Annual Redetermination for Medical (sic) Medi-Cal
Form # MC 216 & 262
Medi Cal Renewal Form - MC 216
You'll be getting the Medi Cal Renewal Form - MC 216 (ONLINE pdf) soon, say the end of July? Cal Matters * CMA Docs.org * hhs.gov * , when the COVID Public Health Emergency ends. During COVID you couldn't be terminated, from Medi Cal Disability Rights * Footnotes * .
The renewal is usually automatic and done through the Federal Hub. So, if you get the MC 216 form, that means Medi Cal couldn't automatically renew you. So you have to fill out the form or risk losing your coverage.
- KFF Kaiser Foundation estimates that between 5 million and 14 million people will lose Medicaid Medi Cal coverage once the PHE Public Health Emergency ends. KFF *
- If Thank Goodness you're earning more $$$ Get INSTANT, NO OBLIGATIION Covered CA QUOTES!
- Our main webpage on redetermination
- If you lose Medi Cal as your income increased and you are now eligible for advanced premium tax credits (APTC). Get INSTANT, NO OBLIGATIION Covered CA QUOTES! We can help you, no additional charge
- automatic enrollment toolkit
- MEDI-CAL COVID-19 PUBLIC HEALTH EMERGENCY OPERATIONAL UNWINDING PLAN
- Medicaid.gov technical on how to get back to normal procures now that the COVID emergency is over.
- Email us [email protected] for the SB 260 toolkit
- If you lose Medi Cal as your income increased and you are now eligible for advanced premium tax credits (APTC). Get INSTANT, NO OBLIGATIION Covered CA QUOTES! We can help you, no additional charge
Instructions
- VIDEO - How to do a renewal
- What is MAGI Income?
- What are the income limits for Medi Cal vs Covered CA?
- Who counts in the household?
What is Medi Cal looking for?
What do they want?
- Western Poverty Law Page 240 - 6.227
- LA Care
- IEHP
- Medi-Cal Contact Information
- Please read the instructions and materials on this page, very carefully. We are NOT authorized Medi Cal agents and do not get any compensation to help you with your Medi Cal questions.
- If you no longer qualify for Medi Cal, say you're now earning more than 138% of Federal Poverty Level, we can help you get coverage from Covered CA. There is no extra charge for our expertise & assistance! We are paid by whatever Insurance Company that you choose. Get INSTANT, NO OBLIGATIION QUOTES!
- Please read the instructions and materials on this page, very carefully. We are NOT authorized Medi Cal agents and do not get any compensation to help you with your Medi Cal questions.
- What is MAGI Modified Adjusted Gross Income?
- If you are on SSI - Medi Cal is automatic! Even when you change to SSDI Pickle Amendment
Covered CA (& Medi Cal) - Calculate - #Countable Sources of MAGI Income 
Calculate your Covered CA MAGI Income
take #Line8b 11 Adjusted Gross income then add line 2a, 6a & 8 (Foreign Income)
- 1040 IRS Annual Tax Form
- Schedule 1 Additional Income & Adjustments to Lower your MAGI Income
- Calculate - Estimate your Taxes
- Steve's Video on MAGI Income
- Get instant quotes, subsidy calculation and coverages
- NO ASSET TEST for MAGI based subsidies in Covered CA or MAGI Medi Cal Qualification. VIDEO
- Nor is there a lien against your estate for Covered CA or MAGI Medi Cal
All our plans are Guaranteed Issue with No Pre X Clause
Quote & Subsidy #Calculation
There is No charge for our complementary services
Watch our 10 minute VIDEO
that explains everything about getting a quote
- Our Quote Engine Takes all the complexity out of using pencil and paper to figure out the premiums per the Obamacare/ACA rules under CFR §1.36B-3 *
- Get more detail on the Individual & Family Carriers available in CA
#My Medi-Cal
How to get the Health Care
You Need
24 pages
Smart Phones - try turning sideways to view pdf better
- Medi Cal Explained CHCF
- Our Webpages on
- Medi Cal Benefits
- Denti Cal
- Medi-Cal – MAGI Income Eligibility Criteria
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BIC Benefits Identification Card
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What is my Household #Size:
- Try this Flow Chart ENLARGED view for a simpler explanation
- How many dependents are on your Tax Return? Section 151
- Household Income includes all dependents on your return
- Why are they asking for my bank statement?
