Medi-Cal started in 1965 to offer healthcare benefits to California residents on already receiving welfare. Since then, the categories of people qualified for medical care benefits under Medi-Cal is broadened significantly. The Medi-Cal program has been referred to as a “patchwork” of programs due to the 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 might vary based upon which eligibility verification you fall into.
Medi-Cal for Immigrants
Can immigrants be eligible for Medi-Cal? To be eligible for all Medi-Cal services, a person has to be categorized as having “satisfactory immigration status.” This might include citizens, lawful permanent residents and immigrants that fit into 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 become eligible for the complete range of services, the person must meet Federal Medicaid law requirements for a “qualified alien.”
Qualified immigrants who are exempt from your 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, and also the spouses and kids of active military or veterans. Most of the qualified non-citizen groups can also be exempt from your five-year waiting period.
Lawfully present residents includes those that have Humanitarian status, valid non-immigrant visa holders, those whose legal status was conferred by 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 permitted to extend services funded completely through the state to immigrant groups not qualified by federal standards. However, immigrants need to be conscious of depending on their situation, accepting public aid may negatively impact their immigration status.
The Department of Homeland Security is allowed to refuse an individual’s entry or re-entry in to the U.S., or prevent someone from becoming a permanent U.S. resident should they believe the patient is likely to turn into a “public charge” or someone that might be determined 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 fear of being seen as a potential public charge.
To become 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 somebody who jaaala unable to take part in substantial gainful activity (SGA) due to a medically-determined physical or mental impairment that (1) is anticipated to bring about death, or (2) has lasted or possibly is anticipated to keep going longer than 12 continuous months.
Those asserting a disability other than blindness under the Aged/Disabled or Medically Needy Programs must meet the Social Security Administration’s criteria for not being able to take part in “substantial gainful activity” (SGA). Should your effort is considered SGA, you could be disqualified. However, should your effort is considered SGA, but you still satisfy the Social Security Administration’s meaning of disabled, you might be eligible under the 250% Working Disabled Program.