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Cal-Optima is the managed care program that administers Medi-Cal benefits in Orange County. Once your Medi-Cal application is approved, you will receive enrollment information from Cal-Optima and at that time you will be able to choose a health care provider.ny bill received 3 months prior to your application for Medi-Cal may be covered by requesting Retroactive Medi-Cal Coverage. In addition, certain unpaid, old medical bills can be used to reduce your Medi-Cal share of cost (SOC).
If you do not already qualify for Medi-Cal, you might be eligible if you have little income. Thanks to the Affordable Care Act (ACA), the income limit for Medi-Cal now works out to 138% of the Federal Poverty Level (FPL). That is about $16,100 for an individual and $32,900 for a family of four.or California residents needing long-term care services, Medi-Cal is the most common source of funding. Medi-Cal pays for the nursing home expenses of approximately 65% of the residents in California nursing homes. Medi-Cal is Californiaâs state Medicaid program.