What documents are needed for Medi-Cal in California?

Documents to Confirm Eligibility

  • Social Security Number.
  • Identity.
  • Citizenship.
  • Immigration Status.
  • Income.
  • Not Incarcerated.
  • Minimum Essential Coverage.
  • American Indian or Alaskan Native.

How do I fill out Medi-Cal form?

This section is to be completed by the Medi-Cal head of household.

  1. HEAD OF HOUSEHOLD NAME. Print your full name (First and Last Name).
  2. SEX. Fill in oval M for male or F for female.
  3. HOME ADDRESS. Print your home address including the House Number, Street, Apartment Number, City and Zip Code.
  6. SEX.

How long does it take to get approved for Medi-Cal?

The process for verifying your Medi-Cal eligibility, from the time your completed application is received to when you receive your Benefits Identification Card (BIC), normally takes 45 days.

How do I prove Medi-Cal income?

Earned Income: Employer Wages

  1. Pay stub. It must include:
  2. Most recently filed Federal Income Tax Form 1040, with any appropriate Schedules. It must include:
  3. Wages and tax statement (W-2 and/or 1099, including 1099 MISC, 1099G, 1099R, 1099SSA, 1099DIV, 1099SS, 1099INT).
  4. Employer statement.
  5. Foreign Income.

How do I check my Medi-Cal eligibility?

​(800) 541-5555

  1. The Medi-Cal Member’s beneficiary ID number. or.
  2. The last 4 digits of the Member’s Social Security Number.
  3. And the Member’s date of birth (2 digit month and 4-digit year) i.e. 12/1961.

Who qualifies for Medi Cal in California?

Qualify for Medi-Cal if you care for a child under the age of 21 who has a deceased parent, a parent with a breast or cervical cancer diagnosis, an incapacitated parent, an unemployed/underemployed parent or a non-custodial parent. Fill out the Medi-Cal application after you have affirmed your qualification…

How to qualify for California Medi-Cal?

Online: It takes about 30 minutes to sign up for Medi-Cal online through Covered California. You can also get a quote…

  • In person: California has hundreds of Medi-Cal enrollment centers and thousands of certified enrollers ready to help you…
  • Over the phone: You can request a phone call from an enroller to get free…
  • When can you apply for Medi Cal?

    Anyone 65 or older is automatically eligible to enroll in Medi-Cal, as is anyone who is under the age of 21. People between those ages are eligible if they are the parent or a caretaker relative of a child under 21, but only if one or more of the child’s parents are deceased or doesn’t live with the child; or if the child’s parent is incapacitated;

    Who can apply for Medi Cal?

    Those who automatically qualify for Medi-Cal include individuals who are 65 or older, are blind or disabled, and receive Supplemental Security Income ( SSI )/State Supplementary Payment (SSP).