Plans and Providers
This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).
Plans and Providers
Who will provide health care services for you and your baby?
When you apply for Medi-Cal Access Program, you will choose a health plan available in your county. Then, when your Medi-Cal Access Program coverage starts, your health plan will manage your health care. The plan will let you know what doctors, midwives, medical groups, hospitals, and other providers you can use and what services are available. The plan will let you know how to get the services you need.
Once you are enrolled in Medi-Cal Access Program, your baby will be registered in the Medi-Cal Access Infant Program when you submit the Infant Registration Form. Your baby will receive medical, dental and vision care through Medi-Cal health care providers and managed health care plans. Your baby will not be covered until the Medi-Cal Access Infant Program receives the required Infant Registration Form.
Your baby will stay covered in the Medi-Cal Access Infant Program if, at the first Annual Eligibility Review, you meet the Medi-Cal Access Infant Program’s income guidelines. At your baby’s second Annual Eligibility Review, your family income will be evaluated to see what coverage the infant qualifies for. The Medi-Cal Program has a lower income limit than Medi-Cal Access Program.
All plans in Medi-Cal Access Program offer the same health coverage. Differences among plans are in the choices of providers and special services offered. To find out which doctors and hospitals work with a plan, call the plan directly. To find out the special services a plan offers, read the plan descriptions click here. Wellness classes or a telephone help line are examples of special services.
Many providers work with Medi-Cal Access Program and its health plans. You may be able to use the same doctor, hospital, or pharmacy that you use now. Call the health plans in your county to see if they work with a provider that you want.
Health Plans may download the Immediate Health Care Services Request.