MCAP (Medi-Cal Access Program) - Expired

• MCAP provides pregnant women with comprehensive coverage for a low cost with no copayments or deductibles for its covered services. Their newborns may be covered by the Medi-Cal Access Infant Program. MCAP is for middle-income families who do not have health insurance and whose income is too high for no-cost Medi-Cal. MCAP is also available to women who have other health insurance plans that doesn't cover maternity services or with a maternity-only deductible or copayment greater than $500.
• • Owner
    Shola Shodiya-Zeumault
  • Created On
    06-30-2016
  • Updated On
    11-02-2021
  • Update Reminder
    N/A

• How To Contact

  • Name
    General Contact
  • Phone
    (800) 433-2611
  • Fax
    N/A
  • Email
    none@none.com
  • Address
    P.O. Box 15559
  • City
    Sacramento
  • State
    CA

• More Information

  • Start Date
    11-01-2021
  • Expiration Date
    11-01-2022
  • Eligibility
    free
  • Fee
    0.00
  • Organization
    Department of Health Care Services
  • Zip Code
    95852

• Helpful Links

  • Main Program URL
    https://www.dhcs.ca.gov/services/medi-cal/eligibility/MCAP/Pages/Medi-CalAccessProgram.aspx
  • Apply Online
    https://www.dhcs.ca.gov/services/medi-cal/eligibility/MCAP/Pages/Apply.aspx
  • Forms
    https://www.dhcs.ca.gov/services/medi-cal/eligibility/MCAP/Pages/Downloads.aspx

• Detailed Information

  • Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care, if medically necessary. For a majority of enrollees, Medi-Cal provides covered services through ?the managed care delivery system in all 58 counties, although services may be accessed on a fee-for-service basis.
    

    If your application is complete, MCAP will process your application within 10 calendar days of receipt.
    

    Who Qualifies for the MCAP?:

    Pregnant: You must be pregnant. The application date is the date the complete and eligible application is sent to the MCAP as shown by the U.S. Postal postmark date on the application envelope, or documentation from other delivery services.

    A California resident: A person living in California who plans to stay; and

    Not enrolled in other programs: You cannot be receiving no-cost Medi-Cal or Medicare Part A and Part B benefits as of the application date; and 

    Not covered by any other health insurance plan: You cannot have other health insurance, unless your other health insurance plan doesn’t cover maternity services or has a maternity-only deductible or copayment greater than $500 as of your date of application; and

    Within the MCAP income guidelines: You must have a Federal Modified Adjusted Gross Income within the MCAP income guidelines. Read about income guidelines at MCAP income guidelines.

    The number of women enrolling in MCAP is limited by state funding. While adequate funding is generally available, once the program is full, you will not be enrolled even if you qualify and your application is complete. If this happens, you will be notified by mail, and your initial payment will be refunded.

    For the purpose of the MCAP program, a pregnant woman is counted as two family members.

• Eligibility Information

  • States
    • CA
  • Counties
    • Alameda County
    • Contra Costa County
    • Marin County
    • San Francisco County
    • San Mateo County
    • Sonoma County
  • Cities
  • Zipcodes
  • School Districts
  • Age Groups
  • Languages Served
    • English
  • Family Incomes
  • Insurance Providers

• Files