Finding healthcare in an alphabet soup of acronyms

By Tim Moran

Californians who don’t have health insurance through work and can’t afford to buy it themselves can find themselves negotiating a maze of government-subsidized programs.

They might qualify for Medi-Cal, the state’s version of the federal Medicaid program. They might be classified as a Medically Indigent Adult, or MIA, depending on what county they live in and what the income requirements of that county are, and get limited health care services.

Many California residents who don’t currently have health coverage will get coverage in 2014 through the federal health reform act. And now a federally-funded state program will get hundreds of thousands of low income adults coverage earlier than that through a program called the California Bridge to Reform. Under that program, patients are put into a Low Income Health Program, or LIHP.

Does the alphabet soup of acronyms and bureaucratic program names, income and property requirements leave low-income residents confused?

Not so far, according to several patients at a Stanislaus County clinic, although most are not aware of the California Bridge to Reform.

“It’s difficult to get started,” said Shaun Lezer of Modesto, 29. “Once you are in the program, it’s OK.” Lezer is on Stanislaus County’s Medically Indigent Adult program. “There’s a lot of waiting just to get signed up,” he said.

Once in the program, he is reviewed every three to four months, and must bring in proof of income to continue getting health services. Lezer admitted that he didn’t know what the income criteria was, he just brings the information and “They say yes or no.”

Jerry Smith, 58, of Modesto, said the current system isn’t complicated at all. Smith is disabled, and on Medi-Cal.

“It’s one of the best things that could happen to low income people. It’s been a life saver for me,” he said. “It’s not tough to qualify, to get on it and go through Social Security and all that stuff.

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Finding healthcare in an alphabet soup of acronyms

Tammy Moss Chandler, Merced County's director of public health, agrees that the program names and details can be daunting. “It gets more complicated by the day…people need health navigation support,” Chandler said. The Central California Alliance for




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