California Department of Health Care Services

California Department of Health Care Services

1. a. What are the Medicaid eligibility requirements in your state? In your state, are they both eligible for Medicaid?

There are numerous ways to qualify for Medi-Cal, California’s Medicaid program. Being pregnant is the simplest way, regardless of citizenship. If you are an illegal immigrant, Medi-Cal is only available in an emergency or during pregnancy. Even as a legal immigrant, 5 years of residency is required before receiving full coverage. Other ways to qualify for Medi-Cal include being 65 or older or being under the age of 21. Other eligibility criteria include being disabled and falling below the 138 percent Federal Poverty Level. Participation in these programs also qualifies you for Medi-Cal Calfresh, SSI/SSP, CalWorks, Refugee Assistance, Foster Care, or Adoption Assistance Program.

In this case, the husband qualifies due to his age and disability. She most likely qualifies as well if they both earn less than 138 percent of the Federal Poverty Level, but her eligibility is unclear due to limited information about their finances.

b. As a Medicaid beneficiary, how much income (Social Security, wages, pension, interest, etc.) is allowed each month?

The total annual amount allowed is less than 138 percent of the Federal Poverty Level. This amounts to $22,108 per year or $1842.33 per month, according to the California Department of Health Care Services.

 

c. How much money can they have? Which possessions are considered assets?

According to the California Department of Health Care Services, the general property limit for two people is 3,000. However, there are ways to raise this limit through the court system. According to the California Department of Health Care Services website, the following are assets:

Real Estate:

• Principal Place of Residence Property used as a residence is exempt (not counted in determining eligibility for Medi-Cal). When an applicant or beneficiary is absent from the house for any reason, including Institutionalization, the home remains exempt as long as the applicant or beneficiary intends to return home someday. If the applicant’s or beneficiary’s spouse or dependent relative continues to live in the home, it remains exempt. If the proceeds from the sale of the home are going to be used to buy another home, the money can be exempt for six months.

• Other real estate. Exemption may be granted for up to $6,000 of the equity value in non-business real estate (excluding the home), mortgages, deeds of trust, or other promissory notes. To qualify for this exemption, the property must generate an annual income of 6% of its net market value or current face value.

• Real estate used for business or trade. Real estate used in a trade or business is exempt regardless of equity or income generation.

• Personal property used in the course of a trade or business.

• One automobile.

• Personal consequences. Clothing, heirlooms, wedding and engagement rings, and other jewelry with a net value of less than $100 are all eligible.

• Household goods.

• IRAs, KEOGHs, and other employer-sponsored pension plans. If the family member whose name it is in does not want Medi-Cal, these funds are exempt. If the account is held in the name of a person eligible for Medi-Cal and payments of principal and interest are received, the balance is considered unavailable and is not counted.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

 

 

• Irrevocable burial trusts or prepaid burial contracts.

• Each person may have one revocable burial fund or revocable prepaid burial contract worth up to $1,500 plus accrued interest.

• Items for the burial space

• Musical equipment.

• Recreational items such as televisions, VCRs, computers, guns, collections, and so on.

• Animals, poultry, or crops

• Countable property equal to the amount of benefits paid under a state-approved plan.

long-term care insurance coverage

• Policies for life insurance. Everyone can have life insurance policies with a different company.

Interest and dividends on a combined face value of $1,500 or less

 

2. What benefits are available if you are eligible? Provide an overview of the assistance programs that are tailored to their specific needs. She is thinking about home care services, an adult day health program, or nursing home care.

Medi-Cal covers a wide range of services, including physical, mental, and dental health care. In this case, Medi-Cal covers rehabilitation services, long-term skilled nursing facilities, and other personal care services. Non-emergency transportation, physical and speech therapy, and various medical devices are also covered by Medi-Cal.

B. Share your ideas:

1. Are the websites easy to use? Consider the standards for health care literacy. Consider obtaining the information if you have an age-related limitation like poor vision, limited hand function due to arthritis, or short-term memory loss.

I was disappointed by how difficult it was to navigate the Medi-Cal website. It was difficult to determine eligibility. The website had many links and topics, but basic information such as eligibility or limitations were nearly impossible to find. I was only able to find this information by conducting a Google search and linking to the correct page. Even after finding the correct information, the jargon was written in a somewhat convoluted manner. Counselors, for example, can help determine a person’s eligibility and assist in signing up.

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