Question I have not been able to find out how the Medi-Cal eligible kids are being handled. An organization that I am working with was instructed by Kaiser to include a denial letter wit the application, if the kids qualify for Medi-Cal. I have not been able to get any information on the plans, who qualifies or what to do with all these kids.
Answer: In California, the income limit for adult eligibility for Medi-Cal is 138% of Federal Poverty Level (FPL) and for children it’s 266% FPL. That’s why you can have parents eligible for a CC subsidy while the kids are eligible for Medi-Cal. If the kids are eligible for Medi-Cal a “denial letter” won’t work. If they pass on Medi-Cal when eligible, they cannot be eligible for a CC subsidy. As for how to handle it? Complete a Single Simplified Application for the family and let CC sort it out.