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Verify Medical Eligibility – Common Issues..

Medi-Cal was established in 1965 to offer healthcare benefits to California residents on already receiving welfare. Ever since then, the types of people qualified for healthcare benefits under Medi-Cal is broadened significantly. The Medi-Cal program has been known as “patchwork” of programs because of the number of categories that have been added. You will find medicare eligibility verification that you may fall into. Typically, eligibility is based on income, property, and household composition. However, each factor is complex and may vary according to which eligibility category you fall under.

Medi-Cal for Immigrants

Can immigrants qualify for Medi-Cal? To become eligible for all Medi-Cal services, a person has to be categorized as having “satisfactory immigration status.” This may include citizens, lawful permanent residents and immigrants that come under Permanent Resident under Color of Law” (PRUCOL).

Undocumented immigrants and immigrant groups which do not qualify as having satisfactory immigration status may be eligible for limited health coverage under Medi-Cal. Limited coverage includes emergency services, pregnancy services, dialysis, and nursing facilities. To become qualified to receive the full variety of services, the individual must meet Federal Medicaid law requirements to get a “qualified alien.”

Qualified immigrants that are exempt from the five-year waiting period. This category includes refugees, trafficking victims, veteran families, and Asylees. A professional 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, and the spouses and youngsters of active military or veterans. Many of the qualified non-citizen groups can also be exempt from your five-year waiting period.

Lawfully present residents includes individuals 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 and also the Northern Mariana Islands.

States can extend services funded completely from the state to immigrant groups not qualified by federal standards. However, immigrants need to be conscious that according to 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 to the United states, or prevent an individual from transforming into a permanent Usa resident when they believe the individual is likely smfbql be a “public charge” or someone which will be dependent on public benefits.

Immigrants with no green card and legal permanent 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 anxiety about being viewed as a potential public charge.

In order to be categorized as disabled for Medi-Cal eligibility, you should satisfy the Social Security Administration’s meaning of disability. The Social Security Administration defines disability as somebody who struggles to engage in substantial gainful activity (SGA) as a result of medically-determined physical or mental impairment that (1) is expected to lead to death, or (2) has lasted or possibly is supposed to last 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 being unable to participate in “substantial gainful activity” (SGA). If your effort is considered SGA, you may be disqualified. However, should your work is considered SGA, however you still satisfy the Social Security Administration’s definition of disabled, you could be eligible under the 250% Working Disabled Program.

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