Medi-Cal is the Medicaid program in California. It provides health coverage to people with low income and asset levels who meet certain eligibility requirements. If you live in the County of Shasta, California, and need help with Medi-Cal, we can help. In this post, we will review everything you need to know about Medi-Cal in Shasta County – including who is eligible for Medi-Cal, Medi-Cal income limits, how to apply for benefits, Health and Human Services Agency (HHSA) contact information, and Medi-Cal providers in Shasta County, including Partnership Health Plan of California.
Before we get into Medi-Cal eligibility guidelines, first, we will explain what Medi-Cal is about and California’s Medicaid expansion.
Next, we will explain the Medi-Cal eligibility guidelines in detail, including the income limit, which is the most important.
We will then walk you through the 3 ways you can apply for Medi-Cal in Shasta County.
Additionally, we will provide HHSA contact information, including the phone number and hours of operation.
Lastly, we will answer the most frequently asked questions about Medi-Cal in Shasta County, including what Medi-Cal covers.
Table of Contents:
- What is Medi-Cal
- What services are covered by Medi-Cal?
- Medi-Cal in Shasta County
- Medi-Cal Expansion in California
- Who is Eligible for Medi-Cal?
- Shasta County Medi-Cal Income Limits
- How to Apply for California Medi-Cal in Shasta County
- Apply for and Manage Medi-Cal Benefits Online
- Shasta County Medi-Cal Office Locations
- Shasta County Medi-Cal Phone Number
- Medi-Cal Managed Care Health Plans in Shasta County
- Medi-Cal Providers in Shasta County, California
- Shasta County Medi-Cal FAQs
What is Medi-Cal
Medi-Cal is California’s Medicaid public health insurance program. Medi-Cal provides free or low-cost medical services for children and adults with limited income (and limited resources for some Medi-Cal programs).
The program is supported by federal and state taxes.
Effective January 1, 2014, the Affordable Care Act (ACA) expanded Medi-Cal coverage to previously ineligible adults (childless, non-disabled, non-elderly).
Medi-Cal Program and Services include:
- Children and Adults
- Seniors and Persons with Disabilities
- Teen Services
- Newborn Referral
- Long Term Care
- Dental
What services are covered by Medi-Cal?
- Outpatient (ambulatory) services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services/devices (physical and occupational therapy)
- Laboratory services
- Preventive and wellness services and chronic disease management
- Certain adult dental services
- Pediatric services, including dental and vision care
Medi-Cal in Shasta County
In Shasta County, the Medi-Cal program is managed by the Health and Human Services Agency (HHSA).
In addition to Medi-Cal benefits, the HHSA also handles CalFresh, CalWORKs, and General Relief applications and benefits.
Furthermore, BenefitsCal is the website for Shasta County Residents to apply for and to view their benefits online.
Continue reading below for BenefitsCal account information.
Medi-Cal Expansion in California
Effective January 1, 2014, The Affordable Care Act (ACA) expanded Medicaid benefits to low-income, childless adults between the ages of 19-64 who meet the low or no income requirements.
Also, starting on January 1, 2020, a new law in California gave full-scope Medi-Cal to young adults under the age of 26, and immigration status does not matter.
This is referred to as the Young Adult Expansion. All other Medi-Cal eligibility rules, including income limits, will still apply.
Furthermore, beginning May 1, 2022, a new law in California will give full-scope Medi-Cal to adults 50 years of age or older and immigration status does not matter.
This is referred to as the Older Adult Expansion. All other Medi-Cal eligibility rules, including income limits, will still apply to this new group.
Who is Eligible for Medi-Cal?
There are three ways you can qualify for Medi-Cal:
First, you can qualify if you meet the income limits.
To see if you qualify based on income, look at the chart below. Income numbers are based on your annual or yearly earnings.
Second, you can also get Medi-Cal if you are:
- 65 or older
- Blind
- Disabled
- Under 21
- Pregnant
- In a skilled nursing or intermediate care home
- On refugee status for a limited time, depending on how long you have been in the United States
- A parent or caretaker relative of an age-eligible child
- Have been screened for breast and/or cervical cancer (Breast and Cervical Cancer Treatment Program)
Third, if you are enrolled in one of the following programs, you can also get Medi-Cal:
- CalFresh
- SSI/SSP
- CalWorks (AFDC)
- Refugee Assistance
- Foster Care or Adoption Assistance Program
Shasta County Medi-Cal Income Limits
The Shasta County Medi-Cal income limit follows the California Medi-Cal Income Limit and is calculated as a percentage of the Federal Poverty Line (FPL).
