Presumptive Eligibility Medi-Cal provides immediate, temporary coverage for prenatal care to:

  • Any pregnant woman or teen who lives California
  • Meets the income guidelines (income below 200% of FPL)
  • Has no health insurance or lacks coverage for prenatal care.

Questions Presumptive Eligibility (PE) Medi-Cal
Who is eligible? Presumptive Eligibility Medi-Cal provides immediate, temporary coverage for prenatal care to:

  • Any pregnant woman or teen who lives California
  • Meets the income guidelines (income below 200% of FPL)
  • Has no health insurance or lacks coverage for prenatal care.

PE Medi-Cal can be used while awaiting full Medi-Cal determination.

What services are covered? Presumptive Eligibility Medi-Cal covers:

  • Free pregnancy testing
  • Prescription drugs related to pregnancy
  • Services for miscarriages and abortion.
  • It also provides some preventative dental services and immediate, temporary (for one month) prenatal services.

PE Medi-Cal does not cover:

  • Labor and delivery
  • Family planning
  • Inpatient or primary care
  • Mental health or dependency treatment
Does it cover baby? Yes. Infants born to mothers on this program are automatically eligible for Medi-Cal for 12 months following birth, without the mother having to fill out a separate application.
What does it cost? There is no cost with this program.
Where can families apply? You can apply for Presumptive Eligibility Medi-Cal at a clinic, hospital, or doctor’s office.

To find a provider that can sign you up for PE Medi-Cal, call 1-800-824-0088.

What documents are needed to apply? You will be asked to complete a Statement of California Residency form. On this form you declare whether or not you are a resident of California and plan to continue living in California. Your declaration of California residency is all that is necessary.

Minors living with parents must include their family members and gross income on the application. If you are living with your parents and wish to receive confidential services, apply for the Minor Consent program.

Does immigration status matter? No. Undocumented women are eligible. But, you must be a California resident.
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