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Frequently Asked Questions

Can I lose my home if I receive Medi-Cal?

Woodland Hills Elder Law Attorney Alice A. Salvo | Californi...
Medi-Cal will try to recover its expenses from the assets the Medi-Cal beneficiary owns at the time of his or her death, including the beneficiary's home. Your home can be protected with effective Medi-Cal planning. Medi-Cal benefits can be obtained retroactively for the three months immediately preceding your application month as long as the eligibility requirements were met for those months.

What services are covered by Medi-Cal? How do I qualify/apply for Medi-Cal?

The County of Santa Clara - SCC Public Portal
Medi-Cal covers select treatment services in the DADS system of care. Your treatment provider can help you determine if you qualify for Medi-Cal and can assist you in the application process. See similar questions...

Can I qualify for the Medicare program if I already have Medi-Cal?

Medicare: Frequently Asked Questions
Yes. If you have Medi-Cal and you qualify for Medicare you can use both programs. However, if you are a dual-eligible, you will be ineligible for the Low-Income Transitional Assistance Program. See similar questions...

Is this the only way to qualify for Medi-Cal?

Medically Needy Medi-Cal: Frequently Asked Questions
No. There are different ways you can qualify for Medi-Cal. Each Medi-Cal eligibility category has unique requirements. Db101 has detailed information on the following Medi-Cal categories: lt;< Prev | Medi-Cal (General) | SSI-Linked | A & D FPL | 250% CWD | Medically Needy | Medi-Cal/HIPP | Next >> See similar questions...

Can I qualify for OBRA while I am eligible for Medi-Cal?

OBRA: Frequently Asked Questions
Yes. Your eligibility for Medi-Cal does not affect your ability to participate in OBRA. In some cases if you are eligible for Medi-Cal you may be able to have Medi-Cal's Health Insurance Premium Payment program (Medi-Cal/HIPP) pay for your OBRA premiums. See similar questions...

Can I qualify for a PASS while I am eligible for Medi-Cal (Medicaid) health coverage?

Plan for Achieving Self-Support (PASS): Frequently Asked Que...
Yes. The additional resources in an approved PASS will not jeopardize your eligibility for Medi-Cal or In-Home Supportive Services. However, if your PASS ends you will need to spend down any additional resources. See similar questions...

How do I qualify financially for SSI-Linked Medi-Cal?

SSI-Linked Medi-Cal: Frequently Asked Questions
To qualify financially for SSI-Linked Medi-Cal, you have to meet SSI's financial eligibility requirements. When you initially qualify, your earnings must be below Social Security's Substantial Gainful Activity (SGA) amount: $900 for the year 2007 ($1,500 for blind beneficiaries). After you have met the SGA requirements, SSI counts a portion of your earned and unearned income to see if you qualify for the program. SSI calculates this using the countable income calculation. See similar questions...

Can I qualify for Medi-Cal if I don't receive SSI?

SSI-Linked Medi-Cal: Frequently Asked Questions
Yes. There are different ways you can qualify for Medi-Cal. Each Medi-Cal eligibility category has unique requirements. Besides the SSI-Linked program, Db101 has detailed information on the following Medi-Cal programs: For information on other eligibility categories, speak with a Benefits Planner or a Medi-Cal eligibility worker. See similar questions...

Can I qualify for SSI-Linked Medi-Cal while I am eligible for private health coverage?

SSI-Linked Medi-Cal: Frequently Asked Questions
Yes. Your enrollment in private health coverage will not jeopardize your participation in SSI-Linked Medi-Cal. Obtaining private health coverage may allow you to access providers or services you may not have had available to you on Medi-Cal alone. If you have private health coverage and are eligible for Medi-Cal, you may qualify for the Medi-Cal/HIPP program, which can pay for your insurance premiums. See similar questions...

Are there rules for immigrants to qualify for SSI-Linked Medi-Cal?

