In the past, foster children placed with relative caretakers who were not eligible for federal foster care benefits, were not identified as foster care cases. This meant that they were put into the CalWORKs-linked Medi-Cal, and required to enroll into a Medi-Cal managed care health plan, in violation of state law. Foster children have the right to choose between fee for service Medi-Cal and a managed care health plan unless they reside or are placed in a county with a County Organized Health System. [Download]