As of August 1, 2015, the full-scope income limit for pregnant women increased from 60% FPL to 138% FPL, to be automatically applied through both CalHEERS and SAWS applications.
For new applicants, eligible pregnant women up to 138% FPL will be enrolled into full-scope Medi-Cal coverage through managed care. Those between 139% FPL and 213% FPL will be eligible for pregnancy-related services through Medi-Ca. Aid codes will be based on the applicant’s income and citizenship/immigration status.
Current (as of 8/1/15) pregnancy-only beneficiaries between 60% and 138% FPL received notices about the change on 9/14/15 and were given the option to remain in fee-for-service or switch to managed care.
DHCS ACWDL 15-35 (11/12/15).