How does Medi-Cal verify eligibility?
Medi-Cal eligibility is based primarily on your income and, sometimes, your “countable property”. To find out if you and your family may be eligible based on income, use the Covered California Income Guidelines chart.
What information does Medi-Cal need?
As you apply for Medi-Cal, you will need the following documents: Social Security numbers: Every applicant who has a Social Security number needs to provide it to make the application process faster. Social Security numbers help your county social services office verify your information.
What is a Medi-Cal redetermination?
Each year you must renew your or your family’s Medi-Cal eligibility. The county will conduct a review to determine if you and/or your family members continue to meet Medi-Cal eligibility requirements. This review process can also be called an annual redetermination.
How do I recertify for Medi-Cal?
Medi-Cal Renew Your Medi-Cal Coverage
- Online through MyBenefits CalWIN or Covered California.
- By phone at (415) 558-4700.
- Other ways to submit your renewal form: Email: [email protected]. Fax: (415) 355-2432. Mail: Human Services Agency, P.O. Box 7988, San Francisco, CA 94120.
Can I check my Medi-Cal status online?
You can access your member services online through your plan’s website and the Covered California website. Each service manages different aspects of your coverage. Also, your local county office will take care of specific parts of your Medi-Cal membership.
Does Medi-Cal verify income?
No. This program uses Social Security’s countable income calculation to determine your income. Additionally, the WDP Program does not count unearned income from private or public disability benefits (such as SDI, SSI, SSDI, STD, LTD ) when determining your countable income.
Does Medi-Cal check your bank account?
An important note: For long-term care Medicaid, there is a 60-month look back period (30-months in California). Because of this look back period, the agency that governs the state’s Medicaid program will ask for financial statements (checking, savings, IRA, etc.)
How do I update my Medi-Cal information?
To report changes, call Covered California at (800) 300-1506 or log in to your online account. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.
How long does it take for Medi-Cal redetermination?
The Annual Redetermination due month is generally set from the first day of the application month. However, if the applicant is not Medi-Cal eligible in the month of application, then the Annual Redetermination is set 12 months from the approval month.
What is a redetermination form?
A redetermination is the first level of the appeals process and is an independent re-examination of an initial claim determination. A claim must be appealed within 120 days from the date of receipt of the initial Medicare Summary Notice (MSN), Remittance Advice (RA) or Overpayment Demand Letter.
Does Medi-Cal automatically renew?
Medi-Cal members must renew their coverage each year to keep their health care benefits. For most members, coverage is renewed automatically.
Does Medi-Cal check your savings account?
To qualify for Medi-Cal, the applicant must demonstrate that they have limited resources available. California law allows the applicant to have up to $2,000 in countable assets. hand, uncashed checks and anything you might have in your safe deposit box that you could cash in to pay for care.