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Saturday, May 18, 2013

Medical Care Services Program (MCSP)

 

The Medical Care Services Program (MCSP) is a unique county/state partnership formed to provide access to health care for all eligible adults who cannot afford to pay their medical and dental bills. This program determines eligibility, pre-authorizes care, performs case management, processes and pays medical claims, and submits required reports to the State.

Eligibility for MCSP

You may be eligible for MCSP if you:

  • Are not eligible for Medi-Cal and do not have other health insurance
  • Are either a legal U.S. citizen or an alien lawfully admitted for permanent residence or permanently living in the United states under color of law.
  • Live in Placer County
  • Have a low income

Where to Apply

The Medical Care Services Program (MCSP) is administered by the Placer County Department of Human Services. You may apply for the program in person at the locations listed below. This program provides eligible applicants with a certificate of eligibility that may be used for services at participating pharmacies, hospitals, and doctors’ offices.

Location

Hours

Auburn at DeWitt Center
Placer County Human Services
11552 B Avenue
Auburn, CA 95603
(530) 889- 7610
Fax - (530) 889-7608


8:00 a.m. – 11:00 a.m.
1:00 p.m. – 3:00 p.m.

Monday through Friday

Rocklin
Placer County Human Services
1000 Sunset Blvd. #220
Rocklin, CA 95765
(916) 784-6000
Fax - (916) 784-6100

8:00 a.m. – 11:00 a.m.
1:00 p.m. – 3:00 p.m.

Monday through Friday

North Lake Tahoe at Carnelian Bay
Placer County Human Services
5225 North Lake Blvd.
Carnelian Bay, CA 96140
(530) 546-1900
Fax - (530) 546-1912

8:00 a.m. – 11:00 a.m.
1:00 p.m. – 3:00 p.m.

Monday through Friday.

Toll-Free Information Line
(888) 385-5160

24 Hours


What to Bring

To expedite your application you may wish to bring with you the following items of verification if applicable:

  • A picture identification card
  • Social Security card
  • Rent and utility receipts
  • Vehicle registration
  • Income verification such as checking and savings account statements
  • Property verification


FAQs

I am eligible for Medi-Cal, but haven't applied yet. Can I use Medical Care Services Program (MCSP) instead?

No. If it is determined that you may be eligible for Medi-Cal or other benefits, you must apply for Medi-Cal or those other benefits as instructed.

I think I am disabled, and I've applied for Medi-Cal and SSI but am waiting to be approved. May I apply for MCSP now in case Medi-Cal or SSI denies my application?

Yes

Does MCSP pay medical bills while litigation is pending?

Yes. If you win the litigation, the associated medical bills are paid from the settlement. If you lose the litigation and if the medical providers obtained MCSP prior authorization, then MCSP may pay the medical bills, assuming all billing criteria are met.

How long am I eligible for Medical Care Services Program (MCSP) benefits?

Eligibility will be granted for a period of 60 days unless MCSP has reason to believe that the applicant will become ineligible in less than 60 days.

Where can I use MCSP coverage?

Most services are provided at the Placer County Medical Clinic. Placer MCSP will not reimburse for any out of county services provided to a Placer MCSP recipient unless authorized by Placer MCSP prior to receiving treatment.

Approval for all non-emergency treatment provided by outside providers (all services not provided by Placer County Medical Clinic) is subject to prior authorization.

Placer County MCSP coverage does not cover visits to the Emergency Room for non-emergency reasons.

What if my income is more than the maximum Medical Care Services Program (MCSP) allows?

If the amount of your income and assets falls within the guidelines, you may be eligible for MCSP. Based on your income, you may have to pay a share of cost (SOC) to one or more medical providers.


 
Fraud Hotline, welfare fraud, To report public assistance fraud, including IHSS fraud, please call 888-385-5160 or 916.784.6180, or send an e-mail to:  ReportWelfareFraud@placer.ca.gov

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