal, you must report it within 10 days. To report changes, call Covered California at (800) 300-1506 or sign in to your online account. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.

What is MC 216 form?

If you are enrolled in MAGI Medi-Cal, you will receive renewal form MC-216. MAGI Medi-Cal, like Covered California, is based on the tax household and a primary tax filer must be listed. MC-216 is the annual renewal form for MAGI Medi-Cal beneficiaries. Non-MAGI Medi-Cal beneficiaries will receive renewal form MC-210.

What is the Medi-Cal appeal number?

For assistance in completing this form, please call the Medi-Cal Rx Customer Service Center at 1-800-977-2273. A claim appeal is the final step in the administrative process and a method for Medi-Cal Rx providers with a dispute to resolve problems related to their claims.

How does Medi-Cal confirm income?

Proof of Income. Income can be verified by providing various types of documents such as the acceptable list below. One of the most common proofs is a pay stub. If you submit a pay stub, make sure that it is current and within the last 45 days; otherwise, Covered California may not accept it.

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.

What age does Medi-Cal stop?

All California residents under the age of 26 who meet the eligibility requirements can qualify to receive Medi-Cal, regardless of U.S. citizenship or immigration status.

How often does Medi-Cal audit?

In accordance with California Welfare and Institutions Code ​§14456, the Department of Health Care Services (DHCS) conducts medical audits of Medi-Cal managed care plans (MCPs) on an annual basis.

Will I lose my Medi-Cal if I get a job?

If you get Medi-Cal coverage and then get a job, you have a couple of options for keeping your Medi-Cal benefits. If you got Supplemental Security Income (SSI) cash benefits before you got your job, Social Security's 1619(b) program lets you earn up to $56,758 annually and still keep Medi-Cal coverage at no cost.

How do I check my Medi-Cal enrollment?

Find out if you qualify here: Enrollment Check Portal. You can check your enrollment status by entering your date of birth and Client Identification Number (CIN) or Social Security Number (SSN).

Does Medi-Cal keep your house?

Can the State Take My Home If I Go on Medi-Cal? The State of California does not take away anyone's home per se. Your home can, however, be subject to an estate claim after your death. For example, your home may be an exempt asset while you are alive, and not counted for Medi-Cal eligibility purposes.