Is Medi-Cal county specific?

Asked by: Reyna Deckow  |  Last update: February 11, 2022
Score: 4.4/5 (3 votes)

Medi-Cal offers no-cost and low-cost health coverage to eligible people who live in California. ... Your local county office manages most Medi-Cal cases for DHCS. You can reach your local county office online at www.benefitscal.com. You can also call your local county office.

Is Medi-Cal state or county?

Medi-Cal—California's Medicaid program—is a state-federal program that offers free or low-cost health coverage to Californians with low family incomes. Prior to the Affordable Care Act (ACA), Medi-Cal served low-income families and children, the elderly, and people with disabilities.

Is Medi-Cal administered by county government?

Government agencies

Medi-Cal is jointly administered by the Centers for Medicare and Medicaid Services (CMS) and the California Department of Health Care Services (DHCS), while the county welfare department in each of the 58 counties is responsible for local administration of the Medi-Cal program.

How long does it take to transfer Medi-Cal to another county?

4) Transferring Medi-Cal from one county to another can take up to 60 days.

Does Medi-Cal cover all of California?

Medi-Cal is health coverage, just like the coverage offered through Covered California. ... All of the health plans offered through Covered California or by Medi-Cal include the same comprehensive set of benefits known as "essential health benefits.”

Understanding Medi-Cal

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Can I use Medi-Cal in another country?

Yes. To bill Medi-Cal, a provider must complete the appropriate enrollment forms. For questions on which forms to use, contact the Out-of-State Provider Unit at (916) 636-1960. If a provider chooses not to enroll, they may bill the patient.

Can you have Covered California and Medi-Cal at the same time?

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.

How do I change my Medi-Cal county?

To report changes, call Covered California at (800) 300-1506 or log 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.

How do I transfer my benefits from one county to another in California?

Benefits must be transferred from the sending county to the receiving county with no redetermination or recertification of eligibility in the receiving county. The new county cannot interview the recipient, request or require a new application, or request or request any verification.

How do I transfer my CalFresh to another county?

CalFresh recipients

If you moved to a different county, contact the CalFresh office in your new county right away and request an Inter-County Transfer. Your case will follow you to your new county of residence; this process is known as an “inter-county transfer” or ICT.

Is CalOptima the same as Medi-Cal?

Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. ... CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal.

What is the difference between Medi-Cal and Medicare?

Medicare provides health coverage to individuals 65 and older or those with a severe disability regardless of income, whereas Medi-Cal (California's state-run and funded Medicaid program) provides health coverage to those families with very low income, as well as pregnant women and the blind, among others.

Is Medi-Cal same as Medicaid?

Medi-Cal is California's Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

What are the different types of Medi-Cal?

This guidebook explains the two kinds of Medi-Cal: Regular Medi-Cal and Medi-Cal Health Plans.

What is regular Medi-Cal?

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 I use CA EBT out of state?

Q: Can I use my Electronic Benefit Transfer Card in another state? A: The EBT card will work at any store or ATM that displays the Quest® symbol in California and the other 49 states in the United States, as well as the District of Columbia, the U.S. Virgin Islands and Guam.

Can I use CalFresh in other states?

Once received, the card can be used in California or any other state.” [7 C.F.R. § 274.1(k)(4).]

How do I change my address for food stamps?

If you moved or are planning to move, you need to notify your local office of your new address. You can use our locator map to find your local office. You may also call your State's EBT Customer Service Number. Failure to notify your local office may result in loss of benefits.

Can you go to Kaiser with Medi-Cal?

Kaiser Permanente participates in Medi-Cal in many counties. This means that, if you are a current Kaiser Permanente member and your situation changes, you may be able to keep your same doctor and continue your care with Kaiser Permanente if you qualify for Medi-Cal.

What happens if you don't report a change to Medi-Cal?

What Happens if I Don't Report My Income Change to Covered California? So you enrolled in a Covered California health plan. ... If your income is lower than you thought it would be, you will receive a refund when you file your taxes for any premium assistance that you were eligible for, but did not receive.

Does Medi-Cal check your bank account?

Furthermore, a Medicaid agency can ask for bank statements at any time, not just on an annual basis. ... Because of this look back period, the agency that governs the state's Medicaid program will ask for financial statements (checking, savings, IRA, etc.) for 60-months immediately preceeding to one's application date.

How much is Medi-Cal per month?

How much are the premiums? The premiums for Medi-Cal for Families are $13 for each child and no more than $39 per family per month. What can I do if I disagree with paying a monthly premium? Monthly premiums must be paid for the child(ren) to remain eligible for this Medi-Cal program.

How much money can you have in the bank and still qualify for Medi-Cal?

You may have up to $2,000 in assets as an individual or $3,000 in assets as a couple. Some of your personal assets are not considered when determining whether you qualify for Medi-Cal coverage.

Is Medi-Cal a marketplace insurance?

Enrollment. Covered California is the new marketplace for affordable, low cost and no cost health insurance, including Medi-Cal. It's a “no wrong door” approach that will help Californians learn their eligibility for subsidized health benefits, compare insurance plan options, and enroll to receive coverage.