This program is administered
by the Department of Health Care Services (DHCS).
Applying for MCAP
Who can be an applicant?
An applicant can be a pregnant woman age 18 or older applying for herself, or an applicant can be the husband of a pregnant woman. An applicant can also be a legal guardian or natural parent, foster parent, or stepparent with whom a pregnant child lives. An emancipated-minor, who is not living in the home of a natural parent or adoptive parent, a legal guardian, foster parent, or stepparent, may also be an applicant.
How do you apply?
Fill out the application and mail it in, along with SSNs/ITINs. If you didn’t list SSNs/ITNs on the application send it in along with the proof of your income for your federal tax household members.
When does MCAP Coverage Begin?
If your application is complete, MCAP will process your application within 10 calendar days of receipt.
If your application is incomplete, you will be notified in writing of what is missing and MCAP will also call you to request missing information. If you need help filling out the application, call MCAP at 1-800-433-2611. All help is free.
If your application is complete and you qualify, you will receive a written letter notifying you that you have been enrolled in the MCAP. The letter will provide you with the date your coverage starts. Your coverage starts 10 calendar days after the date your application is approved.
If you do not qualify, you will receive a written letter stating why you do not qualify.
Once you are enrolled, you will receive an Evidence of Coverage (EOC) booklet and an insurance card from your chosen health plan. It is IMPORTANT for you to read the plan’s EOC booklet to understand the benefits, exclusions, limitations, and the terms of the agreement between you and the health plan. If you do not receive your insurance card within 10 days of your enrollment in MCAP, please call your health plan directly.
Your coverage in the MCAP ends the last day of the month in which the 60th day following the end of your pregnancy occurs. You must apply again for each pregnancy, if you would like to be enrolled in MCAP for that pregnancy.The number of women enrolling in MCAP is limited by state funding. While adequate funding is generally available, once the program is full, you will not be enrolled even if you qualify and your application is complete. If this happens, you will be notified by mail.