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The document is a supplement to the Statement of Facts for retroactive coverage or restoration under California's Medi-Cal program. It outlines the requirements for individuals seeking reimbursement for medical or dental expenses incurred while eligible for Medi-Cal. The document includes sections for reporting changes in personal circumstances, income, and property, as well as instructions on how to file claims for reimbursement. It emphasizes the importance of maintaining confidentiality and provides contact information for further assistance.

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Will Medi-Cal pay retroactively?

\u201cRetroactive\u201d Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.

How far back does Medi-Cal cover?

The Medi-Cal "Look-Back" period in California is 30 months. "Transfer" means an outright gift or a "sale" made at less than "fair market value." If a disqualifying transfer of property is made, Medi-Cal will calculate the period of ineligibility for nursing facility level of care.

What is the income limit for Medi-Cal 2022?

How to Qualify. To find out if you qualify for one of Medi-Cal's programs, look at your countable asset levels. As of July 1, 2022, you may have up to $130,000 in assets as an individual, up to $195,000 in assets as a couple, and an additional $65,000 for each family member.

How long does it take to get approved by Medi-Cal?

The process for verifying your Medi-Cal eligibility, from the time your completed application is received to when you receive your Benefits Identification Card (BIC), normally takes 45 days.

What is form MC 210?

MC 210 RV ENG (Rev 10/20) Other health insurance. Tell us about any health coverage that you have that is not from Medi-Cal or Medicare. Reporting other health insurance premiums that you pay may lower the income Medi-Cal uses to determine your eligibility.

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How do I apply for retroactive Medi-Cal?

Request Medi-Cal \u201cretroactive coverage\u201d if To request retroactive coverage, contact the county social services office within one year of the month in which the covered services were provided to you.

How much money can you make and still qualify for Medi-Cal?

According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.

What is the income limits for Medi-Cal 2022 Medi-Cal?

What is the maximum income to qualify for Medi-Cal in 2022?

In 2022, the monthly income will increase to $1,564. In other words, an adult can earn up to $1,564 per month and still qualify for no cost Medi-Cal. MAGI Medi-Cal annual amounts for a single adult increased to $18,755, from $17,775 in 2021, for a single adult.

What is a MC 210 RV form?

MC 210 RV ENG (Rev 10/20) Expenses and deductions. Reporting expenses and deductions that you pay may lower the income Medi-Cal uses to determine. your eligibility. You must attach current proof of expenses and deductions.

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What is form MC 210?

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How do I apply for retroactive Medi-Cal?

How much money can you make and still qualify for Medi-Cal?

What is the income limits for Medi-Cal 2022 Medi-Cal?

What is the maximum income to qualify for Medi-Cal in 2022?

What is a MC 210 RV form?

supplement to statement of facts for retroactive coverage restoration

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