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Covered California Q&A

Covered California and Obamacare related questions from consumers, employers and agents are answered by Phil Daigle with the best information available at the time. Archived entries may no longer be accurate as the Covered California and Obamacare knowledge-base is evolving quickly. TO REQUEST A PERSONAL RESPONSE INCLUDE EMAIL ADDRESS.

County Determines Medi-Cal Eligibility?

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Question: I applied to Covered Cal and am eligible for Medi-Cal in 2014 (just under the income limit). I received nothing for a month until the county uDPS office sent me a note wanting income and residency proof. Is CC forwarding all Medi-Cal apps over to counties and are the county agencies not able to access the Federal Data Hub for verification info?

Answer: Correct. Medi-Cal eligible applications pass through Covered California to the County Office of CA Dept of Health Care Services. Access to the Federal Data Hub may or may not be working right now, but it would be typical to approve an applicant conditionally until proof of income and residency is received.

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What happens when someone loses a job for some time and goes from over Medi-cal territory to under?

There is no way to provide ‘proof’ of what someone is going to make next year as its a future event, and if the returns from last year are used the person would not be eligible for Medi-cal from that data point even when all things are said and done at the end of the year the person would have qualified.

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