Between 10/1/16 and 6/30/17, CalHEERS will assign MCAP-eligible pregnant women into aid code 0G. This will allow MCAP eligibles to receive full-scope Medi-Cal services through fee for service until the end of their post-partum period.
MCAP eligible pregnant women are those with MAGI incomes between 213 and 322 percent FPL. Prior to 10/1/16, these women were enrolled in contracted health plans with no copays or deductibles. Those still in health plans will continue receiving services that way until the end of the month of the 60th day following the end of their pregnancy. New MCAP beneficiaries are being enrolled in FFS.
DHCS MEDIL I 17-03 (February 7, 2017).