Source: https://medi-cal.healthreformquotes.com/eligibility/
Timestamp: 2019-04-21 22:06:54+00:00

Document:
Covered CA – Don’t want Medi-Cal for the kids – redetermination form?
Household Definition – Who counts?
Visiting Hospital no $$$ no Insurance – Not Lawfully Present?
MAGI Income – Medi-Cal Qualification?
Share of Cost – What is it?
Share of Cost? 100 to 138 FPL?
Full Scope Medi-Cal – Medicaid?
Can Medi-Cal take your home when you pass away?
What are the benefits? Coverages?
Expansion under ACA – Less under Donald Care?
Dual Coverage? Medi-Cal & Individual Private or Employer Plans?
Is Medi-Cal changing its criteria to receive benefits, under ObamaCare?
Yes. Medi-Cal eligibility is now simpler than ever. For most individuals, Medi-Cal eligibility will be based on your household size and your MAGI – Income.
Disability Benefits 101 – Excellent explanation!
Historical information pre Obama Care.
Medi-Cal will also attempt to verify your information electronically so you may be found eligible for benefits without ever having to provide paper verifications.
§ 155.300 — Definitions and general standards for eligibility determinations.
§ 155.302 — Options for conducting eligibility determinations.
§ 155.305 — Eligibility standards.
(4) Is not described in paragraph (c)(1), (2), or (3) of this section, is under age 65 and is not entitled to or enrolled for benefits under part A of title XVIII of the Social Security Act, or enrolled for benefits under part B of title XVIII of the Social Security Act.
§ 155.310 — Eligibility process.
§ 155.315 — Verification process related to eligibility for enrollment in a QHP through the Exchange.
§ 155.320 — Verification process related to eligibility for insurance affordability programs.
§ 155.330 — Eligibility redetermination during a benefit year.
§ 155.335 — Annual eligibility redetermination.
§ 155.340 — Administration of advance payments of the premium tax credit and cost-sharing reductions.
§ 155.345 — Coordination with Medicaid, CHIP, the Basic Health Program, and the Pre-existing Condition Insurance Plan.
§ 155.350 — Special eligibility standards and process for Indians.
§ 155.355 — Right to appeal.
§ 435.901 — Consistency with objectives and statutes.
§ 435.902 — Simplicity of administration.
§ 435.903 — Adherence of local agencies to State plan requirements.
§ 435.904 — Establishment of outstation locations to process applications for certain low-income eligibility groups.
§ 435.905 — Availability of program information.
§ 435.906 — Opportunity to apply.
§ 435.907 — Written application.
§ 435.908 — Assistance with application.
§ 435.909 — Automatic entitlement to Medicaid following a determination of eligibility under other programs.
§ 435.910 — Use of social security number.
§ 435.911 — Timely determination of eligibility.
§ 435.912 — Notice of agency’s decision concerning eligibility.
§ 435.913 — Case documentation.
§ 435.914 — Effective date.
§ 435.916 — Periodic redeterminations of Medicaid eligibility.
§ 435.919 — Timely and adequate notice concerning adverse actions.
§ 435.920 — Verification of SSNs.
§ 435.930 — Furnishing Medicaid.
Sections 435.940 through 935.965 appear at 51 FR 7211, Feb. 28, 1986, unless otherwise noted.
§ 435.940 — Basis and scope.
§ 435.945 — General requirements.
§ 435.948 — Requesting information.
§ 435.949 — Verification of information through an electronic service.
§ 435.952 — Use of information.
§ 435.953 — Identifying items of information to use.
§ 435.955 — Additional requirements regarding information released by a Federal agency.
§ 435.956 — Verification of other non-financial information.
§ 435.960 — Standardized formats for furnishing and obtaining information to verifying income and eligibility.
§ 435.965 — Delay of effective date.
I’m a 45 year old male who is single and on medi-cal. I have a Roth worth $11,000 and a car. My earnings this year will be $20,000 approximately. If I contribute $5,000 to a traditional IRA this year to bring my MAGI to below 138% of the poverty level, will I be able to requalify for Medi-cal?
Assets are no longer a factor in MAGI based Medi-Cal qualification. An IRA deduction on line 32 of your 1040 would lower line 37 which is the basis of MAGI income, as most taxpayers don’t have foreign income, social security or tax exempt interest to add back in.
Please be sure to double check with competent tax counsel, the answer appears to be yes.
On the other hand, you are nearing age 55 at which point, the Medi-Cal premiums can be deducted from your estate.
Is there any way you can look for a better job or take another part time job to get your earnings up?
Send us a private email, we can help you set up your IRA.
At 55 can medical seek premiums from an estate that I am a beneficiary?
Are interest or dividends that are received within a ira considered untaxable intrest/dividends, and therefore added to MAGI?
I don’t think Medi-Cal would have a lien of what you inherit. Their lien would be on what remains in your estate when G-d forbid, you pass away.
On my estate recovery page I’ve done say 20 hours of research putting together the links and information. I’m not an attorney, so I suggest you contact one or read through all the links and brochures that I’ve thought were good enough to make it to my website.
I wanted to tell you I’ve two modes of resolution now for the dilemma I’d been fighting w/BS thru Covered CA. First and this was my initial thought I should have just done on the outset was dispute the charge with my bank. They gave BS what they were owed and returned my overpayment to me immediately as I’d proof I no longer had need for their service and was being enrolled in Medi-cal. It took about ten minutes and I already have my money back.
There are so many gaps in these systems and so many people who don’t understand what they’re supposed to do or what they are doing yet their actions often lead to success unknowingly and it must happen often enough that I’m rare if not the only one who had to suffer for weeks all because I’d not had time to phone and select a plan out of all the horrible plans they offered as I was trying to gain a refund first and the clock kept ticking. I don’t really care what I choose as I’m going to keep paying to see my neurologist in cash and only want my medication to still be covered by ins as it’s quite expensive.
I realize you don’t wish to work in this area any longer yet it’s possible you may encounter this in a transitional phase. Please note if any of your customers had other insurance they must complete signup in every way to close out the current coverage that then initiated a number of automatically generated forms and communications. The same is true for people on Medi-cal who seek different ins if they’re able to afford it. Someone must finish the entire enrollment process completely or Medi-cal won’t terminate itself even though a refund wouldn’t be an issue in that case. I won’t likely be needing nor receiving anything from Blue Shield as my bank paid for August and I’m enrolled retroactively so I owe them nothing for Sept. Amazing that no one knew this. Amazing that no one else asked me to complete enrollment given that the deadline is tomorrow. I was only made aware of it yesterday. Thought it might be of some value as this wasn’t a minor undertaking.
Have a question? Contact Medi-Cal & Ask. This site is Pro Bono and we can no longer support Q & A.

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