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State of California Health Department

1. Find the Web site for California's health department.

2. Summarize eligibility criteria for the Medicaid program in your state of residence.

3. Describe your State's Children's Health Insurance Program (S-CHIP). What is it called? Who is eligible? What services are covered?

Solution Preview

1. Find the Web site for California's health department.

The website is http://www.dhs.ca.gov/.

In California, in 2000, Medi-Cal, provided coverage to over 8 million individuals including 3.2 million children, 3.4 million adults, 772,400 persons with disabilities, and 751,800 seniors. Federal law requires states to cover certain populations at specific income levels (called "mandatory?groups), but gives states the option of covering additional ("optional? individuals with federal matching funds.

2. Summarize eligibility criteria for the Medicaid program in your state of residence.

WHO IS ELIGIBLE FOR MEDI-CAL?

Children:

?Income eligibility requirements for children are based on federal poverty levels and child's age.
?Infants up to 1 year of age and with household incomes up to 200% FPL;
?children 1 to 5 years up to 133% FPL; and
?ages 6-19 up to 100% FPL are eligible.
?Uninsured low-income children with incomes above Medi-Cal levels up to 250% FPL can qualify for coverage through the State's Children's Health Insurance Program called Healthy Families.

Adults:

?Medi-Cal provides health coverage for low-income pregnant women up to 200% FPL and low-income parents up to 100% FPL, dependent upon certain work and resource requirements.
?Over 1 million low-income Californian's are enrolled in Family PACT, a special Medicaid program that provides coverage for family planning services only.
?Adults without children may qualify for Family PACT, but not for the full range of Medicaid acute and long-term care benefits.

Elderly and Persons with Disabilities:

?The most common way for persons with disabilities to qualify for Medi-Cal is by meeting the requirements of the federal Supplemental Security Income (SSI) cash assistance program for the aged and persons with disabilities.
?Medi-Cal provides coverage to individuals with disabilities and the elderly up to 100% FPL.
?For this group, Medi-Cal coverage provides prescription drugs and long-term care as well as paying for Medicare ...

Solution Summary

Based on the information on website for California's health department, this solution summarizes eligibility criteria for the Medicaid program in California and describesd the State's Children's Health Insurance Program (S-CHIP), including the name, who is eligible and the services covered.

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