California Medicaid Eligibility Requirements
This page provides general guidelines for the California Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is California Department of Health Services. The name of the state program is Medi-Cal. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the California Medicaid office.
California Medicaid Overview
Medi-Cal is California's Medicaid program and the second largest source of health care coverage in the state, after employer-based coverage. Although it is widely known as the program that provides coverage for working families with low incomes, it is also an important source of federal funding for hospitals, clinics, nursing homes and other providers. Restricted Medi-Cal is a program that provides assistance to immigrants awaiting legal status, the uninsured and others who seek coverage on an emergency-basis.
California Medicaid Eligibility Requirements - Non Income
Must be a California resident and have legal immigration status (exceptions granted for certain groups). People on Cash Assistance, Welfare, CalWorks or children leaving Foster Care at age 18 usually qualify automatically.
Documents Needed For California Medicaid Application
- Proof of Income
- Proof of Pregnancy (if you are pregnant)
- Proof of Deductions
- Proof You Live in California
- Proof of Citizenship, U.S. National or Legal Immigration Status
California Medicaid Benefits
Medi-Cal offers health, dental, vision, and prescription coverage. Also offered are services for special health problems, like breast cancer, kidney problems, nursing home needs, and AIDS. If you are pregnant, Medi-Cal all pregnancy-related care (prenatal and delivery) are covered. Mothers are covered up to 60 days after delivery.
California Medicaid & CHIP Eligibility Levels
Below is the modified adjusted gross income (MAGI) eligibility levels for California Medicaid and Children's Health Insurance Program (CHIP).
Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: 20 CHIP: N/A |
133% | 133% |
Eligibility Levels - Individual By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: N/A CHIP: N/A |
$1,293 | $1,293 |
Eligibility Levels - Family Of Two By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: $2,727 CHIP: N/A |
$1,743 | $1,743 |
Eligibility Levels - Family Of Three By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: $3,430 CHIP: N/A |
$2,193 | $2,193 |
Eligibility Levels - Family Of Four By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: $4,134 CHIP: N/A |
$2,643 | $2,643 |