首页服务加州医疗保险豁免

Medi-Cal 豁免

When California significantly changes its Medicaid program, it must take one of two steps: either (1) amend its Medicaid State Plan, the state’s contract with the federal government; or (2) receive an exemption or Medicaid waiver from portions of Title XIX of the Social Security Act by the Centers for Medicare & Medicaid Services (CMS). Medi-Cal waivers are programs that provide additional services to specific groups of individuals, limit services to specific geographic areas of the state, and provide medical coverage to individuals who may not otherwise be eligible under traditional Medicaid rules.

The Department of Health Care Services (DHCS) has a number of Medi-Cal waiver programs that provide home and community-based services, family planning services, specialty mental health services, and managed care to specific groups of eligible individuals. Information found here can assist the general public in understanding the services available under Medi-Cal waivers, how to access those services, and provide general information about Medi-Cal waivers.

加州推进和创新医疗补助计划 (CalAIM) 是一项由卫生和公众服务部 (DHCS) 牵头的多年期计划，重点关注系统、计划和支付改革，这将使加州能够采取以人为本的人口健康护理方法，整合身体健康、行为健康和本地服务提供商之间的护理协调。

California’s Section 1115 demonstration, approved by CMS on December 29, 2021, remains in effect through December 31, 2026. CMS also approved the Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Section 1115 demonstration, effective January 1, 2025, through December 31, 2029, expanding community-based behavioral health services and addressing health-related social needs.

Additionally, California is requesting a new Section 1115 demonstration, titled California’s Reproductive Health Access Demonstration (CalRHAD).

当前豁免

待定豁免

California’s Reproductive Health Access Demonstration (CalRHAD) 1115

豁免已过期

发育障碍 – 持续护理 (DD-CNC)
居家医疗保健 (IHMC)*
居家运营 (IHO)
护理机构 A/B (NF A/B)*
护理机构亚急性 (NF S/A) *
儿科姑息治疗豁免 (PPC)
旧金山社区生活支持福利豁免（AB 2968）

其他资源

CalAIM 主页
CalAIM 第 1115 条过渡性租金服务修正案
加州医疗补助豁免情况说明书（外部链接）
HCBS 项目（外部链接至 DDS）
医疗保险覆盖计划
第 1115 条豁免资源
CalABLE – Medi-Cal members may be eligible for CalABLE, the state’s savings program for people with disabilities. CalABLE helps individuals save without impacting benefits like Medi-Cal and Supplemental Security Income. For more information, go to www.calable.ca.gov .

获取 Medi-Cal 豁免服务

Medi-Cal 豁免服务根据需要面向特定人群和目标群体。对于需要家庭和社区服务的残疾人士，可能有针对以下目标人群提供的服务：老年人、发育性残疾人士、患有中晚期艾滋病的 Medi-Cal 受益人或需要生活辅助的人。一些豁免提供协助计划生育和预防怀孕的服务，以及提供个人护理资源，使残疾成年人能够留在自己的家中。通过自由选择豁免，受益人可以获得具有特定诊断的心理健康服务。

对于某些豁免服务，获取福利的第一步很简单，只需联系当地县社会服务办公室即可。对于其他人，必须通过项目管理员协调评估以确定资格。但是，参与任何豁免都需要建立 Medi-Cal 资格。Medi-Cal 资格和豁免资格的审查过程可以同时进行。如果您发现豁免服务可能对您、您的家人或朋友有帮助，只需点击该豁免的链接即可了解进一步的资格要求和联系信息。

Source: How to Apply for Medi-Cal

Medi-Cal 豁免​​

当前豁免​​

待定豁免​​

豁免已过期​​

其他资源​​

获取 Medi-Cal 豁免服务​​