CalHEERS works together with other state and county computer systems to help Covered California and the county Medi-Cal offices decide if you are eligible for Medi-Cal. This system is called CalHEERS (California Healthcare Eligibility, Enrollment and Retention System). California has established a new computer system to handle eligibility for all of the insurance affordability programs offered through Covered California including some Medi-Cal programs. It all depends on where you apply for Medi-Cal and which Medi-Cal program you are applying for.Ĭovered California and the county Medi-Cal offices have to coordinate their handling of Medi-Cal applications. Sometimes it is best to use only the Single Streamlined Application, sometimes it is best to use the Single Streamlined Application with supplemental forms, and sometimes it is best to use an entirely different application form. While the Single Streamlined Application can be used to apply for Medi-Cal, it is not a complete application for all Medi-Cal programs. Likewise, county Medi-Cal offices need to process some Medi-Cal applications through the Covered California computer system. However, Covered California may refer some applications to the county Medi-Cal office for further processing. People can now apply for Medi-Cal either through Covered California or through the county Medi-Cal office (or the Social Security Administration for SSI recipients). Under the ACA there is a Single Streamlined Application (SSApp) for Covered California plans and insurance affordability programs including Medi-Cal. For some insurance affordability programs like Medi-Cal, Covered California now handles some eligibility decisions while other agencies, including county Medi-Cal offices, still handle the rest. Covered California has insurance affordability programs to help people pay for health care. The California marketplace is called Covered California. The ACA also created health benefit marketplaces (exchanges) to help people get health care coverage if they do not have it already. The Affordable Care Act (ACA) made some helpful changes to Medi-Cal to make more people eligible. Medi-Cal is a health insurance program for people with limited income.
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