- Who do I call? Where’s my county office?
- Form MC 210 RV for non magi Medi Cal
Bibliography, Links & Resources
- Our historical webpage on Medi Cal Redetermination
- HHS and CMS Take Steps to Help Keep Families Connected to Coverage After the Eventual End of the COVID-19 Public Health Emergency
- Medi Cal and Social Service Agency assistance
- Enroll in Medi Cal
- National Medi Cal Unwinding and Returning to Regular Operations after COVID-19
- american progress.org/preventing-disruptions-to-coverage-and-care-after-the-public-health-emergency
- What Are the Economic and Employment Consequences of Phasing Down Medicaid Enrollment After the Public Health Emergency Ends? Commonwealth Fund
- Be sure to let Medi Cal know all your current contact info Kff.org
- Key Issues for State Medicaid Programs When the COVID-19 Public Health Emergency Ends kff.org
- States Can Act Now to Keep Medicaid Enrollees Covered When the Public Health Emergency Ends cbpp.org
- Insurers ramp up marketing as Medicaid redeterminations loom Modern Health Care
- How to transition from Medi Cal to Covered CA
- Medi Cal appeals
- Guidance from the Feds to the Status on how to catch up with redeterminations after COVID 46 pages
- Seven Million Kids Could Lose Health Coverage Soon
Medi Cal Contact Information
- Medi Cal Contact Sheet
- [email protected] regarding general Medi-Cal eligibility. If the question contains specific details the county or the district office that handles your case must answer.
- Medi-Cal Member & Provider helpline, at (800) 541-5555.
- California Department of Health Care Services 1-844-253-0883
- [email protected]
- [email protected] Ms. Leslie Benson
- IHSS In Home Supportive Services
- Direct Phone # for Medi Cal 866.613.3777 (Anthem Blue Cross?)
Ombudsman
- Ombudsman Webpage
- Phone: 1-888-452-8609
- Email: [email protected]
- The Office of Ombudsman cannot approve/terminate/reinstate Medi-Cal eligibility; alter aid codes, change/update addresses, change/update name or initiate inter-county transfers.
Complex Questions Assistance
- Health Consumer Alliance at 1-888-804-3536.
- Disability Rights California at 1-800-776-5746.
- Covered CA Facebook Page
- HICAP – Health Insurance Counseling & Advocacy Program
- CA Health Care Advocates – 1-800-434-0222 Volunteer counselors can help you understand your specific rights and health care options
- Medi Cal Consulting Services
- National Center on Law & Elder Rights - Case Consultation for Professionals
- VITA Volunteers Income Tax Assistance
- Medi Cal - Technical Comprehensive Reference Materials
- Our webpage on education, research & tutoring for a fee
- aging.ca.gov/Medicare_& Medi Cal Counseling
- Elder Care locator
Medi-Cal for All Children program
SB 75 Eligibility and [email protected]
Medi Cal - #County Office Lookup
See our Main Webpage on Medi Cal contact information
#Understanding Medicare Advantage Plans (PDF) #12026
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan. MAPD Plans must cover all A & B services Medicare.Gov *
That's why the premium is very low or ZERO!
- Set a phone or Skype Meeting
- #Intake Form - We can better prepare for the meeting
- HMO - Narrow Networks?
- Do I just sign up with a Medicare Advantage Company and automatically get * Parts A & B or do I have to get those from Medicare.Gov * VIDEO
- Get Quotes, Full Information and Enroll
- MANDATED wording!: Think Advisor * ‘‘We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options.’’
- We disagree with the above wording, as we can use the same tools on Medicare.gov as they do!
- FYI a 4.27.2022 HHS Office of the Inspector General report found that MAPD plans denied 13% of prior authorizations that would have been covered under original Medicare (Conversely, Medi Gap, just follows what Medicare pays.)
- 88% of MAPD enrollees are happy
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MAPD plans often include Dental & Part D - Rx Prescriptions and often have NO premiums! How is that possible? The Federal Government pays them around $700/month to handle your medical care. You must continue to pay your Medicare Part B premium of about $170/month. It's best to apply when you turn 65 for the supplement plans or advantage plans, as that's the main "Open Enrollment" period, guaranteed issue for any plan.
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Medicare Advantage Plans also have an annual open enrollment now known as AEP Annual Election Period October 7 to December 15th.
