Small changes in income can cause people’s eligibility to shift between California's ACA and Medicaid programs. When bad information is typed into – or accurate information is deleted from – a shared computer system, enrollees can get big headaches.
Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state's marketplace for those who buy their own insurance, and Medi-Cal, the state's Medicaid program for low-income residents.
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Covered California and Medi-Cal share a computer system for eligibility and enrollment. Nearly a decade since the Affordable Care Act expanded coverage options in the state, enrollees can be diverted to the wrong program or dropped altogether if erroneous information gets into the system.