What are the big changes coming to Medi-Cal?
• Basic Facts about Medi-Cal • The largest change in Medi-Cal will be effective in 2014, when eligibility is expanded to all legal residents with incomes up to 133 percent of the federal poverty level (in 2010, $14,400 for an individual and $29,000 for a family of 4). Currently, most low-income childless adults are not eligible. • Medi-Cal eligibility is being simplified and streamlined to make it easier for individuals and families to accurately document their eligibility and enroll in the program. • In 2013, the Patient Protection and Affordable Care Act requires states to pay primary care physicians no less than 100 percent of Medicare payment rates for primary care services.
