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California Residents at Risk of Losing Healthcare Over Paperwork Errors

A picture of medical professionals
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California Residents at Risk of Losing Healthcare Over Paperwork Errors

Source: Pinterest

Medi-Cal, the Medicaid health care program for low-income individuals in California, is about to undergo significant modifications. California owns one of the nation’s greatest healthcare systems, and Medi-Cal has long been a source of satisfaction for the state.

However, millions of Californians lack adequate health care due to some errors they make while registering. Now, healthcare supporters are taking action to curb this from taking further effects. 

Documentation Mistakes

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It is important that people have access to good healthcare to ensure a healthy life. But considering the paperwork challenges, it makes it hard to keep up with health insurance.

Many people in California face documentation issues because errors in the documents can deny access to the Medicaid program.

Healthcare Eligibility

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Under Medi-Cal, low-income Californians can receive free dental, eye, mental health, and health care. However, Medicare often does not fund long-term care provided in a nursing facility or at home by an individual.

Most adults must make no more than 138% of the federal poverty line for their household size to be eligible based on income.

What Brought About the Effect on the Health System?

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The United States government considered stopping Medicaid enrollment after the COVID-19 pandemic, which later affected the healthcare system.

According to the government, all Americans receiving Medicaid benefits must reapply to continue with the healthcare provision. This resulted in different problems for the masses and also led to the loss of healthcare coverage for some people.

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Factors That Determine Healthcare Loss

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A few people are more likely to lose their Medi-Cal coverage during this period, such as the elderly and those with disabilities. Language hurdles, privacy issues, and fear of immigration-related repercussions are some challenges that immigrants and their families experience in maintaining coverage.

Many Californians may still be eligible even though they are losing their Medi-Cal coverage due to paperwork issues.

Negligence Towards Healthcare

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Following a contentious federal government decision, California witnessed the highest number of its citizens suffer from a lack of access to healthcare.

Millions of Californians do not have access to healthcare at this time due to carelessness on their part, failure to remember to renew their coverage or inaccurate application completion.

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New Development

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Medicaid is a federal-state program. However, states are not allowed to use federal finance to cover non-citizens for full Medicaid coverage unless they can demonstrate that the individual has a suitable immigration status.

In contrast, California has begun implementing full-scope Medi-Cal for undocumented immigrants who fulfill its income and other standards through state funding.

Exchange for Federal Funds

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For three years during the COVID-19 pandemic, states were prohibited from removing individuals from Medicaid in exchange for increased federal funding.

Typically, Medi-Cal participants must be reeligible each year. On March 31, 2024, states started gradually discontinuing continuous coverage.

Reevaluating Members

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Medi-Cal commenced the process of reevaluating its 15 million members on April 1, 2024, and if it detects that they are no longer eligible, they will be disenrolled. According to the report, the process would conclude on May 31, 2024, with regular activities resumed on June 1, 2024.

Disenrolled individuals have 90 days to verify their eligibility for reinstatement, so it’s too soon to predict how many members will lose their coverage.

Government Forms Are Time-Consuming

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Filling out forms may seem simple enough, but filling out government forms may be time-consuming and confusing.

According to financial literacy instructor Alex Beene, filling out a form for coverage may seem obvious. Still, many people went through this process for the first time since the pandemic, so it’s likely that many were confused by some of the questions or simply refused to fill it out.

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Modifying the Procedures

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The significant disenrollment percentage caused by paperwork difficulties highlights the need to further speed up the renewal procedure and lessen the amount of paperwork beneficiaries must complete both during and after the process.

It is crucial to tackle these obstacles to guarantee that individuals who qualify for Medi-Cal maintain their basic health care.

Maintaining Healthcare Insurance

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State authorities can take more action to keep Californians who are still eligible for Medi-Cal from losing coverage, even when they have already made efforts to lower barriers to obtaining and retaining coverage.

In essence, it would guarantee that the millions of individuals who currently lack insurance get their healthcare back right away and are given an additional year to properly reapply before losing their Medi-Cal benefits.

Numerous Agencies Are Willing To Assist

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For Californians who require assistance completing complex government documents, there are numerous agencies available.

According to Alex Beene, Californians who require coverage should seek help this year to ensure they accurately complete all Medi-Cal paperwork. They would rather not miss out on coverage for a second year running if they require it.

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