MC13

The MC13 is a tool for clients who are requesting full-scope MC but do not have documentation indicating that they have a status which is eligible for full-scope MC AND the immigration status cannot be verified electronically. Applicants requesting only restricted-scope MC services do not have to disclose their citizen/non-citizen status or have it verified.

Reminder: A non-citizen applying for restricted-scope MC benefits is not required to sign the MC 13.

If the immigration status cannot be e-verified the MC 13 must be completed at the following times:

  • Application
  • Reapplication
  • Restoration, or whenever there is a break in aid.
  • Whenever a change in non-citizen status is reported, whether or not it affects eligibility.
  • A new MC 13 is not required at each redetermination unless there is a change in level of benefits requested, or a change in non-citizen status.
  • Whenever a client is requesting to change benefit level, e.g., restricted-scope MC to full-scope MC and e-Verification or SAVE are unsuccessful.

Exception: Children will continue to receive full-scope MC under SB75 even without an MC 13.

The MC 13 form is not required if an applicant meets one of the two conditions below:

  1. Attest to being a U.S. citizen/national or to having satisfactory immigration status on the MC application, OR
  2. Are secondary adults on a case who did not sign the application and the primary applicant attests the individual is a U.S. citizen/national, AND whose citizenship/ immigration status is verified via electronic means including the federal data hub, California birth match, or the Social Security Administration citizenship verification process.

Applicants/clients who fail to complete the MC 13 must be denied/discontinued for non-cooperation, failure to comply with requirements.

Automatic MC 13 Generation

CalSAWS will generate an MC13 when the clients application originated in CalHEERS and the Immigration Status and document type are Not Listed or when the application originated in CalSAWS and the field is blank or Not Listed.

Immigration Questions

Non-citizens who have questions regarding immigration and/or the consequences of an application should be advised to contact the individual or attorney who is helping them with the legalization process, or they can contact:

Catholic Charities Immigration Program
2625 Zanker Rd., Suite 201
San Jose, CA 95134

Phone:(408) 944-0691

Related Topics

Citizenship/Immigration Status

Non-citizens Eligible for Full-Scope MC Benefits