There are many different rules to determine if assets and personal property are exempt or counted. It quickly gets complicated if the applicant is married, but their spouse is not applying for the Medi-Cal extra help.
California MAGI Medi-Cal
Posts related to how California MAGI Medi-Cal works, especially with Covered California, enrollment, termination, household income.
Medi-Cal Program Changes to Eligibility and Conditions for Enrollment
If an individual is terminated from Medi-Cal because they failed to verify the work requirement, they are ineligible for the Advance Premium Tax Credit (APTC). The APTC is the subsidy through Covered California that reduces the monthly premiums of a private health plan.
Income Eligibility Verification System for Medi-Cal
For decades, Medi-Cal has verified the income for applicants and renewing beneficiaries using federal and state databases. The process known as the Income and Eligibility Verification System (IEVS). The California Department of Health Care Services has provided county Medi-Cal offices with a reminder of the IEVS process in an All County Welfare Directors Letter, 25-16. […]
Medi-Cal Asset Test Back for 2026
The 2026 asset test will be $130,000 and $65,000 for each additional household member. In other words, a single adult with assets over $130,000 will not qualify for Non-MAGI Medi-Cal. A married couple with assets over $195,000 will be ineligible for Non-MAGI Medi-Cal for either individual.
ICE May Have Medi-Cal Enrollment Information
Upon learning that CMS or the federal Department of Health and Human Services (HHS) may have shared personally identifying information with the Department of Homeland Security, the California Department of Health Care Services asked CMS if any individual Medi-Cal member information has been shared. As of June 13, 2025, there has been no response to the inquiry.
2025 MAGI Medi-Cal Income Increases 3.9%
For a married couple, they can earn up to $2,433 per month and still qualify for MAGI Medi-Cal. This represents a 3.44 percent increase from 2024. MAGI Medi-Cal is the expanded Medi-Cal for low-income adults between the ages of 19 and 64 years of age.
Millions of Adults Might Lose Medi-Cal Coverage
If California congressional Republicans vote to repeal the Affordable Care Act and with its expanded adult Medi-Cal access, they will be irrevocably injuring thousands of their own constituents. Not all Medi-Cal programs that provide assistance to Medicare beneficiaries, children, and their caretakers are intertwined with the ACA. However, we all know that an accident or illness that befalls a household’s primary wage earner can lead to cascading effects for the whole family. Medi-Cal helps people bounce back after an accident or illness to support the whole family.
The Medicare Medi-Cal Covered California Trap
Regardless of the error, Medi-Cal updates the Covered California income section denying the non-Medicare spouse their private health insurance with the subsidy. The spouse is determined Medi-Cal eligible and their health plan is terminated.
Disappearing Medi-Cal Case Workers
When there is an error in a county Medi-Cal determination, it is nice if the beneficiary has an actual person to talk to. These people are known as case eligibility workers that work with most aspects of the eligibility determination process. Case eligibility workers seem to be going the way of most customer service departments for any business where access is governed by automated phone menus and chatbots.
Higher Income Limits for Disabled Individuals to Receive Medi-Cal
While the network of health care providers is small with Medi-Cal programs, if you qualify for the 250% Working Disabled Program, you may be able to save quite a bit of money. To see you if you might qualify, contact your county’s social service department for Medi-Cal eligibility unit.