SSI-Linked Medi-Cal: Frequently Asked Questions
Yes. You must meet Social Security's rules for legal residency and California's residency requirements. See similar questions...

Can I qualify for an Individual Development Account (IDA) while I am eligible for Medi-Cal?

Individual Development Accounts (IDAs): Frequently Asked Que...
Yes. If the IDA program receives federal funding from Assets for Independence Act (AFIA) or Temporary Assistance for Needy Families (TANF), the contributions made by yourself and the organization are not counted as assets. However, if your IDA program is not funded under a TANF or AFIA block grant, the state may consider contributions as assets, unless you have a Plan for Achieving Self Support (PASS) (see question above.) See similar questions...

Can I qualify for Medically Needy Medi-Cal while I am eligible for private health coverage?

Medically Needy Medi-Cal: Frequently Asked Questions
Yes. Your enrollment in private health coverage will not jeopardize your participation in Medically Needy Medi-Cal. Obtaining private health coverage may enable you to access providers or services you may not have had available to you on Medi-Cal alone. You may also qualify for the Medi-Cal/HIPP program, which can cover your insurance premiums if: When using private health coverage and Medi-Cal simultaneously, the private health coverage is billed first. See similar questions...

Are there rules for immigrants to qualify for Medically Needy Medi-Cal?

Medically Needy Medi-Cal: Frequently Asked Questions
Yes. You must meet Social Security's rules for legal residency and California's residency requirements. See similar questions...

Can I make a large gift to immediately qualify for Medi-Cal?

Woodland Hills Elder Law Attorney Alice A. Salvo | Californi...
Medi-Cal has strict regulations concerning asset transfers. Improper transfers may result in a significant "period of ineligibility" during which an individual cannot receive Medi-Cal benefits. Transfers can also have negative estate and capital gains tax ramifications. Legal advice should be obtained before making any transfers. See similar questions...

My spouse is in a nursing home and is receiving Medi-Cal benefits. What should I do next?

Medicare and Medi-Cal Explained, Elder Law Attorney
If your spouse lacks legal capacity to sign agreements or deeds, you should file a petition with the probate court, under Probate Code § 3101, for a proceeding to authorize a transaction involving an incompetent spouse, to give you the power to transfer your spouse’s assets out of his/her name. This is done in order to meet Medi-Cal requirements and to avoid an estate recovery claim. See similar questions...

What is Medi-Cal?

Medi-Cal: Out-of-State Providers FAQs
In July 1965, two major amendments to the Social Security Act greatly expanded the scope of medical coverage available to various segments of the population. Title XVIII established the Medicare program and Title XIX established the state option medical assistance program known as Medicaid, which provides federal matching funds to states implementing a single comprehensive medical care program. See similar questions...

How do I bill Medi-Cal?

Medi-Cal: Out-of-State Providers FAQs
Instructions for billing Medi-Cal can be found in the provider manuals. The provider manuals come in two parts: a Part 1 manual, which addresses Medi-Cal program and eligibility requirements and is applicable to all communities, and a Part 2 manual, which addresses the specific billing requirements and policies of each provider community. Each community has its own Part 2 manual. See similar questions...

Is the Breast and Cervical Cancer Treatment Program (BCCTP) the only way to qualify for Medi-Cal?

Medi-Cal's Breast and Cervical Cancer Treatment Program (BCC...
No. There are different ways you can qualify for Medi-Cal. Some Medi-Cal categories (programs) require a disabled individual to meet Social Security’s definition of a disability, while another does not. Note: Medi-Cal is not universal health care. The majority of programs accommodate the needs of people who are poor. See similar questions...

What is the Medi-Cal/HIPP program?

Medi-Cal/HIPP: Frequently Asked Questions
HIPP stands for Health Insurance Premium Payment. The Medi-Cal/HIPP program pays private health insurance premiums so that individuals with high cost medical conditions may continue their private health coverage rather than relying solely on Medi-Cal. See similar questions...

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