General Information

Contact Dept

  • Address:
    2135 Fresno Street, Suite 100
    Fresno, CA 93721
  • DSS Case Information:
    (559) 600-1377 or toll-free (877) 600-1377. To speak to a worker call (559) 600-9980 or toll free (855) 832-8082 between 7:30am-4:30pm.
  • Child Protective Services Hotline:
    (559) 600-8320 and / or (559) 266-2463 Fax Number
  • Elder Abuse/Adult Protective Services Hotline:
    1 (800) 418-1426 or (559) 600-3383 or (559) 230-1976 (Fax Number)
  • Email Department

Affordable Care Act

Page was last updated on 12/17/2014 at 10AM   

The Patient Protection and Affordable Care Act (ACA)

With the passage of the Patient Protection and Affordable Care Act of 2010, starting January 1, 2014, most individuals will be required to have health insurance that provides "Minimum Essential Coverage" or pay a penalty with their tax return. 

Until now, County staff was responsible for determining whether individuals seeking services were eligible for Medi-Cal, and for many the answer was "No". With ACA, this question will be changed to "What will the customer be eligible for?" because nearly everyone will be eligible. 

Key Features of ACA

  • Medi-Cal will be expanded to include those who live in households up to 138% of the Federal Poverty Level (FPL), or approximately $0 - $32,499 for a family of four, using household Modified Adjusted Gross Income (MAGI).
  • Advance Premium Tax Credits (APTC) will be made available for those between 138% and 400% of FPL using MAGI (approximately $32,499 - $94,200 for a family of four).
  • In addition to tax credits, Cost Sharing Reductions (CSR) will be made available for those between 138% and 250% of FPL using MAGI (approximately $35,000 - $60,000).

Enacts a Patient's Bill of Rights including the provisions below

  • Insurance companies cannot turn down patients with Pre-existing conditions
  • Insurance companies cannot cancel coverage if the consumer made an honest mistake
  • No lifetime cap on medical costs, nor annual cap on benefits
  • Insurance companies must justify premium increases and limit administrative charges
  • Young people to age 26 can be covered by their parent's insurance
  • Free preventative care for many services

A person has Minimum Essential Coverage (MEC) if he or she has

  • Any Marketplace plan, or any individual insurance plan you already have
  • Any employer plan (including COBRA), with or without "grandfathered" status. This includes retiree plans
  • Medicare, Medi-Cal (without a Share of Cost [SOC]), the Children's Health Insurance Program (CHIP - previously called TLIC)
  • TRICARE (for current service members and military retirees, their families, and survivors),Veterans health care programs (including the Veterans Health Care Program, VA Civilian Health and Medical Program (CHAMPVA), and Spina Bifida Health Care Benefits Program)Peace Corps Volunteer plans

What kinds of health insurance don't qualify as coverage?

Health plans that don't meet minimum essential coverage do not qualify as coverage in 2014. If you have only these types of coverage, you may have to pay the fee. Examples include:

  • coverage only for vision care or dental care
  • workers' compensation
  • coverage only for a specific disease or condition
  • plans that offer only discounts on medical services

Who doesn't have to pay the fee

Uninsured people won't have to pay a fee if they:

  • Are uninsured for less than 3 months of the year
  • Are determined to have very low income and coverage is considered unaffordable (required contribution exceeds 9.5% of the household income)
  • Are not required to file a tax return because their income is too low
  • Are a member of a federally recognized Indian tribe
  • Participate in a health care sharing ministry
  • Are a member of a recognized religious sect with religious objections to health insurance
  • Incarcerated Individuals
  • Non-Citizens without satisfactory Immigration Status (Undocumented Individuals)

If an individual does not qualify for any of these exemptions, and feels that they have a hardship, they can apply for an exemption asking not to pay a fee. Exemption requests are done through the Covered California Marketplace. 

Additional Information:

 PDF Health Care Reform

 PDF MAGI Household Determination   

How to Apply for ACA

 Fresno County Department of Social Services offers fast and efficient application methods.

If you do not have computer access, apply: 

  • By Phone: Call 1-855-832-8082 and an application will be mailed to you
  • In Person: Pick up and drop off an application in any Fresno County Social Services office
  • By Mail: Send in your application
    P.O. Box 1912
    Fresno, CA 93727-9888

Enrollment Events 

 In addition to applying at one of our offices, you may enroll at the local public library nearest you. Click on this flyer for dates and locations. This flyers are updated on a regular basis. Changes to events or new events are hightlighted in Red Text.

 PDF    December 2014 Enrollment Events -updated 12/17/2014 @ 10AM

 

      What's New? 

  • Newly Eligible Childless Adults
  • Higher income limits
  • No limits on property

Medi-Cal Eligibility Requirements Chart  

Household size

Monthly /Annual In-come

1

$1,322 / $15,864

2

$1,784 / $21,408

3

$2,246 / $26,952

4

$2,709 / $32,508

Income too high for Medi-Cal?
Covered CA

There is now coverage for even higher incomes
Apply online at www.coveredca.com  
Or call 1-800-300-1506

 

New Online Dropbox

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Do you have verifications you need to provide to Social Services? Can't wait in long lines? Can't miss work? Do you have web access?   

Introducing our new Online Dropbox. Through this portal you can submit any verifications and/or documents immediately to our department. If you have access to a smartphone, computer, and/or a scanner, complete a form with your full name and date of birth. You will get a receipt for your verifications and/or documents you submit.   

No My Benefits CalWIN or e-mail account needed! 

 Gadgets       

     This portal is optional only, and you can't monitor your benefits through this webpage.  Click on the link below to be directed to the Online. Do it from any location with internet access, 24 hours a day/7 days a week!

https://dsswebupload.co.fresno.ca.us