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Program Descriptions by FPL Enclosure 3

142% FPL = ACA and Title XXI Expansion Children Ages 1-6 160% FPL = ACA Optional Targeted Low-Income Children (OTLIC) Program starting point for premiums 185% FPL = Transitional Medi-Cal (TMC) (Pre-ACA) 200% FPL = Qualified Working Disabled Individuals = Refugee Medical Assistance (RMA) 202% FPL = Transitional Medi-Cal (TMC) (Post ACA) *(ACWDL will be released when implemented) 208% FPL = ACA and Title XXI Expansion Infants Ages 0-1 213% FPL = Full-Scope Coverage for ACA Pregnant Persons Above 213% to 322% FPL = Medi-Cal Access Program (MCAP) = Medi-Cal Access Infant Program (MCAIP) 250% FPL = Working Disabled Program 266% FPL = ACA OTLIC Above 266% to FPL = County Children’s Health Initiative Program (C-CHIP)

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Official source

Program Descriptions by FPL Enclosure 3

142% FPL = ACA and Title XXI Expansion Children Ages 1-6 160% FPL = ACA Optional Targeted Low-Income Children (OTLIC) Program starting point for premiums 185% FPL = Transitional Medi-Cal (TMC) (Pre-ACA) 200% FPL = Qualified Working Disabled Individuals = Refugee Medical Assistance (RMA) 202% FPL = Transitional Medi-Cal (TMC) (Post ACA) *(ACWDL will be released when implemented) 208% FPL = ACA and Title XXI Expansion Infants Ages 0-1 213% FPL = Full-Scope Coverage for ACA Pregnant Persons Above 213% to 322% FPL = Medi-Cal Access Program (MCAP) = Medi-Cal Access Infant Program (MCAIP) 250% FPL = Working Disabled Program 266% FPL = ACA OTLIC Above 266% to FPL = County Children’s Health Initiative Program (C-CHIP)