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Course Three - Healthcare, IDs

Change Well Project

Created on April 7, 2026

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Transcript

HOUSING ASSISTANCE

HEALTH INSURANCE

ID'S & OFFICIAL DOCUMENTS

WELCOME TO
PROGRAMVILLE

HEAD TO TOWN

Documents Neighborhood

HOUSINGVILLE

When you have visited both neighborhoods in Housingville, click here to leave town.

Public Housing Authority

Choose which neighborhood to explore first by clicking on a blue bubble. Then return here to explore more!

Public Housing Authority
Navigation Tips

Go to the next page to start exploring

Each town starts with a main map of the town that will let you choose which neighborhood to explore. You will click on the blue bubbles that look like this to explore.
There are many interactive elements. Look for symbols like these to click on for more information.

Read more

Link

When you see the "Resource Guide" symbol on a slide, you'll know the information is in the Resource Guide.

Resource Guide

Inside a neighborhood, you can use these buttons to move forward or back pages.

When you see the "Scavenger Hunt" symbol on a slide, that means there is a Scavenger Hunt question to answer in the Resource Guide.

Scavenger Hunt

HEALTH INSURANCE

Most Californians now have health coverage

The percent of Californians lacking comprehensive health coverage declined from over 19 percent in 2013 to roughly 8 percent in 2022.

Employer-sponsored coverage is still the most common source of comprehensive health coverage for Californians

Medi-Cal eligibility has expanded significantly in the last 10 years, both because of:

  • the Affordable Care Act and
  • California state law changing to give more people eligibility

Many individuals now get health insurance through Covered California (both with a subsidy and without)

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Your are going to explore the three major sources of health coverage in California involving the government

Medi-Cal

Medicare

Covered CA

Federal Program

Low-income Californians

Subsidized Plans Under the ACA

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Medi-Cal is a combined federal and California State program designed to help pay for medical care for public assistance recipients and other low-income persons.

A federal program that primarily provides health coverage to the elderly. Also provides coverage to Social Security Disability Insurance (SSDI) recipients.

California's health care exchange to purchase health coverage and apply for subsidies under the ACA (Affordable Care Act.) Most consumers who purchase plans receive a subsidy.

Medi-Cal

Let's look first at this critical support for low-income Californians

In your resource guide

Who is eligible for Medi-Cal?

Medi-Cal is not just one program, but many. Income limits depend on whether the individual is a child or adult. There are also special programs for: 1. Pregnant individuals 2. Breast and cervical cancer treatment 3. Seniors or individuals with disabilities

Full chart available here

The following groups are always eligible for Medi-Cal

Children in Foster Care (or receiving Adoption Assistance Payments)

CalWORKs, GA/GR and CalFresh recipients

If you encounter an individual who is one of these categories, they may already have active Medi-Cal and not be aware. Help connect them to social services to check.

SSI/SSP Recipients

Refugee Cash Assistance (RCA) Recipients

What does Medi-Cal Cover?

Access a detailed benefits list here

Medi-Cal covers the following areas of health care services. To access some covered services, patients will need to follow a specific process for authorization.

In your resource guide

Outpatient Care

Rehabilitative & Habilitative Services & Devices

Emergency Services

Preventative & wellness services and chronic disease management

Prescription Medications

Hospitalization

Mental health & substance abuse treatment services

Maternity & newborn care

Dental & Vision Care

In your resource guide

How do you enroll in Medi-Cal?

There are three different ways to enroll

2. Online at BenefitsCal

3. Online at Covered CA

1. At your local social services

Check eligibility and apply online at: https://www.coveredca.com/

Apply online at:https://benefitscal.com/

Apply in person at your local social services office

Click on + for more info

What are the next steps?

Apply for Medi-Cal

Scavenger Hunt

Make sure that all documentation needed is submitted.

Medi-Cal Approved

Use these steps to identify where a a participant is at with their Medi-Cal enrollment and how you can help resolve any problems they are having with accessing health care.

Participant will receive a Medi-Cal Card and approval notice.

Choose Managed Care Plan

Most Medi-Cal (but not all) subscribers need to choose a managed care plan.

Find a provider

Look for providers within your chosen managed care plan.

Make a new patient appointment

Call to make an appointment for the medical clinic or provider chosen.

Medicare

A crucial federal program for seniors and adults with disabilities

Who is eligible for Medicare?

Seniors Ages 65+

Disabled

Medicare coverage is available for individuals who are seniors (age 65+) and some individuals with disabilities. To get premium-free Medicare Part A, the individual must generally have enough work credits from their work. Sometimes an individual can qualify based on a spouse's or parent's work credits. Medicare is not income limited like Medi-Cal.

Eligible after 24+ months of receiving SSDI (requires work credits) Must be lawfully present in U.S.

Must meet citizenship or immigration status requirements.

