Who will provide health care services for you and your baby?
Effective July 1, 2017, new enrollees eligible for Medi-Cal Access Program (MCAP) will receive health care services (medical, dental and vision coverage) through the Medi-Cal Managed Care (MMC) delivery system until the end of the month of the 365th day following the end of their pregnancy (post-partum eligibility period). When you first qualify for MCAP and receive your Benefits Identification Card (BIC), you are covered under Medi-Cal Fee-For-Service (FFS, also called, Regular Medi-Cal). You may use your BIC for health care services through Medi-Cal FFS from enrolled Medi-Cal providers until you enroll into a managed care health plan. The Health Care Options (HCO) Program will mail information explaining your health plan choices and enrollment packets about managed care plans. MCAP members will have to enroll into a managed care health plan through the HCO Program. You must choose a health plan within 30 days. If you do not choose a plan within 30 days, a plan will be selected for you based on the health plans available in your county of residence.
You may contact HCO at (800) 430-4263 if you have not received an enrollment packet in the mail, or if you need assistance with selecting a health plan, changing your plans, or finding a provider.
Coverage for Your Baby
Since you are enrolled in MCAP, your baby automatically qualifies for the Medi-Cal Access Infant Program unless you tell us not to or your baby is enrolled in employer-sponsored insurance or no-cost Medi-Cal. You must submit the Infant Registration Form to notify the Medi-Cal Access Infant Program of the birth and to register your baby with the Medi-Cal Access Infant Program. If your baby qualifies for the Medi-Cal Access Infant Program, the coverage will begin on their date of birth. Your baby will receive medical, dental and vision care through Medi-Cal health care providers and managed health care plans. Your baby will not be covered until Medi-Cal Access Infant Program receives the required
Infant Registration Form.Your baby will stay covered in the Medi-Cal Access Infant Program if, at the first Annual Eligibility Review, you meet the income guidelines. At your baby's second Annual Eligibility Review, your family income will be evaluated to see what coverage the infant qualifies for.
Find out more information on the
How Do I Register My Baby for the MCAP Program webpage.
