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Information for Pending Applicants and Newly Enrolled Medi-Cal Members

Due to the large number of Medi-Cal applications received through the Covered California website and county human services agencies, the Department of Health Care Services (DHCS) is providing this information to assist ensure you tin can get the care y'all need.

Pending Applicants

For those who applied and are probable eligible, but are waiting for their application to be finalized, there are ways you can get immediate care while you wait:

• You tin get to a infirmary for emergencies. The Infirmary Presumptive Eligibility (PE) plan provides adults, meaning individuals, children, and one-time foster intendance enrollees with temporary, no price Medi-Cal benefits for upwardly to 2 months.  In order to receive Infirmary PE benefits, yous must complete a simplified application online during a hospital stay. You will be notified immediately of your eligibility determination.
  
• You tin can visit your local county homo services office. You can employ your data to ostend your Medi-Cal eligibility and get a temporary identification menu.  This volition allow you to get services until your enrollment is complete.
  
• Significant individuals can get temporary Medi-Cal coverage from certain Medi-Cal providers and clinics.
  
• Children can become temporary Medi-Cal coverage provided by enrolled Medi-Cal providers and clinics that see children.

Once your Medi-Cal eligibility is confirmed, the health coverage is constructive beginning the first day of the month when you applied.

If yous would like more than data or to bank check the status of your application, please contact your county man services agency.

Newly Enrolled Members

For those who accept been found eligible for Medi-Cal and have a Medi-Cal Benefits Identification Carte du jour (BIC), just have even so to select a managed care health plan, there are options below to help you find intendance. While yous accept this temporary Medi-Cal eligibility, y'all can get health intendance services from an enrolled Medi-Cal provider. Those who accept Medi-Cal fee-for-service (FFS) will exist able to help you. Brand sure you ask if they accept FFS earlier you brand your appointment. If they don't, you should contact another Medi-Cal provider.

In the issue you have a medical emergency earlier you find a doc, contact 9-1-one or go to the emergency room at your nearest hospital. Medi-Cal does cover emergency services for enrolled members, and if you lot show your BIC to emergency room staff, Medi-Cal will pay for the services you lot receive.

Get the Care You Need

Here are some ways you can go the intendance y'all need while your Medi-Cal awarding is being finalized:

• Community Health Centers & Clinics: Another mode you lot can get care is to go to a clinic chosen a Federally Qualified Wellness Eye. Find the health center in your area.

• Canton Human Services Offices: Your county human services agency may exist able to help you find a doctor or a list of doctors in your area. Apply our County Office List to accomplish offices nearest you.

• Dental Providers: You can find a dental provider on the Medi-Cal Dental ​website under the "Find a Dentist" link, or by calling 1-800-322-6384.

• Emergency Rooms: As stated above, if you have an emergency and you lot cannot find a doc right away, yous tin can get to the emergency room at any hospital. If you show your BIC to staff at the emergency room, Medi-Cal will pay for the services you receive.

• Detect a Doctor on a Managed Care Health Plan: When your Medi-Cal application is finalized, you will exist able to join a managed care health plan.  Until then, you can observe a doctor on the websites of those Medi-Cal managed care wellness plans. Click the proper name of your county to find the plans that serve your area.  When yous find a dr., phone call and make certain that they take Medi-Cal FFS.  If they do not, you should contact another doctor on the Medi-Cal Managed Intendance Health Plan Directory webpage.

• Health Intendance Options: This DHCS program has information to assistance you brand choices virtually Medi-Cal benefits and how you tin go them. Visit the Wellness Care Options website for help finding a doctor or dentist, and for more information about Medi-Cal managed care health and dental plans.

• Pharmacy Benefits: If yous need a prescription filled you can contact your local pharmacies to run into if they accept Medi-Cal. For more than information, please visit the Pharmacy Benefits' Oft Asked Questions webpage.

• Public Hospitals: Some counties have a public hospital system that lets you become care at a infirmary. You tin detect out which counties and which hospitals are in this program past visiting the Rubber Net Institute Members webpage.

• Yellow Pages: The Yellow Pages comprise lists of local health care providers. Just providers who are enrolled as Medi-Cal health intendance providers will exist paid by Medi-Cal for treating yous.  Ask the provider if they accept Medi-Cal FFS before you make your date.

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Last modified appointment: 3/23/2021 three:55 PM

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Source: https://www.dhcs.ca.gov/services/medi-cal/eligibility/pages/InfoPendingMedi-calApps.aspx

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