General Provisions
Cal. WIC § 14005.22
California Statutes
(
a) A pregnant individual is eligible for full-scope Medi-Cal benefits under
Section 435.116(d)(2) of Title of the Code of Federal Regulations if their income is less than or equal to percent of the federal poverty level, and, effective January 1, 2022, less than or equal to percent of the federal poverty level before the application of the 5-percent income disregard pursuant to subdivision (
b) of
Section 14005.64, as determined, counted, and valued in accordance with the requirements of
Section 1396a(e)(14) of Title of the United States Code, as added by the federal Patient Protection and Affordable Care Act (Public Law 111-148) and as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) and any subsequent amendments, and the individual meets all other eligibility requirements. (
b) To the extent permitted by state and federal law, an individual eligible under this
section shall be required to enroll in a Medi-Cal managed care health plan in those counties in which a Medi-Cal managed care health plan is available. (
c) Notwithstanding
Chapter 3.5 (commencing with
Section 11340) of Part of Division of Title of the Government Code, the department, without taking any further regulatory action, shall implement, interpret, or make specific this
section by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions until the time regulations are adopted. (
d) This
section shall be implemented only if and to the extent that federal financial participation is available and any necessary federal approvals have been obtained.