MEDI-CAL ELIGIBILITY CODES WPPM #980-1070

I. The following Medi-Cal Aid Codes qualify applicants as adjunctively eligible for WIC. Medi-Cal Aid Codes not listed do not qualify applicants as adjunctive. 0A 0L 0M 0N 0P 0U 0V 0W 0X 01 02 03 04 06 07 08 1H 1U 20 23 24 26 27 28 2A 2E 2H 2L 2M 2P 2R 2S 2T 2U 30 32 33 34 35 36 37 38 39 3A 3C 3E 3F 3G 3H 3L 3M 3N 3P 3R 3T 3U 3V 3W 40 42 43 44 45 46 47 48 49 4A 4C 4E 4F 4G 4H 4K 4L 4M 4N 4S 4T 4W 50 54 55 58 59 5C 5D 5E 5F 5J 5K 5L 5R 5T 5V 5W 5X 5Y 60 63 64 66 67 68 69 6A 6C 6E 6G 6H 6J 6N 6P 6R 6U 6V 6W 6X 6Y 72 73 74 76 7A 7C 7F 7G 7H 7J 7K 7M 7N 7P 7R 7S 7T 7U 7W 7X 80 82 83 84 85 86 87 88 89 8A 8C 8D 8E 8G 8H 8L 8N 8P 8R 8T 8U 8V 8W 8X 8Y 9L 9N 9P C1 C2 C3 C4 C5 C6 C7 C8 C9 D1 D2 D3 D4 D5 D6 D7 D8 D9 E1 E6 E7 F0 F1 F2 F3 F4 F5 F6 F7 F8 F9 G0 G1 G2 G3 G4 G5 G6 G7 G8 G9 H1 H2 H3 H4 H5 H7 H8 J1 J2 J3 J4 J7 J8 K1 K2 K3 K4 K5 K6 K7 K8 K9 L1 L6 L7 M0 M1 M2 M3 M4 M5 M6 M7 M8 M9 N0 N5 N6 N7 N8 N9 P0 P1 P2 P3 P4 P5 P6 P7 P8 P9 R1 T0 T1 T2 T3 T4 T5 T6 T7 T8 T9 Revised California WIC Policy and Procedure Manual Page 1 of 1 November 27, 2019