California - Medi-Cal: Medi-Cal Categories. Medi-Cal Categories Income-based Medi-Cal Medi-Cal is a major government-funded health program that helps people with low income. The simplest way to qualify is if you: And you are in one of these situations: You are 19-64 years old and your family’s income is at or below 138% of the Federal Poverty Level (FPL) ($16,105 for an individual; $32,913 for a family of 4). You are a child 18 or younger and your family’s income is at or below 266% of FPL ($63,441 per year for a family of 4). If you are in these situations, there are is no limit to how much money or other resources you have and it does not matter whether or not you have a disability. How Does Your Income Compare to FPG? Medi-Cal for People with Disabilities People with disabilities have more ways they can qualify for Medi-Cal if they don't meet the standard eligibility rules described above.
These ways to qualify are explained here. Aged & Disabled Federal Poverty Level Medi-Cal (A&D FPL) Your Countable Income: Example. Social Security Publications. SSI, or Supplemental Security Income, is a federal program that provides monthly cash payments to people in need. SSI is for people who are 65 or older, as well as for blind or disabled people of any age, including children.
To qualify you also must have little or no income and few resources. This means that the value of the things you own must be less than $2,000 if you are single or less than $3,000 if you are married. The value of your home does not count if you live in it. Usually, the value of your car does not count. And the value of certain other resources, such as a burial plot, may not count either.
To receive SSI, you also must apply for any other cash benefits you may be able to get. The state of California adds money to the federal payment. If you receive SSI, you usually can get medical assistance (Medi-Cal) automatically. However, you may be able to get SNAP. While you are waiting for a decision on your SSI application If your application for SSI is denied; or Category.
California Welfare and Institutions Code Section 14005.40. Disability Rights California - Publications - In-Home Supportive Services, Nuts & Bolts, Chapter 6, Share of Cost Rules, English. What is a Share of Cost? If you are eligible for SSI/SSP except for excess income or are on the Medi-Cal Medically Needy Program (), and qualify for IHSS you may have a share of cost (SOC). There is a Medi-Cal SOC and an IHSS SOC. You will only need to meet your IHSS SOC to be eligible for IHSS services/Medi-Cal services. Non-payment of your SOC will cause you to become ineligible for IHSS and Medi-Cal. Medi-Cal Share of Cost Medi-Cal SOC is the monthly amount Medi-Cal requires you to pay each month, or requires you to agree to pay in the future, for medical goods and services before Medi-Cal begins to pay. You may meet your SOC by paying for, or by agreeing to pay for, medical goods and services. Medi-Cal is designed to be an income-maintenance program as well as a medical care reimbursement program.
The monthly for Medi-Cal is called “Spenddown.” The amount that Medi-Cal beneficiaries with a have to spend down to is $600 per month for an individual and $934 for couples. 1. 2. California - Medi-Cal: Medi-Cal Categories. Disability Rights California - Publications - In-Home Supportive Services, Nuts & Bolts, Chapter 6, Share of Cost Rules, English.