by Sandra

The California Medical Assistance Program (Medi-Cal or MediCal) is California’s Medicaid program offering low-income folks, including families, seniors, persons with impairments, children in foster care, women that are pregnant, and childless adults with earnings below 138% of federal poverty level. Advantages include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health insurance and substance use disorder treatment, dental (Denti-Cal), vision, and long-term care and supports. Around 13.3 million people were signed up for Medi-Cal at the time of January 2018, or about one-third of California’s population; in Tulare County and Merced County, more than 50% of county residents were enrolled as of September 2015.

Medi-Cal provides health coverage for people with low income and limited ability to cover health coverage, like the aged, blind, disabled, young adults and children, women that are pregnant, persons in a skilled nursing or intermediate care home, and persons in the Breast and Cervical Cancer Treatment Program (BCCTP). People receiving federally funded cash assistance programs, such as CalWORKs (a state implementation in the federal Temporary Assistance for Needy Families (TANF) program), the State Supplementation Program (SSP) (a state supplement towards the federal Supplemental Security Income (SSI) program), foster care, adoption assistance, certain refugee assistance programs, or perhaps in-Home Supportive Services (IHSS) can also be eligible.]

As a means-tested program, eligibility verification system imposes asset limits on certain prospective enrollees. Medi-Cal individuals who receive long term supportive services or who enroll in Medi-Cal through certain disabilities are subject to asset tests. This limit depends on the variety of individuals being considered for coverage; for just one enrollee, this limit is $2,000, while for just two enrollees, the limit is $3,000. Each additional individual being considered results in an additional $150 of permitted assets, as much as a total of ten individuals covered. If applicants possess property whose total value exceeds the allowed amount, they are required to reduce (“sell down”) their assets through activities including purchasing clothes, purchasing home furnishings, paying medical bills, paying a home mortgage, paying home loans, and paying off other debts.

Beginning in 2014 beneath the Patient Protection and Affordable Care Act (PPACA), those with family incomes as much as 138% in the federal poverty level became qualified to receive Medi-Cal (pursuant to 42 U.S.C. § 1396a(a)(10)(A)(i)(VIII)), and people with higher incomes and a few small businesses may select a plan in Covered California, California’s health insurance marketplace, with potential federal subsidies

Legal permanent residents (LPRs) using a substantial work history (described as 40 quarters of Social Security covered earnings) or military connection qualify for your full range of major federal means-tested benefit programs, including Medicaid (Medi-Cal). LPRs entering after August 22, 1996, are barred from Medicaid for five-years, then their coverage gets to be a state option, and states have the choice to protect LPRs who definitely are children or that are pregnant throughout the first five-years. Noncitizen SSI recipients qualify for (and required to be covered under) Medicaid. Refugees and asylees are eligible for Medicaid for seven years after arrival; following this term, they may be eligible at state option.

Nonimmigrants and unauthorized aliens are not eligible for most federal benefits, whether or not they may be means tested, with notable exceptions for emergency services (e.g., Medicaid for emergency medical treatment), but states have the choice to pay for nonimmigrant and unauthorized aliens who are pregnant or that are children, and will meet ifepbh meaning of “lawfully residing” in america. Special rules affect several limited noncitizen categories: certain “cross-border” American Indians, Hmong/Highland Laotians, parolees and conditional entrants, and cases of abuse.

Medi-Cal health advantages include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder treatment, dental (Denti-Cal), vision, and long term care and supports.

California is just one of a few US states which provide Medicaid dental advantages to adults. But given Denti-Cal’s bare-bones coverage and the widespread lack of participating dentists in the program, a patchwork of supplemental programs has expanded up to fill in some of the gaps, including Federally Qualified Health Centers (FQHC), a designation that refers to hundreds of health clinics and systems that function in underserved, low-income and uninsured communities that private-practice dentists often avoid, as well as the state’s First 5 county commissions, that are funded by tobacco sales taxes, as well as a sprinkling of county-funded dental care

Sandra
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