Medi-Cal Access Program (MCAP), Managed Risk Medical Insurance Board

Medi-Cal Access Program (MCAP)

 
General Information
Description of ServiceMCAP (A.I.M.) is for middle-income families who do not have health insurance and whose income is too high for no-cost Medi-Cal. MCAP is also available to women who have other health insurance plans that doesn't cover maternity services or with a maternity-only deductible or copayment greater than $500. If you are enrolled in MCAP, your baby has eligibility for coverage in the Medi-Cal Access Infant Program for up to two years, unless your baby is enrolled in employer sponsored insurance or no-cost Medi-Cal or your income no longer qualifies on your infant’s first birthday.
Geographical AreaCalifornia
Intake ProcedureCall for information or download application online. An application can be printed from the MCAP website at www.mcap.dhcs.ca.gov/About/ and mailed to: Mail Application to: Medi-Cal Access Program, P.O. Box 15559 Sacramento, CA 95852-0559 or by calling 1-800-433-2611.
Intake RequirementsDocuments Required Copies of:• Pregnancy certification;• Income verification documents;• Proof of income deductions.
 
Client Information
Target PopulationPregnant
Intended ParticipantsMiddle income families who do not have health insurance (including Medicare Part A and Part B benefits as of the application date) and whose income is too high to qualify for no-cost Medi-Cal. Uninsured, middle income pregnant women. MCAP is available to those who have insurance if their deductible or co-payment for maternity services is more than $500.00.
Age GroupAll Ages
GenderFemale
Driver's LicenseNot Required
Eligibility1. Pregnant: You must be pregnant. The application date is the date the complete and eligible application is sent to the MCAP as shown by the U.S. Postal postmark date on the application envelope, or documentation from other delivery services.
2. A California resident: A person living in California who plans to stay; and
3. Not enrolled in other programs: You cannot be receiving no-cost Medi-Cal or Medicare Part A and Part B benefits as of the application date; and
4. Not covered by any other health insurance plan: You cannot have other health insurance, unless your other health insurance plan doesn’t cover maternity services or has a maternity-only deductible or copayment greater than $500 as of your date of application; and
5. Within the MCAP income guidelines: You must have a Federal Modified Adjusted Gross Income within the MCAP income guidelines. Read about income guidelines at MCAP income guidelines. For more information on MCAP, please visit: http://mcap.dhcs.ca.gov/Home/default.aspx.
 
Fees or Charges
Types of FeesThe total cost for your coverage is 1.5% of your annual household income.
 
Availability
Hours of Operation 8:00 am-8:00 pm Monday-Friday; 8:00 am-5:00 pm Saturday
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Contact Information
 
Mailing Address 1 PO Box 15559
Mailing City, State, Zip Sacramento, CA 95852
Mail Attention To Medi-Cal Access Program
Main Phone (800) 433-2611
Fax (888) 889-9238
Web Address www.mcap.dhcs.ca.gov/About/
 
Additional Information
Last Complete Service Update Date12/20/2016
 
 
Affiliated Agency, Programs, and Services
Affiliated Agency: Managed Risk Medical Insurance Board
Affiliated Program: Medi-Cal Access Program (MCAP)
This Service: Medi-Cal Access Program (MCAP), Managed Risk Medical Insurance Board
 
Taxonomy Postings
Posted to Categories: Pregnant/Parenting Inmate Support Programs (FF-3300.6350)
Prenatal Care (LJ-5000.6600)