To be eligible for Medi-Cal, you cannot make more than the income guidelines outlined below:
- Children up to age 1 with family income up to 266 percent of FPL
- Any child age 1-5 with a family income up to 266 percent of FPL
- Children ages 6- 18 with family income up to 266 percent of FPL
- CHIP for children with family income up to 266%-322% percent of FPL
- Pregnant women with family income up to 213 percent of FPL
- Parents of minor children with family income up to 114 percent of FPL
- Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL
- Adults without dependents under Medicaid expansion with income up to 138% of the FPL
2023 Medi-Cal Income Limits for Adults
In 2023, a single adult earning $1,677 or less per month (138% FPL) is eligible for Medi-Cal, or $20,120 a year.
That’s approximately a 6.70 percent increase from the 2022 income limit.
For 2 adults, the household income limit is $2,269 per month for Medi-Cal eligibility, or $27,214 a year.
Find the category you fall into and you will see the income limit by household size.
| California Medicaid Income Limit – Adults | ||||||
| Pregnant Women Medicaid | Adults (Medicaid) Parent/ Caretaker | Seniors & People w/ Disabilities (Medicaid) | Adults (Medicaid) Expansion to Adults | |||
| % FPL | 100% | 213% | 114% | 100% | 138% | |
|
Household Size
|
1 | $14,580 | $31,055 | $16,621 | $14,580 | $20,120 |
| 2 | $19,720 | $42,004 | $22,481 | $19,720 | $27,214 | |
| 3 | $24,860 | $52,952 | $28,340 | $24,860 | $34,307 | |
| 4 | $30,000 | $63,900 | $34,200 | $30,000 | $41,400 | |
| 5 | $35,140 | $74,848 | $40,060 | $35,140 | $48,493 | |
| 6 | $40,280 | $85,796 | $45,919 | $40,280 | $55,586 | |
| 7 | $45,420 | $96,745 | $51,779 | $45,420 | $62,680 | |
| 8 | $50,560 | $107,693 | $57,638 | $50,560 | $69,773 | |
2023 Medi-Cal Income Limits for Children
Next is the income limit for children by age category.
Find the age category your child falls into and you will see the income limit by household size.
| California Medicaid Income Limit – Children | ||||||
| Children Medicaid Ages 0-1 | Children Medicaid Ages 1-5 | Children Medicaid Ages 6-18 | Children Separate CHIP | |||
| % FPL | 100% | 266% | 266% | 266% | 322% | |
|
Household Size
|
1 | $14,580 | $38,783 | $38,783 | $38,783 | $46,948 |
| 2 | $19,720 | $52,455 | $52,455 | $52,455 | $63,498 | |
| 3 | $24,860 | $66,128 | $66,128 | $66,128 | $80,049 | |
| 4 | $30,000 | $79,800 | $79,800 | $79,800 | $96,600 | |
| 5 | $35,140 | $93,472 | $93,472 | $93,472 | $113,151 | |
| 6 | $40,280 | $107,145 | $107,145 | $107,145 | $129,702 | |
| 7 | $45,420 | $120,817 | $120,817 | $120,817 | $146,252 | |
| 8 | $50,560 | $134,490 | $134,490 | $134,490 | $162,803 | |
How to Apply for California Medi-Cal in Shasta County
There are multiple ways to apply for Medi-Cal in Shasta County:
- Online at BenefitsCal.com.
- Online through Covered California, at or by calling 1-800-300-1506.
- Call the Health and Human Services Agency (HHSA) during business hours Monday – Friday 7:00 am – 5:00 pm at 1-877-652-0731.
- Apply in person at one of the HHSA office locations listed below.
- Print an application online here and mail or return it to:
Eligibility and Employment Services, Cascade
2460 Breslauer Way
P.O. Box 496005
Redding, CA 96049-6005
Apply for and Manage Medi-Cal Benefits Online
The BenefitsCal website is the fast, easy way for Shasta County residents to apply for and manage public assistance services online, including Medi-Cal.
