Glossary

Term · California: Leave, Money, and Paperwork

Medi-Cal

Also: Medi-Cal program, Medicaid in California

California's Medicaid program. It covers pregnancy, birth, and postpartum care for eligible residents, and includes a doula benefit.

In plain words

Medi-Cal is California's version of . It is a state health program for people with low incomes. It covers pregnancy care, birth, and postpartum care for people who qualify. It also covers many baby services. Eligibility depends on income and household size, and rules can change. Pregnancy coverage continues for a time after birth. Since January 2023, Medi-Cal has covered services for members who qualify. Most members get care through a . County social services offices and the Medi-Cal website explain who qualifies.

The deeper version

Medi-Cal is California's Medicaid program under Title XIX of the Social Security Act, administered by the Department of Health Care Services. Pregnancy eligibility uses higher income limits than standard adult coverage, and postpartum coverage extends beyond the 60-day period required federally. Most enrollees are in managed care plans. Since January 2023, the Medi-Cal doula benefit reimburses enrolled doulas for prenatal, birth, and postpartum support, following similar benefits in states such as Oregon and Minnesota. Evaluation of the benefit's effects on outcomes is early. Advocates and researchers focus on reimbursement rates, doula workforce capacity, and access for immigrant families, since eligibility differs by program.

Where it comes up

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Sources

  • California Department of Health Care Services — Medi-Cal program overview and pregnancy coverage
  • California Department of Health Care Services — Medi-Cal doula benefit (effective January 1, 2023)

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