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  • Profile of Older Californians: Medicare Beneficiaries Near Income Eligibility for Medi-Cal

    Jul 20, 2023

    California

    Medicare-Medicaid Integration

    This brief examines key racial, ethnic, linguistic, spousal, familial, and insurance demographics of Californians with a focus on Medicare beneficiaries who are low income but do not meet income eligible requirements for Medi-Cal.

    Medi-Cal covers long-term services and supports (LTSS) for its members, but Medicare beneficiaries who are Near Medi-Cal Income Eligible do not qualify for Medi-Cal LTSS.

    Prepared by ATI Advisory, for the California Department of Health Care Services and with funding from The SCAN Foundation, this brief examines the demographics, resources, and accessibility needs of near Medi-Cal income eligible. 

    These beneficiaries who are near Medi-Cal income eligible have higher rates of disability, less available income, and less access to social supports than those with higher incomes, and therefore are vulnerable to not having their care needs met.

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