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Additional Coverage is important as Medical Bills are increasing Seniors Credit Card Debt or leading to possible bankruptcy?
ONLINE Enrollment in Medi-Cal
How to VIDEO
#BenefitsCal is a one-stop-shop to apply for...
- Medi-Cal
- Medical Services
- CMSP (County Medical Services Program)
- GA/GR (General Assistance and General Relief )
- Cash Aid
- County Medical Services Program (CMSP),
- Food Assistance - Cal Fresh (formerly known as Food Stamps)
- How to use Eat Fresh.org VIDEO
- Cooking & Nutrition
- California Work Opportunity and Responsibility to Kids (CalWORKs) or check their other website
- Required Reporting
- Job Skills
- You Tube Channel Videos
How do I fill out Section 6. b. on the REDETERMINATION FOR MEDI-CAL BENEFICIARIES
(LONG-TERM CARE IN OWN MFBU) MC 262, namely, “Expenses on property: $_____________?”
Is this a home that you live in or rent out?
Are you able to answer the questions on expenses for Insurance, taxes & utilities?
This form was last revised over 10 years ago. It looks to me like I would just draw a line through it and answer the questions for the more specific expenses.
See our web page on rental properties.
My sister is on disability (stroke) and she lives with me. Am I a “family member” as stated on the form?
I just don’t understand why they would need information about my insurance, etc. Other than the fact that
I do take care of her, I am not legally responsible for her, so I should not have to answer any personal questions about myself. Correct?
Our Webpage with more detail on countable income
MAGI – Modified Adjusted Gross Income – Line 11
- Mandate Penalty California – MEC – QHP – 5000 A
- Income Chart – Line 11 1040 Covered CA MAGI
- Report a Change – How & When – Especially Income Create Account
- Table of Contents -Income, Deductions & Expenses for MAGI no index
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- Disability Income – Pay Check Protection
- Estate Planning
- Life Insurance – Instant Quotes – Universal – Key Man Life
- Medi-Cal – MAGI Income Eligibility Criteria
We are no #longer researching and answering EVERY question we get.
Please just follow the links, references, footnotes & citations above or check with your CPA or VITA Volunteer or someone at Medi Cal that gets paid to help you.
You may post your question, below in comments and hopefully another website visitor can answer it for you. Try checking back in a week or so.
https://khn.org/morning-breakout/millions-likely-to-lose-medicaid-when-continuous-coverage-ends/
https://insuremekevin.com/medi-cal-versus-covered-california-income-who-decides/
https://anthembrokerhub.com/medicaid-renewal
https://news.bloomberglaw.com/health-law-and-business/medicaid-programs-scramble-with-coverage-for-millions-at-risk
https://apnews.com/article/health-covid-304d921beee43d29f1862cd4d6ab5297
https://khn.org/morning-breakout/medicaid-enrollment-nears-100-million-but-millions-may-lose-access-in-april/
https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-the-unwinding-of-the-medicaid-continuous-enrollment-requirement/
https://www.dhcs.ca.gov/Documents/PHE-UOP/Medi-Cal-COVID-19-PHE-Unwinding-Plan.pdf
https://hbex.coveredca.com/toolkit/pdfs/Medi-Cal_Reminders_and_When_to_Contact_County_Guide.pdf
https://khn.org/morning-breakout/cms-proposes-rules-to-ease-enrollment-in-medicaid-chip/
https://www.usatoday.com/story/news/health/2022/08/26/biden-navigators-outreach-obamacare/7898153001/
http://newsmanager.commpartners.com/nahuw/issues/2022-08-19/2.html
https://www.bloomberg.com/news/articles/2022-07-11/white-house-to-extend-covid-public-health-emergency#xj4y7vzkg
https://californiahealthline.org/news/article/computer-glitches-human-error-insurance-headaches-marketplace-california/
https://www.dailynews.com/2022/06/23/its-time-to-end-the-covid-emergency-and-limit-newsoms-state-of-emergency-powers/
https://www.kff.org/medicaid/press-release/kff-analysts-find-that-between-5-3-million-and-14-2-million-people-could-lose-medicaid-coverage-following-the-end-of-the-public-health-emergency-and-continuous-enrollment-requirement-with-an-unknown/
FAQ’s from our Historical Webpage