Fact Sheet
Income Counting in the 250% Working Disabled Medi-Cal Program
This month’s practice tip demystifies two of the most opaque eligibility rules for the 250% Working Disabled Program: the income and SSI/SSP tests.
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Fact Sheet
The new tax law could change your Medi-Cal or Covered CA eligibility!
Did you know that the new tax law might affect your eligibility for Medi-Cal or Covered CA premium assistance? There are changes in tax filing requirements that you should know about before you apply for or renew your Medi-Cal or Covered CA.
Fact Sheet
EPSDT Medical Necessity Standard for Children Under 21 (SB 1287 Implementation)
In 2018, the federal Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) standards for Medi-Cal services applied to children under age 21 to ensure the correct medical necessity standard is used for children.
Fact Sheet
Counting Census (and Other Temporary) Income for Medi-Cal Eligibility
Hiring temporary workers for the 2020 Census has already begun. Read on for details on helpful income-counting rules for census income, which also apply to both MAGI and Non-MAGI Medi-Cal programs.
Fact Sheet
Accessing Health Care After Surviving a Disaster
After disasters in California, survivors may need extra assistance to access health care. Read on for
special rights and remedies available to survivors who need assistance.
Fact Sheet
Monitoring Plan’s Provision of Mental Health services to Medi-Cal Beneficiaries
This is an advocate fact sheet that discusses monitoring plan provisions of mental health services to Medi-Cal beneficiaries.
Fact Sheet
Prior Year FPL Income Charts 2016-2024
Income Levels for California’s Health Programs
Fact Sheet
Cómo satisfacer su costo compartido (Share of Cost Spanish Version)
Su costo compartido es la cantidad de dinero que debe pagar u obligarse a pagar cada mes por los productos y servicios médicos antes de que Medi-Cal empiece a pagar.
Consumer Brochure Fact Sheet
How to Address Quality of Care Concerns?
Use this link to access the reference guide for consumers seeking to raise concerns about the quality of their care whether the problem is caused by a provider, plan or facility. Translation: Español/Spanish.
Consumer Brochure
Sample Letter to a Medi-Cal Provider About a Bill
This is a sample letter consumers can use when they go to a Medi-Cal provider for a Medi-Cal covered service and are incorrectly billed for the service.
Consumer Brochure
Medi-Cal Share of Cost
This consumer brochure explains a Medi-Cal Share of Cost and how you can "meet your share of cost."
Consumer Brochure
What is Public Charge?
The Department of Homeland Security recently finalized new changes to the public charge rule. The changes will take effect on October 15, 2019 and may impact some immigrants. Read on to learn more.
Consumer Brochure
Medi-Cal and Managed Care
This consumer brochure addresses how to access care through your Medi-Cal managed care plan and your rights if you are not getting the health care you need.
Fact Sheet
HCA EPSDT Fact Sheet
This HCA factsheet address the Early and Periodic Screening, Diagnostic, and Treatment (ESPDT) program and how children access EPSDT services. The fact sheet also addresses other Medi-Cal programs that provide special services to children under 21.
Fact Sheet
NHeLP’s Protect Medicaid Funding Series
In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend on the Medicaid guarantee every year.
Consumer Brochure Fact Sheet
What is the Health Consumer Alliance?
The Health Consumer Alliance is a partnership of consumer assistance programs operated by community-based legal services organizations across California. Learn more about what we do and how we can help you.
Consumer Brochure
What if Medi-Cal says no?
Has Medi-Cal told you No? You have options! Use the link above to access a valuable resource presented by the Health Consumer Alliance and learn how to make them say Yes!
Advocate Brief
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
The National Health Law Program's (NHeLP) experts cover a number of issues impacting access to and the quality of care for low-income and underserved people and families. This issue brief analyzes the legal requirements that require County Medical Health Plans (MHPs) to ensure Medi-Cal beneficiaries’ access to Specialty Mental Health Services (SMHS) and maintain adequate provider networks. It also discusses the different types of enforcement and monitoring tools to hold MHPs accountable.
Advocate Brief
Western Center’s Health Care Eligibility Guide
Western Center’s Getting and Keeping Health Care Coverage for Low-Income Californians: A Guide for Advocates provides California advocates with the relevant statutes, regulations, and guidance needed to help their clients access health care coverage.
