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SITEMAP

For Members > Enrollment Information

For Members - Enrollment Information

1. Health Initiative (Medi-Cal)

2. Healthy Families
State of California Website address:
http://www.healthyfamilies.ca.gov

3. Prenatal Plus 2 (AIM)

The CenCal Health Service Area

The CenCal Health service area is the County of Santa Barbara. This includes Ballard, Buellton, Carpinteria, Casmalia, Gaviota, Goleta, Guadalupe, Isla Vista, Lompoc, Los Alamos, Los Olivos, Montecito, New Cuyama, Orcutt, Santa Barbara, Santa Maria, Santa Ynez, Solvang, and Summerland.

Medi-Cal Eligibility

To receive Medi-Cal you must apply through the Department of Social Services or be receiving Supplemental Security Income (SSI) through the Social Security Administration. If you're eligible for Medi-Cal through the Department of Social Services, you'll have a Medi-Cal eligibility worker to whom you must report any changes in your family size, income, assets, or any change of address, so that necessary changes can be made to your case.If you have a Share of Cost, your Medi-Cal worker will tell you what it is. You'll need to talk to your Medi-Cal worker about any questions or problems you have with your Medi-Cal eligibility or Share of Cost.

If you have Medi-Cal because you're receiving SSI, you won't have a Medi-Cal worker. You'll need to report any change of address to the Social Security Office at (800) 772-1213. If you move out of our service area, you'll need to contact the Social Security Office in the town you're moving to, and tell them about your change of address. If you don't do this, you may have problems receiving health care in your new county. It can take several months for Social Security to make the change, so please report it to them as soon as you know your new address. We cannot change your Medi-Cal to another county.

Transitional Medi-Cal
Transitional Medi-Cal (TMC) is available to people who lose their cash grant or Medi-Cal eligibility because their income has gone up. TMC is sometimes referred to as "Medi-Cal for working people".

Transitional Medi-Cal is available to primary wage earners or caretaker relatives (as defined by Medi-Cal) and their children, who lose their cash grant because their income from employment, marriage, or a spouse returning to the home has gone up.

Parents, caretaker relatives, and children who meet the requirements for TMC may continue to get free Medi-Cal coverage for up to 12 months at a time, for a total of 24 months.If you lose your current eligibility for Medi-Cal, you should immediately ask your county Medi-Cal worker whether you qualify for TMC.If you do qualify for TMC, you will continue to be a Health Plan member.

Healthy Families Program

If your child has Medi-Cal with a Share of Cost, he or she may be eligible for the Healthy Families Program.Healthy Families provides low-cost health, dental, and vision care for children up to age 19 whose family incomes are below a certain amount.Monthly premiums are from $4 per child per month to $7 per child per month, up to a maximum of $27 per family per month.There are $5 co-pays required for some services.To get more information about Health Families and to see if your child qualifies, please call (800) 880-5305 or call our Member Services at 1-877-814-1861.

Prenatal PLUS 2 Program

The State of California established the Access for Infants and Mothers Program (AIM). The purpose of the program is to expand access to health care services for pregnant women and their children. Cencal Health is the health plan offering "Prenatal PLUS 2" to women enrolled in AIM who live in Santa Barbara County.To find out more about the AIM program, call Health Care Alternatives at (800) 433-2611.To find out more about the "Prenatal PLUS 2" program, call CenCal Health at 1-877-814-1861.