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Cal-Optima is the managed care program that administers Medi-Cal benefits in Orange County. Once your Medi-Cal application is approved, you will receive enrollment information from Cal-Optima and at that time you will be able to choose a health care provider.ny bill received 3 months prior to your application for Medi-Cal may be covered by requesting Retroactive Medi-Cal Coverage. In addition, certain unpaid, old medical bills can be used to reduce your Medi-Cal share of cost (SOC).
Medi-Cal is Californiaâs free public health insurance program for low income individuals and families, the disabled, foster children, pregnant women and people with certain diseases and chronic conditions. Medi-Cal is paid for by the state and federal government and serves over 8 million Californians. Beginning January 1, 2014, Medi-Cal will be significantly expanded to include adults meeting the following income and citizenship requirements: 1  U.S. citizen or certain legal immigrant. 2  Age 19 â 64.