Medi-Cal was established in 1965 to provide healthcare advantages to California residents on already receiving welfare. Since that time, the types of people qualified for health care benefits under Medi-Cal is broadened significantly. The Medi-Cal program continues to be referred to as a “patchwork” of programs as a result of number of categories that have been added. There are numerous eligibility categories that you could fall into. Generally, eligibility is based on income, property, and household composition. However, each factor is complex and may vary according to which insurance verification companies you fall into.
Medi-Cal for Immigrants
Can immigrants be eligible for Medi-Cal? In order to be eligible for all Medi-Cal services, someone must be categorized as having “satisfactory immigration status.” This might include citizens, lawful permanent residents and immigrants that fall under Permanent Resident under Color of Law” (PRUCOL).
Undocumented immigrants and immigrant groups which 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. To be qualified for the entire range of services, the patient must meet Federal Medicaid law requirements for a “qualified alien.”
Qualified immigrants who definitely are exempt through the 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 youngsters, victims of human trafficking, refugees, as well as the spouses and children of active military or veterans. Lots of the qualified non-citizen groups can also be exempt through the five-year waiting period.
Lawfully present residents includes individuals with Humanitarian status, valid non-immigrant visa holders, those whose legal status was conferred through the following laws: temporary resident status, LIFE Act, Family Unity Individuals, and lawful residents in American Samoa and the Northern Mariana Islands.
States are permitted to extend services funded completely by the state to immigrant groups not qualified by federal standards. However, immigrants need to be aware that depending on 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 becoming a permanent U.S. resident should they believe the individual will probably turn into a “public charge” or someone which will 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 need to fulfill the Social Security Administration’s meaning of disability. The Social Security Administration defines disability as somebody who jaaala unable to engage in substantial gainful activity (SGA) due to a medically-determined physical or mental impairment that (1) is expected to result in death, or (2) has lasted or perhaps is expected to last longer than 12 continuous months.
Those asserting a disability besides blindness under the Aged/Disabled or Medically Needy Programs have to meet the Social Security Administration’s criteria for not being able to participate in “substantial gainful activity” (SGA). Should your effort is considered SGA, you could be disqualified. However, in case your work is considered SGA, but you still meet the Social Security Administration’s meaning of disabled, you could be eligible beneath the 250% Working Disabled Program.