What is California Medi-Cal changing to in 2023?

Asked by: Trevor Borer  |  Last update: September 30, 2025
Score: 4.5/5 (58 votes)

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 changes are coming to Medi-Cal 2023?

The federal Consolidated Appropriations Act of 2023 specified that the Medicaid continuous coverage requirement would no longer be linked to the PHE. The requirement ended on March 31, 2023. Medi-Cal resumed its normal renewal processes on April 1, 2023.

What are the new rules for Medi-Cal 2024?

Basic Information. Beginning January 1, 2024, a new law in California will allow adults ages 26 through 49 to qualify for full-scope Medi-Cal, regardless of immigration status. All other Medi-Cal eligibility rules, including income limits, will still apply.

What is the income limit for Medi-Cal in California 2023?

Now, circling back to the Medi-Cal income limits 2023, while the resource caps are declining, the income limits still play a crucial role. In California, beneficiaries can earn up to about $1,470 a month and still retain their Medi-Cal insurance.

Can you have both Medicare and Medi-Cal in California?

Can a person have both Medicare and Medi-Cal? Yes. Sometimes that's callled “Medi-Medi”, or “dual eligible.” Medicare is billed first for services and Medi-Cal is billed last. Medical providers are famliar with “Medi-Medis."“

What Is Medi-Cal? (Part 1)

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Will I lose my Medicaid if I get Medicare?

People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.

What disqualifies you from Medi-Cal in California?

The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant's property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.

What is Medi tax for 2023?

Social security and Medicare tax for 2023.

The Medicare tax rate is 1.45% each for the employee and employer, unchanged from 2022. There is no wage base limit for Medicare tax. Social security and Medicare taxes apply to the wages of household workers you pay $2,600 or more in cash wages in 2023.

Can I get Kaiser with Medi-Cal?

The California Medi-Cal program provides health care coverage for some of the most vulnerable populations in the state and Kaiser Permanente participates in the Medi-Cal program to provide high quality care to enrolled beneficiaries in most counties currently served by the health plan.

How much money can you have in the bank if you're on Medicare?

eligibility for Medi-Cal. For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information.

Is social security considered income for Medi-Cal?

Income-based Medi-Cal counts most types of earned and unearned income you have. However, some income is not counted, including Supplemental Security Income (SSI) benefits and some contributions to retirement accounts.

What is the new law for Medi-Cal 2024?

Beginning January 1, 2024, a new law in California will provide adults 26 through 49 years of age access to full scope Medi-Cal services and immigration status does not matter. All other Medi-Cal eligibility rules, including income limits, will still apply.

Who will lose Medicaid in 2023?

At the beginning of the COVID-19 pandemic, significant changes were made to Medicaid enrollment and eligibility rules to promote continuous health insurance coverage. These changes ended on May 11, 2023. As a result, many older people and people with disabilities are at risk of losing their Medicaid coverage.

What is the new name for Medi-Cal?

California Advancing and Innovating Medi-Cal (CalAIM) is a far-reaching, multiyear plan to transform California's Medi-Cal program and to make it integrate more seamlessly with other social services.

What is a livable income in 2023?

This means that families earning between the poverty threshold ($27,750 for two working adults, two children on average in 2022) and the living wage ($104,077 on average for two working adults, two children per year before taxes) may fall short of the income and assistance they require to meet their basic needs.

Can you have money in the bank and get low income housing?

If assets are greater than $5,000, the income from those assets must be considered. Since eligibility for this program is based on having an income of less than 80 percent of median income in the area, eligibility would not be affected unless the investment income brought total income over that 80 percent threshold.

Can I have money in the bank and still get Medi-Cal?

➢ Do assets affect my eligibility? Starting on January 1, 2024, assets, such as bank accounts, cash, a second vehicle, and homes, will no longer be counted when determining Medi-Cal eligibility. Income and income from assets, such as income from property, will continue to be counted.

Can I have both Covered California and Medi-Cal?

You can also call your local county office. Did you know? It is possible for members of the same family to qualify for both Medi-Cal and Covered California.

Does everyone over 65 qualify for Medi-Cal in California?

If you are aged (65+) or disabled and are not eligible for the SSI program, you may be able to get Medi-Cal through the Aged & Disabled Federal Poverty Level (A&D FPL) program. To qualify, you must: Be aged (65+) or disabled (meet Social Security's definition of disability, even if your disability is blindness).

Is it better to be on Medicare or Medicaid?

While Medicare is the primary payer for medical needs, Medicaid can cover costs that Medicare coverage does not. When you visit a provider that takes both Medicare and Medicaid, Medicare pays first for the cost of your care. Medicaid pays second, covering copays and other costs not covered.

Do social security benefits count as income for Medicaid?

In most cases Social Security benefits will be counted as income toward Medicaid eligibility, however, there are some exceptions. Rules, restrictions, and income thresholds vary from state-to-state.