County of Marin Health and Human Services

Frequently Asked Questions

Viewing FAQs for Medi-Cal

Medi-Cal is California's Medicaid program. Medi-Cal provides(link is external) free or low-cost medical, vision, and dental services(link is external) for individuals and families who live in California and meet all eligibility criteria. People who receive Medi-Cal in Marin include low-income adults, families with children, seniors, persons with disabilities, children in foster care, former foster youth up to age 26, pregnant persons, etc. For more information, click here for English and here for Spanish.

Last Updated: 12/03/2021 - 3:06pm

The County Medical Services Program (CMSP) provides temporary health coverage for uninsured low-income, indigent adults that are not otherwise eligible for other publicly funded health care programs.

Last Updated: 12/03/2021 - 3:07pm

CMSP is generally available to individuals who meet the following eligibility criteria:

Are a resident of Marin County

Are between the ages of 21 through 64

Have income between 138% and 300% of the Federal Poverty Level

Meet personal property limits.

For more information about CMSP eligibility, click here for English and here for Spanish.

For more information about what services CMSP provides, click here for English and here for Spanish.

Last Updated: 12/03/2021 - 3:10pm

Individuals who are eligible for CMSP are approved for a temporary certification period. This is the period of time that you are eligible for CMSP. If, after your CMSP certification period ends, you still need health coverage, you will need to reapply for benefits.

Last Updated: 12/03/2021 - 3:11pm
  • Full scope benefits generally provides medical, dental, mental health, vision (eye) care, drugs your doctor orders, and more.  Full scope Medi-Cal and CMSP benefits are available to individuals who meet all eligibility criteria and are either United States citizens/nationals or have satisfactory immigration status.
  • Restricted scope benefits provide limited health care coverage such as emergency services and pregnancy-related services. Restricted scope Medi-Cal and CMSP benefits are available to individuals who meet the eligibility criteria and whose immigration status has not been determined, who are not United States citizens/nationals, or who do not have satisfactory immigration status.
  • Effective May 1, 2016, all children under the age of 19 are eligible for full-scope Medi-Cal benefits regardless of immigration status, as long as they meet all other eligibility requirements.
  • Effective January 1, 2020, under the Young Adult Expansion initiative, all young adults under the age of 26 are eligible for full scope Medi-Cal benefits regardless of immigration status, as long as they meet all other eligibility requirements.
Last Updated: 12/03/2021 - 3:12pm

There are multiple convenient ways you can apply for Medi-Cal and CMSP, including:

  • Online: www.benefitscal.com(link is external) or www.coveredca.com(link is external)
  • By Phone: (877) 410-8817
  • In person:
  • 120 N. Redwood Drive, San Rafael, CA 94903
  • 3240 Kerner Blvd., San Rafael, CA 94901
  • 1 6th St., Point Reyes Station, CA 94956
  • By fax: (415) 473-355
  • By mail: PO Box 4160, San Rafael, CA 94913
Last Updated: 12/03/2021 - 3:13pm

Anyone can apply at any time of the year. There is no limit to how many times you can apply for Medi-Cal or CMSP and there is no cost to apply for either of these programs.

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  • You will need to provide an application and may be asked to provide additional information or documentation, including, but not limited to:
  • Proof of income such as pay stubs, Social Security award letter, child support or alimony, unemployment/disability stubs, or veterans benefits
  • Proof of identification, citizenship and/or immigration status
  • Proof of resources such as checking and savings account statements, stocks, bonds, annuities, vehicle registration, life insurance, etc.
  • Once you submit your application, it will be reviewed by an Eligibility Worker. If additional information or documentation is needed, the Eligibility Worker will contact you to request the information. You can provide information by mail, by phone, in person, by fax, and in some cases, by email.
Last Updated: 12/03/2021 - 3:17pm
  • After your application has been reviewed and processed, you will receive a Notice of Action detailing what you are eligible for. If you are eligible for Medi-Cal or CMSP, you will receive a Benefit Identification Card (BIC) shortly after your approval. You can use your BIC at participating doctor's office, pharmacies, etc. If you did not receive a BIC card or need a replacement card, please reach out to our Call Center at (877) 410-8817 to speak with an Eligibility Worker.
  • If you are not eligible for Medi-Cal or CMSP, you may be referred to Covered California to explore other health and dental insurance options.
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  • Generally Medi-Cal is renewed once per year; however, some beneficiaries may be renewed automatically. If you are required to renew, then you will receive notification from the county with instructions on how to renew your Medi-Cal.
  • After you renewal is processed, our office will send you a letter to let you know if you still qualify for Medi-Cal.
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  • Partnership Health Plan (PHP) is the managed care provider for Marin County. PHP helps Medi-Cal beneficiaries find a doctor and use their Medi-Cal services. Most newly eligible Medi-Cal beneficiaries will receive information from PHP within 30 days of their Medi-Cal approval.
  • I applied for medical coverage through Covered California but I have received several requests from the county to provide information for Medi-Cal. I did not apply for Medi-Cal. Why did I receive these requests? Do I have to respond to these requests?
  • Individuals and families have many options to apply for Medi-Cal, including applying through Covered California. When you apply through Covered California, you may either be referred to sign up for a Covered California plan or may be referred to the county to evaluate for Medi-Cal, depending on your household's circumstances.
  • If the county is reaching out to you to collect information to evaluate for Medi-Cal and you want health coverage, it is because you are potentially eligible for Medi-Cal. If you have questions, please reach out to our Call Center at 1-877-410-8817 to speak to an Eligibility Worker.
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  • Individuals and families who meet all Medi-Cal eligibility criteria may be eligible for one of the following types of Medi-Cal:
    • Zero share of cost (free) Medi-Cal
    • Medi-Cal with a share of cost, or
    • Medi-Cal with a monthly premium

Note: whether or not you have free Medi-Cal, Medi-Cal with a share of cost, or Medi-Cal with a  monthly premium depends on many factors including but not limited to household composition, household income, household expenses, and tax filing status.

Last Updated: 12/03/2021 - 3:20pm

If you or a member of your family is enrolled in the Medi-Cal Access Program, the Medi-Cal Access Infants Program, the Optional Targeted Low Income Program, the County Children's Health Initiative Program, or the Working Disabled Program, and are experiencing hardship due to the COVID-19 public health emergency, you can request a COVID-19 premium waiver by calling one of the following numbers:

Medi-Cal Access Program (MCAP)

1-800-433-2611

Monday to Friday 9 a.m. to 7 p.m. or on Saturday from 8 a.m. to 12 p.m.

Medi-Cal Access Infant Program (MCAIP)

Optional Targeted Low-Income Children's Program (OTLICP)

1-800-880-5305

Monday to Friday 8 a.m. to 8 p.m. or on Saturday from 8 a.m. to 12 p.m.

County Children's Health Initiative (CCHIP)

1-833-912-2447

Monday to Friday 8 a.m. to 7 p.m. or on Saturday from 8 a.m. to 12 p.m.

Working Disabled Program

1-916-445-9891

Last Updated: 12/03/2021 - 3:21pm

Although we are not processing Medi-Cal renewals during the COVID-19 public health emergency, we encourage you to complete your packet and submit it to the county as soon as possible. We will process your renewal at a later date. If you have experienced changes and would like your Medi-Cal re-evaluated, please call us at (877) 410-8817 to speak with an Eligibility Worker.

Last Updated: 12/03/2021 - 3:23pm

You can call the Medi-Nurse Line at (877) 409-9052 to connect with a nurse, day or night, to talk about COVID-19 symptoms and help connect you with local resources in your area.

Last Updated: 12/03/2021 - 3:25pm