California Department of Health Care Services

California Department of Health Care Services

California Department of Health Care Services
1. a. What are the Medicaid eligibility requirements in your state? In your state, are they both eligible for Medicaid?
There are numerous ways to qualify for Medi-Cal, California’s Medicaid program. Being pregnant is the simplest way, regardless of citizenship. If you are an illegal immigrant, Medi-Cal is only available in an emergency or during pregnancy. Even as a legal immigrant, 5 years of residency is required before receiving full coverage. Other ways to qualify for Medi-Cal include being 65 or older or being under the age of 21. Other eligibility criteria include being disabled and falling below the 138 percent Federal Poverty Level. Participation in these programs also qualifies you for Medi-Cal Calfresh, SSI/SSP, CalWorks, Refugee Assistance, Foster Care, or Adoption Assistance Program.
In this case, the husband qualifies due to his age and disability. She most likely qualifies as well if they both earn less than 138 percent of the Federal Poverty Level, but her eligibility is unclear due to limited information about their finances.
b. As a Medicaid beneficiary, how much income (Social Security, wages, pension, interest, etc.) is allowed each month?
The total annual amount allowed is less than 138 percent of the Federal Poverty Level. This amounts to $22,108 per year or $1842.33 per month, according to the California Department of Health Care Services.
 
c. How much money can they have? Which possessions are considered assets?
According to the California Department of Health Care Services, the general property limit for two people is 3,000. However, there are ways to raise this limit through the court system. According to the California Department of Health Care Services website, the following are assets:
Real Estate:
• Principal Place of Residence Property used as a residence is exempt (not counted in determining eligibility for Medi-Cal). When an applicant or beneficiary is absent from the house for any reason, including Institutionalization, the home remains exempt as long as the applicant or beneficiary intends to return home someday. If the applicant’s or beneficiary’s spouse or dependent relative continues to live in the home, it remains exempt. If the proceeds from the sale of the home are going to be used to buy another home, the money can be exempt for six months.
• Other real estate. Exemption may be granted for up to $6,000 of the equity value in non-business real estate (excluding the home), mortgages, deeds of trust, or other promissory notes. To qualify for this exemption, the property must generate an annual income of 6% of its net market value or current face value.
• Real estate used for business or trade. Real estate used in a trade or business is exempt regardless of equity or income generation.
• Personal property used in the course of a trade or business.
• One automobile.
• Personal consequences. Clothing, heirlooms, wedding and engagement rings, and other jewelry with a net value of less than $100 are all eligible.
• Household goods.
• IRAs, KEOGHs, and other employer-sponsored pension plans. If the family member whose name it is in does not want Medi-Cal, these funds are exempt. If the account is held in the name of a person eligible for Medi-Cal and payments of principal and interest are received, the balance is considered unavailable and is not counted.

• Irrevocable burial trusts or prepaid burial contracts.
• Each person may have one revocable burial fund or revocable prepaid burial contract worth up to $1,500 plus accrued interest.
• Items for the burial space
• Musical equipment.
• Recreational items such as televisions, VCRs, computers, guns, collections, and so on.
• Animals, poultry, or crops
• Countable property equal to the amount of benefits paid under a state-approved plan.
long-term care insurance coverage
• Policies for life insurance. Everyone can have life insurance policies with a different company.
Interest and dividends on a combined face value of $1,500 or less
 
2. What benefits are available if you are eligible? Provide an overview of the assistance programs that are tailored to their specific needs. She is thinking about home care services, an adult day health program, or nursing home care.
Medi-Cal covers a wide range of services, including physical, mental, and dental health care. In this case, Medi-Cal covers rehabilitation services, long-term skilled nursing facilities, and other personal care services. Non-emergency transportation, physical and speech therapy, and various medical devices are also covered by Medi-Cal.
B. Share your ideas:
1. Are the websites easy to use? Consider the standards for health care literacy. Consider obtaining the information if you have an age-related limitation like poor vision, limited hand function due to arthritis, or short-term memory loss.
I was disappointed by how difficult it was to navigate the Medi-Cal website. It was difficult to determine eligibility. The website had many links and topics, but basic information such as eligibility or limitations were nearly impossible to find. I was only able to find this information by conducting a Google search and linking to the correct page. Even after finding the correct information, the jargon was written in a somewhat convoluted manner. Counselors, for example, can help determine a person’s eligibility and assist in signing up.