California medicaid


Minimum Wage in California: $10.00 per hour2 (my friend is a waitress)

Part-time basis:  34 hours per week4  – part time is 1-34 hours per week.  ($16,320 annual household salary)

Eligibility requirements for Medicaid/Medi-Cal:

Since my friend’s spouse is currently in a rehab hospital.  My friend can apply for Hospital Presumptive Eligibility (HPE) Program.  This program will provide “immediate access to temporary, no-cost Medi-Cal while applying for permanent Medi-Cal coverage.”1 The qualifications include:

·        Have income below the monthly limit for household size.1

·        Be a California resident.1

·        Not already have Medi-Cal.1

·        If not pregnant, have not received PE Enrollment benefits from any Medi-Cal PE Program up to the maximum limitation allowed within the past 12 months of applying. If pregnant, have not had a PE Enrollment during the current pregnancy of applying.1

And, be eligible in one of the following HPE groups below:

·        Children under 19 years old1

·        Parents and Caretaker Relatives1 (my friend will be the primary caretaker of her husband)

·        Pregnant Women (benefits are limited to ambulatory prenatal services.)1

·        Former Foster Youth between ages 18 to 26 years old, who were in foster care in any state on their 18th birthday or older. (No income limit)1

·        Adults between ages 19-64 (my friend is only 62 years old), not pregnant, not in Medicare, and not eligible for any group stated above.1

This is a Medi-Cal benefit for up to 2 months.

They can also qualify based on income since their annual yearly earnings is less than $22,108 for a family size of 2.

To see if you qualify based on income, look at the chart below. Income numbers are based on your annual – or yearly – earnings.5

Family Size 138% Poverty Level
1 16,395
2 22,108
2 Adults 22,108


Medi-Cal qualifications may also include the following5:

·        65 or older

·        Blind

·        Disabled

·        Under 21

·        Pregnant

·        In a skilled nursing or intermediate care home

·        On refugee status for a limited time, depending how long you have been in the United States

·        A parent or caretaker relative or a child under 21 if:

o   The child’s parent is deceased or doesn’t live with the child, or

o   The child’s parent is incapacitated, or

o   The child’s parent is under employed or unemployed

·        Have been screened for breast and/or cervical cancer

The Medi-Cal program governs eligibility for benefits on a “means” tested basis. “The 2002 community spouse resource allowances are $89,280 in assets and $2,232 in monthly income.  For a married couple with one spouse in a nursing home and the other spouse at home, the spouse at home may keep up to $89,280 in resources (property and other assets) while the spouse in a nursing home may keep $2,000.  The spouse at home may keep all of the income received in his or her name, regardless of the amount.  If the amount is below $2,232 per month, the spouse in the nursing home may allocate income to bring the at-home spouse’s income up to the $2,232 per month limit.  The spouse in the nursing home is permitted to keep $35 a month for personal needs.”8

Home care services – yes, they are eligible for In-Home Operations6

Adult day health program – yes, they are eligible for Community-Based Adult Services (CBAS) – formerly Adult Day Health Care (ADHC)7

Nursing home care – yes, they are eligible care in a skilled nursing facility6


The sites are not user friendly.  There is quite a number of FAQs that are not really related to my inquiries.  The search box is not helpful as I one would think.  It took me several attempts to look for the information that I needed to get.  If I had an age- related limitation such as poor vision and hypertension, then I would definitely get a headache and my blood pressure would increase out of frustration.  I did take a long nap during the course of this assignment because it was a bit frustrating not to find the information that I wanted to get immediately and I was getting tired.  Patience is definitely necessary to go over these sites.



1.      Hospital Presumptive Eligibility (HPE) Program (2016). In California Department of Health Care Services. Retrieved from

2.      Minimum Wage (2016). In State of California Department of Industrial Relations. Retrieved from

3.      Fair Labor Standards Act Advisor. In United States Department of Labor.  Retrieved from

4.      Labor force characteristics. In Bureau of Labor Statistics.  Retrieved from

5.      Do you qualify for Medi-Cal benefits? In California Department of Health Care Services.  Retrieved from

6.      In-Home Operations. In California Department of Health Care Services.  Retrieved from

7.      Community-Based Adult Services (CBAS) – formerly Adult Day Health Care (ADHC). In California Department of Health Care Services.  Retrieved from

8.      Medi-Cal Questions and Answers. Retrieved from


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