Basing decisions on misinformation

Most of us usually rely on the experience of others to understand how to deal with similar situations. The real problem with this is that benefits are person-centered. Benefits programs fit each individual differently, based on a variety of facts and conditions, such as:
  • Your work history
  • How much you earn
  • What you own
  • How disabling your condition is
  • How clearly you report the details of your condition to your medical provider
  • How well your medical provider understands or documents these details
  • What benefits an employer provides, and
  • What benefits you have purchased individually.

Failing to share information with your medical provider

Many people do not clearly discuss their plans to apply for benefits with their medical provider(s). Ideally, you and your medical provider should share complete information to figure out how long your disabling condition may last. If this step is not included, you may end up with a Medi-Cal (or other benefits program) application that does not support your claim. This could be because the information you provided does not clearly reflect how long the disabling condition may last or how it affects your day to day activities.

Working more because you've transferred IHSS hours to the workplace

If you are enrolled in Medi-Cal's IHSS program, you need to continue to meet income and resource requirements. Working additional hours, because you are able to transfer IHSS hours to the workplace, may put you above income or resource requirements. If this occurs, you may want to consider enrollment in the Working Disabled Program (WDP), which allows you to earn up to $63,492 annually and keep getting Medi-Cal and IHSS. If you enroll in WDP, you will not have to pay a share of cost for your IHSS.