With a BenefitsCal account, you can perform the following tasks online:
- See if you are eligible for Medi-Cal and other benefits
- Apply for Medi-Cal, CalFresh, and Cash Assistance Benefits
- Report Changes in your Household situation that may affect your benefits
- Renew your Medi-Cal, CalFresh, and Cash Assistance Benefits
If you currently have a BenefitsCal account, click here to log in and apply for or manage your Medi-Cal benefits.
However, if you do not currently have a BenefitsCal, click here to sign up for one. It only takes a few minutes.
The video below does a great job of explaining in detail how to sign up for a BenefitsCal account, and apply for and manage your benefits online.
We recommend watching the video in order to save time in navigating the BenefitsCal website.
Shasta County Medi-Cal Office Locations
Applications for the Medi-Cal Program can be completed in person at an HHSA office location.
To begin the process you will need to locate the HHSA that serves your area.
Unless there is an emergent need for medical care, benefits may not be issued on the same day.
In addition to Medi-Cal, households can apply for CalFresh, General Relief, and CalWORKs at the following locations, which are open from 8 a.m. to 5 p.m. Monday through Friday:
See below for a list of HHSA office locations in Shasta County:
Anderson Regional Office
2889 East Center Street
Anderson, CA 96007
Office: (530) 229-8200
CalFresh or Medi-Cal Questions:
(877) 652-0731
Business Hours:
Monday – Friday: 8 a.m. – 5 p.m.
Burney Regional Office
36911 Main St. (Hwy. 299E)
Burney, CA 96013
Office: (530) 335-5576 or
(530) 335-6700
CalFresh or Medi-Cal Questions:
(877) 652-0731
Business Hours:
Monday – Friday from 8 a.m. – 5 p.m.
Downtown Redding (West)
1220 Sacramento Street
Redding, CA 96001
Office: (530) 229-8441
CalFresh or MediCal Questions:
(877) 652-0731
Business Hours:
Monday – Friday: 8 a.m. – 5 p.m.
South Redding (Breslauer)
2460 Breslauer Way
Redding, CA 96001
(877) 652-0731
Business Hours:
Monday – Friday: 8:00 a.m. – 5 p.m.
Enterprise Office (East) (Temporarily closed)
2757 Churn Creek Road
Redding, CA 96002
Office: (530) 224-4200
CalFresh, CalWORKs or Medi-Cal Questions:
(877) 652-0731
Business Hours:
Monday – Friday: 8 am – 5 pm (Temporarily closed)
Shasta Lake Regional Office
4216 Shasta Dam Blvd.
Shasta Lake, CA 96019
Office: (530) 275-7500
CalFresh or Medi-Cal Questions:
(877) 652-0731
Business Hours:
Monday – Friday: 8 a.m. – 5 p.m.
Shasta County Medi-Cal Phone Number
Here’s the phone number to call to speak to a live person regarding Medi-Cal in Shasta County:
Call the Health and Human Services Agency (HHSA) during business hours Monday – Friday 9:00 am – 5:00 pm at 1-877-652-0731.
Other HHSA Phone Numbers
Here are other HHSA phone numbers to call for services:
Adult Services:
(APS / IHSS / Mental Health)
(530) 225-5200
Children’s Services:
(Adoptions / Child Abuse / Mental Health)
(530) 225-5650
Public Health:
(Vaccinations / TB Testing)
(530) 225-5591
General Phone:
(530) 229-8400
Medi-Cal Managed Care Health Plans in Shasta County
When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service.
However, you must choose a health plan within 30 days. If you do not choose a plan within 30 days, the State will choose a plan for you.
If you find only one health plan, the county has chosen this plan for you. Please wait for your health plan information mailer in the mail.
If you find multiple health plans listed, please explore each plan and choose the one that suits you and your family’s needs.
Below is a list of Medi-Cal Managed Care Health Plan options available in Shasta County, California.
|
Plan Name |
Phone Number |
|---|---|
|
(800) 863-4155 |
Medi-Cal Providers in Shasta County, California
When you enroll in (join) a Medi-Cal plan, you must choose a primary care provider (PCP).
Your PCP is the doctor or clinic you go to when you are sick or need a checkup.
To locate a Medi-Cal provider near you, click here to search the database of providers.
Once you are on the website, select a program (see image below) to search for doctors, dentists, hospitals, medical clinics, and dental clinics near you.
