Medi-Cal Aid Codes for Foster Care, Kin-GAP, AAP, Wraparound and Foster Care Related Medi-Cal Only Programs

The following chart lists current Medi-Cal aid codes that relate to various types of Foster Care related programs

 

Aid Code

Benefit

SOC

 Program/Description
03 Full No AAP (FFP). A cash grant program to facilitate the adoption of hard-to-place children who would require permanent foster care placement without such assistance (Federal).
04 Full No AAP/AAC. Covers cash grant children receiving Medi-Cal by virtue of eligibility to AAP/AAC benefits (State).
06 Full No AAP Child. Covers children receiving federal AAP cash subsidies from out of state. Provides eligibility for CEC if for some reason the child is no longer eligible under AAP prior to his/her 18th birthday.
07 Full No AAP Title IV-E Federal Cash and Medi-Cal.
38 Full No Continuing Medi-Cal Eligibility (FFP).
Edwards v. Kizer court order provides for uninterrupted, no SOC Medi-Cal benefits for families discontinued from AFDC until the family’s eligibility or ineligibility for Medi-Cal only has been determined and an appropriate Notice of Action sent.
4A Full No AAP. Program for AAP children for whom there is a state-only AAP agreement between any state other than California and adoptive parent(s).
4F Full No Kin-GAP. Federal program for children in guardianship placement receiving cash assistance.
4G Full No Kin-GAP. State-only program for children in guardianship placement receiving cash assistance.
4H Full No Foster Care children in CalWORKs.
4L Full No Foster care children on in Social Security Act Title XIX, Section 1931 (b) program.
4M Full No This program covers former foster care youth who were in foster care on their eighteenth birthday. Coverage extends until the 26th birthday and provides full-scope, no-cost benefits.
4U Full No This program covers former foster care youth who were in foster care on their eighteenth birthday but did not receive Medicaid. Coverage extends until the 21st birthday and provides full-scope, no-cost benefits.
4N Full No CalWORKs FC State Cash Aid/FFP Medi-Cal.
4S Full No Kin-GAP NMD Title IV-E Federal Cash and Medi-Cal.
4T Full No Children in Title IV-E Federal Kin-GAP Program.
4W Full No Kin-Gap NMD State Cash Aid/FFP Medi-Cal.
40 Full No AFDC-FC/Non-Fed (State FC). Provides financial assistance for those children who are in need of substitute parenting and who have been placed in foster care. This population includes youth in Non- Related Legal Guardianships.
42 Full No AFDC-FC/Fed (FFP). Provides financial assistance for those children who are in need of substitute parenting and who have been placed in foster care.
43 Full No AFDC-FC NMDs State Cash Aid/FFP Medi-Cal
45 Full No Children Supported by Public Funds (FFP). Children whose needs are met in whole or in part by public funds other than AFDC-FC.
46 Full No Out-of-State Interstate Compact Foster Care. Children from out-of-state placed in CA.
47 Full No Income Disregard Program (FFP). Infant-United States Citizen, Permanent Resident Alien/PRUCOL Alien. Provides full Medi-Cal benefits to infants up to one year old and continues beyond one year when inpatient status, which began before first birthday, continues and family income is at or below 200 percent of the federal poverty level.
49 Full No AFDC-FC NMD Title IV-E/Federal Cash and Medi-Cal
58 Restricted to pregnancy and/or emergency services Y/N OBRA Aliens. Covers non immigrant and undocumented aliens who do not have proof of permanent resident alien, PRUCOL or amnesty alien status, but who are otherwise eligible for Medi-Cal.
5K Full No EA Program (FFP). Covers child welfare cases placed in EA foster care.
7J Full No CEC program. Provides full-scope benefits to children up to 19 years of age who would otherwise lose their share-of-cost.
7K Full No CEC program. Provides emergency and pregnancy-related benefits (no share-of-cost) to children up to 19 years of age who would otherwise lose their no-share of cost Medi-Cal.
8U Full No CHDP Gateway Deemed Infant

Related Topics

Medi-Cal