Medi-Cal was established in 1965 to offer health care advantages to California residents on already receiving welfare. Since that time, the types of people qualified to receive medical care benefits under Medi-Cal is broadened significantly. The Medi-Cal program continues to be known as “patchwork” of programs because of the number of categories which have been added. There are lots of eligibility categories that you might fall into. In most cases, eligibility is founded on income, property, and household composition. However, each factor is complex and might vary based on which medical insurance eligibility verification you fall into.
Medi-Cal for Immigrants
Can immigrants be eligible for Medi-Cal? To be qualified to receive all Medi-Cal services, a person has to be categorized as having “satisfactory immigration status.” This could include citizens, lawful permanent residents and immigrants that come under Permanent Resident under Color of Law” (PRUCOL).
Undocumented immigrants and immigrant groups that do not qualify as having satisfactory immigration status may qualify for limited health coverage under Medi-Cal. Limited coverage includes emergency services, pregnancy services, dialysis, and nursing homes. In order to be qualified to receive the entire variety of services, the individual must meet Federal Medicaid law requirements for a “qualified alien.”
Qualified immigrants who are exempt through the five-year waiting period. This category includes refugees, trafficking victims, veteran families, and Asylees. A qualified non-citizen includes lawful present residents or green card holders, those entering the country from Cuba or Haiti, Battered spouses and kids, victims of human trafficking, refugees, and also the spouses and kids of active military or veterans. Many of the qualified non-citizen groups are also exempt from the five-year waiting period.
Lawfully present residents includes those with 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 and the Northern Mariana Islands.
States can extend services funded completely by the state to immigrant groups not qualified by federal standards. However, immigrants must be conscious that according to their situation, accepting public aid may negatively impact their immigration status.
The Department of Homeland Security is permitted to refuse an individual’s entry or re-entry in to the U.S., or prevent a person from transforming into a permanent U.S. resident should they believe the patient is likely to become a “public charge” or someone which will be dependent on public benefits.
Immigrants without a green card and legal permeant residents are protected should they use Medi-Cal and Healthy Families, prenatal care, low-cost clinics and health centers. Those immigrant groups can utilize these programs without the fear of being seen as a potential public charge.
In order to be categorized as disabled for Medi-Cal eligibility, you have to meet the Social Security Administration’s concept of disability. The Social Security Administration defines disability as someone who jaaala unable to engage in substantial gainful activity (SGA) as a result of medically-determined physical or mental impairment that (1) is anticipated to lead to death, or (2) has lasted or possibly is expected to stay longer than 12 continuous months.
Those asserting a disability apart from 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). In case your effort is considered SGA, you could be disqualified. However, in case your job is considered SGA, however you still satisfy the Social Security Administration’s definition of disabled, you may be eligible beneath the 250% Working Disabled Program.