Alameda County Medi Cal Renewal Form Alameda County Medi Cal Renewal Form voids 2025

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Local Medi-Cal offices review each members eligibility once a year or when they report changes to their household. Everyones renewal date is different.
Department Administration. 510-259-3812. CalWORKs, CalFresh, General Assistance, Medi-Cal - Case Information and Assistance. Monday - Friday; 7:30 AM - 5:00 PM for a live worker, automated information is available 24/7. 510-263-2420.
The completed renewal form must be signed, dated, and returned to the Medicaid agency. The recipient is also instructed to provide any required documentation, such as proof of income and assets, along with the redetermination form. The beneficiary must be given a minimum of 30 days to do so.
For most members, coverage is renewed automatically. Sometimes the county will send you a renewal form that you must review and return, along with any additional required information. Medi-Cal renewals can be completed online. Visit .BenefitsCal.com to renew your Medi-Cal plan.
Income is limited to 138% of the Federal Poverty Level (FPL) for adults, 266% for children, and 213% for pregnant women. Generally, income eligibility is based on the tax filing households adjusted income that is reported to the IRS on Form 1040.
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Members can submit information online by logging in or creating an online account at benefitscal.com. To submit information by phone, members can call DPSS at 1-866-613-3777 Monday Friday from 7:30 a.m. 6:30 p.m. (excluding holidays).
Processing your application can take several weeks because Medi-Cal must first determine eligibility by verifying your income and personal assets before coverage can be approved. You may request Medi-Cal to pay retroactively for the three months prior to the month in which you apply.

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