Medi-Cal Shasta County FAQs
Here are some of the most frequently asked questions about Medi-Cal in Shasta County:
How does Medi-Cal work in Shasta County?
Medi-Cal (called Medicaid in other states) provides health care coverage to low-income California residents who qualify.
In Shasta County, you must first apply for Medi-Cal through the Department of Health & Human Services Agency.
Once the application is approved, you will then transition, between 30-60 days, to a membership with Partnership HealthPlan of California (PHC).
PHC is a non-profit organization that contracts with the state to manage all of your health care benefits and claims.
Health care providers will submit their bill to PHC for payment.
Some of the services covered under Medi-Cal include:
- Outpatient, emergency and hospitalization services
- Maternity, newborn care and pediatric care
- Mental health and substance use disorder services
- Prescription drugs and laboratory services
- Physical, occupational and rehabilitative therapy
- Preventive care and chronic disease management
- Pediatric dental and limited adult dental services
- Transportation to and from local and long distance medical, dental, mental health, or substance use disorder appointments, and to pick up prescriptions and medical supplies.
What is the County Medical Services Program?
The County Medical Services Program (CMSP) provides health coverage for adults ages 21 through 64 who have income at or below 200% of the federal poverty level and
who are not eligible for Medi-Cal.
Who can get CMSP?
If you meet the following criteria, then you qualify for CMSP:
- Adults 21 through 64 years of age
- Qualifying low income
- Resident of Shasta County
- Not eligible for Medi-Cal
How do I apply for CMSP?
Shasta County residents can apply for benefits using the following options:
- Start an application online at BenefitsCal.com
- By telephone. You can call the Customer Service Center phone number at 1-877-652-0731 to start an application.
- You can also apply through the mail:Call 1-877-652-0731 to request a mail-in application be sent to you or print an application online.Once completed, mail the application to:Eligibility & Employment Services, Cascade
2460 Breslauer Way
P.O. Box 496005
Redding, CA 96049-6005
- Additionally, you can apply in person at any of the HHSA offices listed above or click here to locate one.
What is Medi-Cal Access Program (MCAP)
The Medi-Cal Access Program (MCAP) is a program for women who don’t have insurance to cover pregnancy and are not receiving no-cost Medi-Cal or Medicare Part A and Part B, or have other health insurance plan that doesn’t cover maternity services or with a maternity-only deductible or copayment greater than $500.
What is Covered California?
Covered California is a marketplace where individuals can compare and select private health insurance plans as well as determine if they are eligible for financial assistance to make coverage more affordable.
What documents do I need to apply for Shasta County Medi-Cal?
Documents required to apply for Medi-Cal include, but are not limited to the following:
- Alien Registration Card or naturalization papers.
- Social Security number, card or proof of application, Medicare card.
- Identification, such as driver’s license.
- Last bank statement for checking/savings account
- Child support court orders.
- Insurance policies (Life, burial, health, fire), papers on burial fund or trust.
- Last property tax statement on home or other property, with verification of amount owed.
- Escrow statement/papers on any property transferred in the last 2 years.
- Stocks and bonds.
- Registration on all cars, trucks, motorcycles, mobile homes, trailers, and amounts owed.
- Proof of income, such as current pay stubs, Social Security award letter, unemployment pay stubs, or award letter.
- Medical proof of your inability to work (doctor’s statement).
- Proof of tuition, scholarships, grants, and student loans with amounts.
- Proof of pregnancy.
What Local Hospitals in Shasta County Take Medi-Cal?
The following local hospitals and Emergency Rooms (ER) take Medi-Cal.
Mercy Medical Center-Redding: 530-225-6000
Mercy Healthline: 530-24-Mercy
2175 Rosaline Avenue
Redding, CA 96001
Services Include ER, cancer center, cardiac rehabilitation, home health, hospice, maternity, and family health.
http://redding.mercy.org
Shasta Regional Medical Center: 530-244-5400
1100 Butte Street
Redding, CA 96001
Services Include ER, cardiac rehabilitation, pulmonary rehabilitation, diabetes care management, and women’s heart center.
http://www.shastaregional.com
Medi-Cal in Shasta County Summary
We hope this post on Medi-Cal in Shasta County was helpful.
Questions?
If you have further questions about Medi-Cal in Shasta County, please let us know in the comments section below.
Be sure to check out our other articles about Medi-Cal and California Medicaid program, including:
