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Disenrollment

Notifying MCAP when your pregnancy has ended

Within 30 days, you must notify MCAP of the date that your pregnancy ended by submitting the Infant Registration Form.

Mail or fax your letter to:

Medi-Cal Access Program
P.O. Box 15559
Sacramento, CA 95852-0559
Fax: 1-888-889-9238

If you would like to request a form or have questions regarding your MCAP coverage, please call MCAP Monday through Friday, 8:00 a.m. to 8:00 p.m., or on Saturday, 8:00 a.m. to 5:00 p.m. at 1-800-433-2611.

How You May Be Disenrolled

You will be disenrolled if:

  1. You write to MCAP and ask that your coverage be cancelled. If you ask on or after your first day you are enrolled in MCAP, you will still have to pay the 1.5% cost.
  2. You no longer live in California. You must write to MCAP within 30 days to notify them of this move.
  3. You commit fraud against MCAP. This includes giving false information on your application.
  4. You are no longer pregnant on your start date of coverage. Your MCAP coverage will not begin. You must notify MCAP within 30 days after the end of your pregnancy. If notification to the program is received after the start date of coverage, documentation by a licensed or certified health care professional must be submitted indicating the date your pregnancy ended. You may use the Early End of Pregnancy Form. MCAP cannot cover any medical services you receive if you are no longer pregnant before your start date of coverage in MCAP.
  5. You will be disenrolled the last day of the month in which the 60th day following the end of the pregnancy occurs. You must notify MCAP within 30 days after your pregnancy ends. MCAP cannot cover any medical services you receive if you are no longer pregnant before your start date of coverage in MCAP.

MCAP will inform you of the disenrollment and the reason. If you are disenrolled for reasons 1-3 above, your MCAP coverage will end at the end of the calendar month in which the request was received or at the end of a future calendar month as requested. You are still responsible for paying all of your cost if you are disenrolled for reasons 1, 2, 3, and 5 above. Once you are disenrolled from MCAP, you cannot reenroll for the same pregnancy.