Community Information Database

Medi-Cal Access Program (MCAP)

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General Agency Information
Name:Medi-Cal Access Program (MCAP)
Alternate Name(s):Access for Infants and Mothers
Primary Phone:800-433-2611
Days/Hours of Operation/Phone:Monday-Friday 8:00 am to 8:00 pm
Saturday 8:00 am to 5:00 pm
Description:The AIM Program is low-cost health care coverage for pregnant women. Their newborns may be covered by the Healthy Families Program. MCAP is for middle-income families who don't have health insurance and whose income is too high for no-cost Medi-Cal. MCAP is also available to those who have health insurance if their deductible or co-payment for maternity services is more than $500. If you are enrolled in MCAP, your baby is eligible for enrollment in Healthy Families unless your baby is enrolled in employer-sponsored insurance or no-cost Medi-Cal.

ENROLLMENT IS AVAILABLE ALL YEAR ROUND: MCAP will be programmed into the state’s enrollment computer this fall, in time for Open Enrollment, but there is no need to wait. Pregnant women can enroll all year round at or by calling 1-800-433-2611. Certified Enrollment Counselors can help.

Our mailing address for applications is:
Medi-Cal Access Program
P.O. Box 15559
Sacramento, CA 95852-0559

Our mailing address for payments is:
Medi-Cal Access Program
P.O. Box 15207
Sacramento, CA 95851-0207

Overnight Application Address

Medi-Cal Access Program
625 Coolidge Drive
Suite 100
Folsom, CA 95630

Pregnant women living in California with income from $2828/month (just above Medi-Cal limits for no-cost prenatal care) to $4275/month are eligible for MCAP. You can have no other health insurance unless that other insurance has a maternity-only deductible/co-payment of more than $500. Immigration status does NOT affect your eligibility – you qualify even if you are undocumented. Previously, MCAP did not cover women who were over 30 weeks pregnant, but that is no longer the case.

FEES: The cost for MCAP is a little different than other programs, charging 1.5% of your income. This is a TOTAL cost that is divided up into 12 payments, or you can pay the whole thing when you apply. You get a $50 discount if you pay all up front. There are NO other charges for the prenatal care, delivery or any other services that might be needed, such as hospitalization for an emergency or seeing a doctor for an injury like a broken leg.
Languages other than English:Cambodian
Can Arrange for Others
Accommodations for Disabled:Not Applicable
Public Transportation:Not Applicable
Eligibility:See Description Notes
Fees:See Description Notes
Areas Served:California
Subject Headings
 Adult State/Local Health Insurance Programs
Children's State/Local Health Insurance Programs
Government Agencies
Medical Expense Assistance
Mother and Infant Care
Prenatal Care
This record last modified May 27, 2015

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