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Medi-Cal Special Treatment Programs
The Medi-Cal Special Treatment Programs (MSTPs) provide health care benefits to individuals who are in need of:
- Dialysis, or
- Parenteral hyperalimentation (also known as total parenteral nutrition or TPN)
Subprograms
There are two subprograms:
- Medi-Cal Special Treatment Program — ONLY recipients
- A person who receives Medi-Cal (MC) benefits ONLY for a Special Treatment and is not eligible for regular MC benefits.
- Medi-Cal Special Treatment Program — SUPPLEMENT recipients
- A person who is eligible for MC benefits with a share of cost (SOC), and who also receives supplemental benefits under the Special Treatment Program.
- The MSTP -SUPPLEMENT covers certain dialysis/TPN services until the regular MC SOC is met. At that time, all medical services, including dialysis and TPN, are covered under the MC program.
Under these programs, the individual is only required to pay a percentage of the cost of dialysis or TPN services after any other health coverage payment is subtracted from the cost of those services.
There is no retroactive eligibility for these programs.
Important: Individuals who are MAGI MC eligible must not be screened for special treatment programs.
Related Topics
Determination of Percentage Obligation