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Stakeholder Resources and Materials

Below are resources and reference materials for stakeholders regarding the Affordability and Benefit Program for Low-Income Pregnant Women and Newly Qualified Immigrants (NQIs)

Fiscal estimate for Affordability and Benefit Program: (pdf) Fiscal estimate May 2014 for the Affordability and Benefit Program for the 2013-014 and 2014-15 fiscal years.

Minimum essential coverage: Information for beneficiaries from HealthCare.gov (Not DHCS) on how to receive "minimum essential coverage" and the fees for those who do not have minimum coverage. Pregnancy-only coverage qualifies for MEC in California until delivery, according to CMS.

"Pregnancy-related services" are services required to assure the health of the pregnant woman and the fetus, or that have become necessary as a result of the woman having become pregnant. These include, but are not limited to, prenatal care, delivery, postpartum care, family planning services and services for other conditions that might complicate the pregnancy, labor, delivery, postpartum care, and family planning services. Services for other conditions that might complicate the pregnancy, including those for diagnoses, illnesses, or medical conditions which might threaten the carrying of the fetus to full term or the safe delivery of the fetus. Pregnancy-related services may be provided prenatally from the day that pregnancy is medically established and postnatally to the end of the month in which the 60th day following delivery occurs.

Medi-Cal Eligibility Letter: (pdf) Letter from the Medi-Cal Eligibility Division to County welfare directors, administrative officers, and program specialists/liaisons announcing the creation and enactment of the Affordability and Benefit Program.

 

Last modified on: 5/3/2016 11:18 AM