What Is Medi-Cal? (Part 2) Eligibility Requirements - YouTube

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TITLE CARD [Female Voice Over]: What Is Medi-Cal? Part 2

TITLE CARD [Voice Over]: Basic Eligibility.

To be eligible for full-scope Medi-Cal, a person must be: A California resident and... a U.S. Citizen or a non-citizen with satisfactory immigration status.

In California, however, immigration status does not affect Medi-Cal benefits for children under 19 and young adults 19-25 who are eligible to full-scope Medi-Cal, regardless of immigration status, if otherwise eligible.

In addition, you may be eligible for Medi-Cal if you are already:

- Receiving CalWORKs or General Relief cash-aid.

- Receiving Supplemental Security Income (SSI) or State Supplementary Payment (SSP).

Please note: SSI/SSP is administered by the Social Security Administration. If approved for SSI/SSP, Medi-Cal benefits are included.

- Be a child under the age of 19...

- Be between 19 – 64 years old...

- Be a foster care child or... - Be parents/ caretaker relatives.

Applicants must declare their income and family size. In some instances, applicants must provide proof of income and/or property.

U.S. citizens and non-citizens with satisfactory immigration status, who meet the eligibility requirements, may receive full-scope health coverage through Medi-Cal.

“Satisfactory immigration status” for Medi-Cal purposes means: - Lawful admission for permanent residence in the United States;

- Status as an Alien permanently residing in the U.S. under Color of Law, or... - Status as an Amnesty Alien.

Non-Citizens without “satisfactory immigration status” may receive coverage that is limited to emergency, skilled nursing and pregnancy-related care only.

As a result of the implementation of Health Care Reform (HCR) on January 1, 2014, the Medi-Cal program has been separated into Non-MAGI Medi-Cal and "Modified Adjusted Gross Income" (MAGI) Medi-Cal.

MAGI Medi-Cal includes the following new categories of individuals:

- Childless adults between the ages of 19-64...

- Pregnant women; - Parents or caretaker relatives; and… - Children under age 19.

MAGI eligibility for these individuals is based on reported income. Property and resources are not counted under MAGI Medi-Cal.

Non-MAGI Medi-Cal refers to eligibility programs that existed prior to the implementation of Health Care Reform and continue to provide medical benefits under the pre-HCR regulations to:

- Individuals aged 65 or older; - Blind, or disabled; - Foster care/former foster care children; - Medicare recipients and - Parent or caretaker relatives.

For Non-MAGI Medi-Cal, an applicant’s non-excluded resources must not exceed limits, based on family size.

TITLE CARD [Voice Over]: How To Apply:

Medi-Cal applications can be submitted Online, In-Person, or by Phone.

To Apply online, you may do so via: the "BenefitsCal" portal found on the DPSS homepage: DPSS.Lacounty.Gov...

OR: Through Covered California at: CoveredCA.com

To apply over the phone, or to request a paper application, please call our Customer Service Center at (866) 613-3777.

Even though the majority of applications are currently handled over the phone, or online, if needed, you can also apply in person at any DPSS District Office.

For detailed eligibility and program information, please visit our website at: dpss.lacounty.gov/en/health.html

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