Disabled Child (20+)

End Stage Renal Disease

Unmarried disabled adult children may be eligible for Medicare based on parent's work credits under certain conditions.

Have ESRDRequire regular dialysis or have had a kidney transplant Add'l Social Security coverage requirements

More information on Medicare eligibility here

Part B is important coverage for outpatient care but requires a monthly premium.

All Medicare recipients automatically have Part A.

Medicare Coverage has 4 Parts

Medicare recipients are eligible for all four parts of Medicare, but some parts require recipients to choose a plan, sign up, and pay a premium. Through Original Medicare: Part A: All Medicare recipients automatically have this coverage. (if person doesn't have work credits, they will pay a premium) Part B: One pays a set monthly premium for Part B. Add'l Coverage Through Private Insurers & Health Plans: Part C: One pays a premium, amount varies by plan. Part D: One pays a premium, amount varies by plan.

Medicare Parts C & D are provided by private insurers

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Still very confused? You are not the only one! Understanding the "Parts" of Medicare is an important part of understanding how people can get the care they need from Medicare coverage. The right "package" of Medicare can look different for different people.

Learn about the Parts of Medicare

Medicare: When can I apply?

Need to Apply? Start by applying for Medicare (Parts A & B) on the Social Security Administration website or at a local SSA office. Click for link below

When? You don't have to apply. You will be entitled to Medicare after having been entitled to SSDI for 2 years.

When? Apply up to 3 months before turning 65 & up to 3 months after. Or apply during a special enrollment period.

I am about to turn 65 and I don't get Social Security benefits.

I am under 65 and already get SSDI benefits

ANSWER

ANSWER

When? You can apply at any time that you meet the eligibility requirements.

When? You don't have to apply. Your Medicare card will automatically be mailed to you about 3 months before you turn 65.

Parts C & D There are specific enrollment periods. See link.

I already receive Social Security and am about to turn 65

I am under 65 and have end-stage renal disease

ANSWER

ANSWER

Medicare: What are the steps?

Click on + for more info

Apply for Medicare

Apply online at the Social Security Administration website. (Remember some individuals will automatically receive Medicare)

In your resource guide

Medicare Approved (A & B)

Medicare Part A will be automatic. Recipients will need to agree to pay Part B premiums.

Choose optional Part C & D plans

Use these steps to identify where a a participant is at with their Medicare enrollment and how you can help resolve any problems they are having with accessing health care.

Sign up for optional Part C or Part D. There are specific enrollment periods for each.

Find providers

Find providers and specialists in your area who accept Medicare

Make new patient appointment

Make an appointment for any new clinics or providers patient needs.

Covered California

The statewide source for shopping for free or subsidized health coverage

What are the differences?

Watch this short video for a quick introduction to the main differences between Covered California, the health insurance companies they work with, and Medi-Cal.

Who is eligible for Covered CA?

Covered CA is the health care exchange created under the Affordable Care Act for Californians to access affordable health coverage. California residents who do not have access to affordable health coverage through other sources are eligible to enroll. Many individuals will also be eligible for a subsidy to help pay their premiums.

Full chart available here

Generally, if you have income between 138% and 400% of FPL (Federal Poverty Level), you qualify for a subsidy under Covered CA plans.

Covered CA: How & When to Enroll

When?

You can apply during the open enrollment period from November 1 through January 31

At other times of the year when you have a "qualifying event" such as:

  • Loss of other health coverage
  • Birth or adoption of a child or placement of a foster child
  • Marriage or domestic partnership
  • And many other reasons

How do you apply?You can apply by phone, with a certified enroller, or online at https://www.coveredca.com/apply/

See full list of qualifying life events

Documents Neighborhood

HOUSINGVILLE

Public Housing Authority
Public Housing Authority

Public Housing Authority

Learn how you can help participants in their interactions with the Public Housing Authority (PHA) in your area.

Learn how you can help participants in their interactions with the Public Housing Authority (PHA) in your area.

the role of housing authorities

Resource Guide

You learned about the important role of Public Housing Authorities in a previous module. This role includes administering HUD funding at a local level, including the Housing Choice Voucher program.

01.

Here, you will learn about how you can assist participants in their interactions with the PHA, including important rights in the Housing Choice Voucher program.

02.

There are at least 75 public housing authorities in California.

Housing Authorities make many decisions that will impact participants with vouchers:

Important roles

Approve individual Section 8 (& other HUD-funded voucher) applications & issue vouchers

Approve voucher extensions to allow more time for housing search

Process annual recertifications of eligibility

Determine approved household members & size of assisted unit

Pay landlords the Housing Assistance Payment (HAP) and interact with landlords

Inspect and approve units for voucher assistance

Determine household's income and the amount they will pay towards rent in an assisted unit

Terminate assistance to participants when they believe program rules have been violated

Documents Neighborhood

HOUSINGVILLE

Public Housing Authority
Public Housing Authority

DOCUMENTS NEIGHBORHOOD

Title 2

Subtitle
Social Security Administration
You start here!
DMV
Vital Records

VITAL RECORDS OFFICE

Title 2

A participant may need their birth certificate, especially to get their California ID if they never had one before. Every state's vital records are handled differently and have different requirements, making some easy and some more difficult to get.

