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Medi-Cal Main Page
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- What is Medi-Cal?
- What are some requirements to be eligible for Medi-Cal?
- How do I apply?
- Where to apply for Medi-Cal in person?
- What are your hours of operation?
- What verifications are necessary to provide when applying for Medi-Cal?
- Do I have to have children to be eligible for Medi-Cal?
- Do I have to be a US citizen to be eligible?
- What are the income standards for Medi-Cal?
- What are the property standards for Medi-Cal?
- What if I have an immediate medical need?
- I am homeless could I still be eligible for benefits?
- If I receive Supplemental Security Income/State Supplemental Payment (SSI/SSP) am I eligible for Medi-Cal?
- If I am approved to receive benefits, how do I access them?
- What happens if my BIC card is not working?
- What if I have lost my BIC card?
- What if I don’t think I am eligible can I still apply?
- How do I find out who my case manager is?
- I can’t reach my worker, what should I do?
- What is Medi-Cal?
Medi-Cal is a health care program for needy residents of California. It provides access to a variety of medical services for those who are eligible.
- What are some requirements to be eligible for Medi-Cal?
Medi-Cal has several different programs so each person’s circumstances are unique but in general, if you are in a skilled nursing facility, or expecting to enter a skilled nursing facility, or under age 21, or over age 65, or legally blind, or have a disability that is expected to last a year or more, or have a child under 21 who does not have the support or care of one parent because of that parent’s absence from the home, death, incapacity or unemployment you may be considered Medically Needy and should apply for Medi-Cal if you need help meeting your medical expenses. You must also be a resident of Stanislaus County, and willing to provide your Social Security number, immigration/citizenship status, have verification of identity, and information about your income, property, and other health insurance if any.
- How do I apply?
Call 1-800-962-4468 to have a Medi-Cal application sent to your home, or go to the nearest Medi-Cal office. You can also downloaded an application at http://www.dhs.ca.gov/mcs/medi-calhome/mc210.htm
- Where to apply for Medi-Cal in person?
Community Services Agency (CSA)
251 E. Hackett Road
Modesto, CA 95358
(209) 558-2777 |
CSA Turlock
101 Lander Avenue
Turlock, CA
(209) 664-8150
Or
275 3rd St
Turlock, CA
(209) 664-8287 |
Hughson Collaborative
2413 3rd Street
Hughson, CA
(209) 558-4564 |
West Modesto Community Center
401 Paradise Road, Bldg. E
Modesto, CA
(209) 558-5142 |
Oakdale
1405 West F Street Ste #1
Oakdale, CA
(209) 558-2777 |
Scenic
1014-A Scenic Drive
Modesto, CA
(209) 558-4820 |
- What are your hours of operation?
The Community Services Agency offices are open from 8:00am to 5:00pm Monday through Friday.
- What verifications are necessary to provide when applying for Medi-Cal?
You may apply without proof, but you will have to give certain information before your Medi-Cal can be approved. Your worker will tell you what proof is needed. If you can not get the proof yourself ask your worker to help you. Here is a list of some of the items required:
- Social Security card(s)
- Medicare card(s)
- Naturalization documents(s)
- Alien registration card(s)
- Pregnancy verification
- Income verification
- Property Tax statements for all real property
- Vehicle registration(s)
- Bank Account statement(s) and Trust Account document(s)
- Stocks, Bonds (including US Savings Bonds), and Mutual Funds
- Life Insurance policies including Cash Surrender Value (CSV) tables.
- Documentation regarding the current value of Annuities, IRAs and Trusts
- Burial trust(s), prepaid burial contract(s) and information on burial plot(s).
- Documentation showing proof of Citizenship and Identity.
- Do I have to have children to be eligible for Medi-Cal?
No, adults without dependents may apply for and be eligible for Medi-Cal benefits if they are:
- 65 or older or
- have a verified disability that is expected to last a year or more
- are legally blind
- in long term care at a skilled nursing facility
- Do I have to be a US citizen to be eligible?
No, but you have to be an eligible non-citizen (have the legal right to be in the U.S.) to get full scope benefits. If you are an undocumented non-citizen you may be eligible to emergency only services.
- What are the income standards for Medi-Cal?
You can get Medi-Cal regardless of how much money you get. However, the more income you have the more you may have to pay as a Share of Cost (SOC) before Medi-Cal will help pay for your medical bills.
- What are the property standards for Medi-Cal?
The property/asset limits vary depending on household size and program starting at $2,000 for an individual and $3,000 for a couple. Some property is exempt, such as one vehicle, furniture, other personal items, burial plots, and the home you live in. A person in Long Term Care may allocate income and property to the spouse at home. The amounts that can be allocated can every year in January. You should apply and let your case manager determine if you are property eligible.
- What if I have an immediate medical need?
If you have an immediate medical need, apply in person at one of our offices. A case manager will assess your situation and determine your eligibility. You may be eligible for a temporary approval of Medi-Cal benefits while your application is being processed.
- I am homeless. Could I still be eligible for benefits?
Yes, if you meet all the other criteria for Medi-Cal benefits. You will be asked to provide a contact address/phone number or you may use the Community Services Agency’s address if you cannot provide an alternate contact.
- If I receive Supplemental Security Income/State Supplemental Payment (SSI/SSP) am I eligible for Medi-Cal?
Yes, the State of California automatically provides Medi-Cal for SSI/SSP recipients. You know you receive SSI/SSP benefits if you receive your Social Security benefits on the first of the month. You do not need to apply for Medi-Cal separately.
If you receive regular Social Security and receive your benefits on the third of the month or after, you must apply for Medi-Cal separately. See “How do I apply?”
- If I am approved to receive benefits, how do I access them?
Medi-Cal benefits are accessed through a Benefit Identification Card (BIC). The BIC works much like any other insurance card. The medical provider will be able to tell whether you are eligible, if you have other insurance that must be billed first and how much your Share of Cost (SOC) is, if any. You should show your BIC anytime you receive medical services or prescriptions, even if you have a SOC. Always find out if the medical provider takes Medi-Cal patients before you go for treatment.
- What happens if my BIC card is not working?
The BIC may not work for various reasons, such as the card may not be active, or the requested services aren’t a Medi-Cal covered benefit. You may call your case manager or (209) 558-2777 for assistance.
- What if I have lost my BIC card?
Contact your case manager, go into your local office, or you may request a new card by calling (209) 558-2777.
- What if I don’t think I am eligible can I still apply?
Yes, you may apply for Medi-Cal at any time.
- How do I find out who my case manager is?
You can use our automated system to find out who your case manager is by calling (209) 558-2777.
- I can’t reach my worker, what should I do?
Please leave a message with your assigned case manager. If they do not return your call by the next day you may ask to speak to their supervisor and for their supervisor’s phone numbers. Our phone calls are our priority. Please let us know if you are not receiving a returned phone call.
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