Disclaimer: These materials are based on the law at the time we write them. We try to update our materials; however, laws are regularly changing. If you want to make sure the law has not changed, contact us or another legal source.
Medi-Cal provides dental services for adults and children. Comprehensive dental services are a mandatory benefit for Medi-Cal beneficiaries under age 21. For adults 21 and over, California has the option of providing Medi-Cal coverage for dental services.
In January 2020, the federal government declared a public health emergency (PHE) in response to the COVID-19 pandemic. During the PHE, people could keep their Medi-Cal benefits despite an increase in income or other changes that might make them otherwise ineligible. However, the Consolidated Appropriations Act of 2023 changed that rule.
On April 14, 2022, Laguna Honda Hospital (LHH) lost its ability to get paid by Medi-Cal and Medicare due to quality-of-care violations. Medi-Cal and Medicare pay for most patient care at LHH (over 90%).
Applied Behavioral Analysis is an evidence-based therapy. ABA therapy prevents or lessens the bad effects of behaviors that interfere with learning and social interaction.
This publication identifies changes and updates that advocates need to know about the aged, blind, and disabled FPL Medi-Cal Exapansion starting December of 2020.
IHSS gives services to help you stay at home if you cannot take care of yourself because of your disability. This pub gives you details about what the county does to stop IHSS fraud. An example of IHSS fraud is when a provider bills for services they did not provide for you. This pub tells you what to do if you think the county is not doing it right or is discriminating against you.
This pub tells you when a school has to give your child needed medication. It tells you what medications a school can give to your child. It tells you who can give your child their medication. It gives you other information about giving your child medication at school.
This pub tells you what to do if your insurance will not pay for a service you need. Services are things like behavioral services. It can also be occupational therapy or physical therapy. It tells you how to get help.
This publication tells you about hospital discharge rights. It tells you the state laws that apply to you when you are in a hospital even if you do not have insurance. It tells you about the laws that apply if the hospital takes Medicare and Medi-Cal even if you do not have Medicare, Medi-Cal or insurance. It tells you about your rights if you have Medicare. It tells you about your right to get notice before discharge. It tells you about your appeal rights. The publication gives you resources so you can learn more about your rights.
Federal funding for the CCT program stopped. There may be funding in the future. If there is funding, California may start the program again. Check our website in the future to find out if this happened.
The Federal Nursing Home Reform Act, or OBRA ’87 (Omnibus Budget Reconciliation Act of 1987), created a set of national minimum set of standards of care and rights for people living in certified nursing facilities.
All nursing facilities receiving Medicare or Medicaid funding must administer an MDS assessment to all nursing facility (NF) residents. The MDS is used to obtain information about a resident’s functional capabilities, identify health problems, and to assist in the development of the individual's care plan, including discharge planning.
If the Medi-Cal program is paying or your nursing facility care and if you also have income – such as from Social Security benefits – you will have a Medi-Cal share of cost equal to all of your income above $35 a month. “Nursing facility” includes a subacute facility and...
This pub tells you about the Whole Child Model Program. This program is for children getting CCS (California Children’s Services) and Medi-Cal. Not all counties will have this program. The pub tells you if your child will keep the same services and doctors if they are in the program. If the program denies your child a service, the pub tells you what to do.
This pub tells you about EPSDT. EPSDT stands for Early and Periodic Screening, Diagnosis, and Treatment. It is a Medi-Cal benefit. Medi-Cal gives health care to people with low income and limited ability to pay for health care. If you are under age 21 and have full-scope Medi-Cal, you get EPSDT. It gives you with a number of health care benefits. This pub tells you about those benefits. It tells you what to do if you are not happy with a Medi-Cal decision.
This publication tells you how cuts to Medicaid/Medi-Cal affects students. Medicaid/Medi-Cal gives health care to people with low income and limited ability to pay for health care. Cuts can mean more students will be absent from school. It means screening students for hearing and vision problems and other problems may not happen. It means fewer mental health resources for students.
Sometimes, you may need to complain about health care providers, programs, facilities, or services. This pub has lists of agencies in charge of dealing with your complaint. It has a list of advocacy groups that can help you. It tells you where to find out more about your right to complain.
This pub tells you how to look up Medi-Cal on the Internet. Medi-Cal gives health care to people with low income and limited ability to pay for health care. Medi-Cal is California’s form of the federal “Medicaid” program. Medi-Cal laws can be hard to follow. You may want to look at some of our other Medi-Cal pubs first before you research the Internet.
This pub tells you about your rights when discharged from a hospital and you have Medi-Cal or Medicare. It tells you what to do if you are not ready to leave the hospital. It tells you about services you can get once home. It tells you what to do if you are homeless. It tells you how to complain about the hospital and where to get help.