Is Medi-Cal only for California residents?

Asked by: Cale Ortiz  |  Last update: January 22, 2024
Score: 4.8/5 (55 votes)

To qualify for Medi-Cal, you must live in the state of California and meet certain rules. You must give income and tax filing status information for everyone who is in your family and is on your tax return. You also may need to give information about your property. You do not have to file taxes to qualify for Medi-Cal.

Can Medi-Cal be used in other states?

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.

How long do you have to live in California to qualify for Medi-Cal?

There is no time period associated with being a California resident. However, a person does have to be physically present in California with the intent to remain in California permanently or indefinitely. Where can I get more information on Medi-Cal Eligibility?

Can green card holders get Medi-Cal in California?

Medi-Cal information for immigrants

All California residents age 50 or older who meet the eligibility requirements can qualify to receive Medi-Cal, regardless of U.S. citizenship or immigration status. Receiving Medi-Cal will not make you a public charge.

Can non citizens get Medi-Cal?

You do not have to be a citizen or have satisfactory immigration status to qualify for Medi-Cal. You may qualify for Medi-Cal coverage of emergency and pregnancy-related services if you meet all of the eligibility requirements but do not have a satisfactory immigration status.

Medi-Cal Eligibility Updates for 2023

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Can a non US citizen get Medi-Cal insurance?

Immigrants who are not lawfully present do not qualify for a health plan through Covered California; however, they may qualify for coverage through Medi-Cal if they are younger than 26 or are 50 or older, if they are a DACA recipient, if they are currently pregnant or were recently pregnant.

What is the new name for Medi-Cal?

On January 1, 2023, Cal MediConnect plans transitioned to Medicare Medi-Cal plans (MMPs or Medi-Medi plans) provided by the same companies that provided Cal MediConnect plans.

Is Medi-Cal better than Medicaid?

Medi-Cal is what we call the joint Federal-State Medicaid program in California (just like Covered California is what we call Obamacare in California). Medi-Cal and Medicaid are essentially the same thing.

What determines Medi-Cal eligibility?

Medicaid income eligibility in California is based on household size. To qualify for free Medi-Cal coverage, you need to earn less than 138% of the poverty level, based on the number of people who live in your home.

What is the monthly income for Medi-Cal in California?

If it is less than $1,677 for individuals or $2,268 for a couple, then you qualify for free, full scope Medi-Cal based on A&D FPL rules. If it is higher than $1,677 for individuals, you may qualify for Medi-Cal's Working Disabled Program or ABD-MN Medi-Cal instead.

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.

Can you use Medi-Cal outside of California?

You will not get Medi-Cal if you move out of California. You may apply for Medicaid in the state you move to. If you are moving to a new county in California, you also need to tell the county you live in or the county you are moving to.

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 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.

Is Medi-Cal for poor families?

This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.

Does Medi-Cal cover surgery?

medications. Inpatient hospital services • Anesthesiologist services • Surgical services (bariatric, reconstructive surgery, etc.) Organ & tissue transplantation • Outpatient laboratory and X-ray services o Various advanced imaging procedures are covered based on medical necessity.

What changes to Medi-Cal 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. Medi-Cal managed care enrollment does ​​NOT affect a beneficiary's Medicare providers or Medicare Advantage plan.

Is Blue Cross the same as Medi-Cal?

Medi-Cal Managed Care (Medi-Cal)

are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County.

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.

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.

What is the age limit for Medi-Cal?

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. Receiving Medi-Cal will not make you a public charge.

Do you need Social Security card for Medi-Cal?

Only persons who are applying for Medi- Cal must give their SSN and information about their immigration or citizenship status. People who are not applying for Medi-Cal are not required to give an SSN or proof of immigration or citizenship status.