Medi-Cal started in 1965 to offer healthcare advantages to California residents on already receiving welfare. Ever since then, the categories of people qualified to receive health care benefits under Medi-Cal is broadened significantly. The Medi-Cal program continues to be referred to as a “patchwork” of programs because of the number of categories which have been added. There are many eligibility categories that you could fall into. Generally, eligibility is based on income, property, and household composition. However, each factor is complex and might vary based on which eligibility verification in medical billing you fall into.
Medi-Cal for Immigrants
Can immigrants qualify for Medi-Cal? To be qualified to receive all Medi-Cal services, someone should be categorized as having “satisfactory immigration status.” This could 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 entitled to limited health coverage under Medi-Cal. Limited coverage includes emergency services, pregnancy services, dialysis, and nursing facilities. To be qualified to receive the complete selection of services, the person must meet Federal Medicaid law requirements for a “qualified alien.”
Qualified immigrants that are exempt from your 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 nation from Cuba or Haiti, Battered spouses and children, victims of human trafficking, refugees, and the spouses and youngsters of active military or veterans. Most of the qualified non-citizen groups can also be exempt through 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 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 to the United states, or prevent someone from transforming into a permanent United states resident when they believe the person will probably turn into a “public charge” or someone that will be influenced by public benefits.
Immigrants without having a green card and legal permeant residents are protected when they use Medi-Cal and Healthy Families, prenatal care, low-cost clinics and health centers. Those immigrant groups can utilize these programs without fear of being viewed as a potential public charge.
In order to be categorized as disabled for Medi-Cal eligibility, you have to fulfill the Social Security Administration’s definition 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 expected to bring about death, or (2) has lasted or is anticipated to keep going longer than 12 continuous months.
Those asserting a disability apart from blindness underneath the Aged/Disabled or Medically Needy Programs have to meet the Social Security Administration’s criteria for being unable to take part in “substantial gainful activity” (SGA). If your work is considered SGA, you may be disqualified. However, in case your effort is considered SGA, however, you still meet the Social Security Administration’s definition of disabled, you may be eligible underneath the 250% Working Disabled Program.