FREE Birth Certificate in california

If the participant was born in California, you can get a FREE copy of your client's birth certificate as long as they are homeless under HUD Rules. See definition here: You first need to fill out an affidavit for the participant (the form on the left).

Next, you fill out the application and send it in with the affidavit. You can do an online application, but will have to pay fees as they are all through third-party websites. If you need a certified copy, it must be notarized by a notary public. You need it notarized if you plan to use it to establish identity (e.g., to get an ID)

Most notaries cost around $15. They will likely require some form of identification, so find out in advance if the participant has a type of identification they will accept.Hopefully your program has a budget for this. Alternatively, it may be worth thinking of getting someone in your unit (even you!) trained to become a notary.

If your client was born outside of CA, there are different processes in every state and every country. To check the rules for each state, click here: As for other countries, it may be helpful to talk with legal aid or an immigration attorney, depending on the complexity of the country and if immigration issues are at stake.

TIPS & tricks for birth certificates

LAW ENFORCEMENT

PASSPORT

COST

CALL

LEGAL

SCHOOL

HOSPITAL RECORDS

MEDICAL RECORDS

You are here!
Social Security Administration
DMV
Vital Records

DEPARTMENT OF MOTOR VEHICLES

IDENTIFICATION CARD

WHEN IS AN ID CARD NEEDED?

To apply for benefits

To apply for housing

To get a library card

To show police when stopped

To open a bank account

To get on an airplane

Title 2

California ID VOUCHER

You, as a non-profit or governmental agency employee, must verify that the individual qualifies and fill out the form. You can request the forms HERE:
For a free ID, the person must meet the HUD Homeless Definition:
For a reduced Fee ID, a person must be low-income, receiving GA/GR, CalWORKs, CalFresh, CAPI, or similar programs listed on the form.

TIP!

Proof of Residency (two of the following):

Replacement

  • No-fee form signed and completed
  • Letter from a homeless shelter, shelter for abused women, nonprofit entity, employer, faith-based organization, or government entity on letterhead
  • Using a parent, child or spouse's residency is allowed.
  • Mortgage/utility bill
  • Medical document
  • School or employment document
  • Car registration/title
  • Tax return
  • Bank or credit card document
For a full list of residency options, click here:

A person can replace online or in-person. They will need proof of identity and proof of residency (two documents).

Proof of Identity:

  • Birth Certificate
  • Green Card/LPR Card
  • Passport
  • If the client has had a California ID in the past, the DMV should allow a replacement without an identity document
  • Alternatively, if your client receives benefits, ask your Social Service Office if they have a copy of the client's ID

TIP!

CA ID Cards for Immigrants

What about undocumented immigrants?

What about DACA or Temporary Protected Status?

What if the participant is an immigrant?

Lawfully present non-US citizens may get an ID card with proof of the same residency requirements. In addition, they need an identity document, such as a green card.

DACA recipients are eligible to receive a REAL ID DL/ID card if their legal presence documents are current.

An undocumented immigrant can show two residency documents and meet other DMV qualifications to receive a CA ID or Driver's License.

Social Security Administration
You are here!

SOCIAL SECURITY CARD

Social Security CARD

Replacement

Social Security cards are free! The catch is that you can only get 3 in a year and 10 in a lifetime. You may be able to do the whole process online if the participant has had a recent Social Security card replaced in California. Otherwise it usually requires a visit to a Social Security office. If they have had a Social Security Card issued in California in the past, there may be no need for additional identification verification to receive a replacement card.

New Card Requirements (One of Each)

Citizenship

Identity

  • Employee identification card
  • School identification card
  • Health insurance card
  • U.S. military identification card
  • Birth Certificate
  • US Passport
  • US Hospital Record of your birth
  • Religious record before the age of 5 showing date of birth
  • US Driver's License
  • State-issued non-driver identification card
  • US Passport (Note: you cannot use the passport for both identity & US Citizenship proof)
  • If the participant lived outside the United States for an extended period, a current or previous passport, school and/or employment records, and any other record that would show long-term residence outside the United States could be used to show the participant does not have an SSN.
  • If the participant lived in the United States and is applying for an original SSN, they may ask for information about the schools they attended or they may ask to provide copies of tax records that would show they were never assigned a SSN.

No Social Security Number

In rare cases, individuals never were issued a Social Security numbers because it was never requested. Anyone age 12 or older requesting an original Social Security number (SSN) must appear in-person for an interview.

Housingville Directions

You have finished exploring the Public Housing Authority neighborhood. Go back to the main map to continue exploring.

TO THE MAP