Medi-Cal was established in 1965 to offer healthcare benefits to California residents on already receiving welfare. Since then, the categories of people eligible for medical care benefits under Medi-Cal is broadened significantly. The Medi-Cal program has been referred to as a “patchwork” of programs as a result of number of categories that have been added. There are lots of eligibility categories that you may fall into. Generally, eligibility is founded on income, property, and household composition. However, each factor is complex and could vary based on which insurance verification companies you fall into.
Medi-Cal for Immigrants
Can immigrants be eligible for Medi-Cal? To become qualified to receive all Medi-Cal services, someone has to be categorized as having “satisfactory immigration status.” This may include citizens, lawful permanent residents and immigrants that fall under Permanent Resident under Shade of Law” (PRUCOL).
Undocumented immigrants and immigrant groups which do not qualify as having satisfactory immigration status may be eligible for limited health coverage under Medi-Cal. Limited coverage includes emergency services, pregnancy services, dialysis, and nursing homes. To become eligible for the full range of services, the person must meet Federal Medicaid law requirements for any “qualified alien.”
Qualified immigrants that are exempt through the five-year waiting period. This category includes refugees, trafficking victims, veteran families, and Asylees. An experienced non-citizen includes lawful present residents or green card holders, those entering the country from Cuba or Haiti, Battered spouses and children, victims of human trafficking, refugees, as well as the spouses and children of active military or veterans. Most of the qualified non-citizen groups are also exempt from the five-year waiting period.
Lawfully present residents includes those that have Humanitarian status, valid non-immigrant visa holders, those whose legal status was conferred from the following laws: temporary resident status, LIFE Act, Family Unity Individuals, and lawful residents in American Samoa as well as the Northern Mariana Islands.
States are allowed to extend services funded completely through the state to immigrant groups not qualified by federal standards. However, immigrants need to be aware that based on their situation, accepting public aid may negatively impact their immigration status.
The Department of Homeland Security is able to refuse an individual’s entry or re-entry into the Usa, or prevent someone from transforming into a permanent U.S. resident if they believe the individual is likely to become a “public charge” or someone which will be influenced by public benefits.
Immigrants without having a green card and legal permeant residents are protected if they use Medi-Cal and Healthy Families, prenatal care, low-cost clinics and health centers. Those immigrant groups can utilize these programs without anxiety about being seen as a potential public charge.
To become categorized as disabled for Medi-Cal eligibility, you should fulfill the Social Security Administration’s meaning of disability. The Social Security Administration defines disability as someone who jaaala unable to take part in substantial gainful activity (SGA) because of a medically-determined physical or mental impairment that (1) is expected to result in death, or (2) has lasted or is anticipated to stay longer than 12 continuous months.
Those asserting a disability other than blindness underneath the Aged/Disabled or Medically Needy Programs need to meet the Social Security Administration’s criteria for not being able to participate in “substantial gainful activity” (SGA). If your work is considered SGA, you might be disqualified. However, if your job is considered SGA, however you still satisfy the Social Security Administration’s concept of disabled, you might be eligible under the 250% Working Disabled Program.