Who determines eligibility for Healthy Kids?
The San Mateo County Human Services Agency (HSA) determines final eligibility for Healthy Kids. HSA has the best qualifications for taking on this role, as it already determines final eligibility for Medi-Cal on behalf of the State and has developed quality assurance and fraud investigation processes as part of this role. Its staff can also ensure that children are screened first for Medi-Cal and Healthy Families eligibility and are only enrolled into Healthy Kids as the last alternative.
