Medi-Cal

{"service_id":"medi-cal","effective_date":"2024-01-01","rules":[{"id":"income-adults","key":"household_income_fpl","operator":"less_than_or_equal","value":138,"unit":"percent","requirement":"required","label":"Income Limit (Adults)","description":"Adults 19-64 with income up to 138% FPL qualify.\nHigher limits apply to children and pregnant women.\n","source_url":"https://www.dhcs.ca.gov/services/medi-cal/eligibility"},{"id":"income-children","key":"household_income_fpl","operator":"less_than_or_equal","value":266,"unit":"percent","requirement":"required","label":"Income Limit (Children)","description":"Children under 19 qualify up to 266% FPL.","conditions":[{"id":"is-child","key":"age","operator":"less_than","value":19}]},{"id":"income-pregnant","key":"household_income_fpl","operator":"less_than_or_equal","value":213,"unit":"percent","requirement":"required","label":"Income Limit (Pregnant)","description":"Pregnant women qualify up to 213% FPL.","conditions":[{"id":"is-pregnant","key":"is_pregnant","operator":"equals","value":true}]},{"id":"residency","key":"state_residency","operator":"equals","value":"CA","requirement":"required","label":"California Residency","description":"Must be a California resident."},{"id":"citizenship","key":"citizenship_status","operator":"in","values":["us_citizen","permanent_resident","refugee","asylee","prucol","undocumented_under_26","undocumented_50_plus"],"requirement":"required","label":"Citizenship/Immigration","description":"California provides full-scope Medi-Cal to undocumented\nresidents under 26 or 50+ years old, regardless of\nimmigration status.\n","source_url":"https://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-Cal-for-Immigrants.aspx"},{"id":"no-other-coverage","key":"has_other_qualifying_coverage","operator":"equals","value":false,"requirement":"required","label":"No Other Coverage","description":"Generally cannot have other qualifying health coverage\n(some exceptions for Medicare dual eligibles).\n"}]}