awilliams
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DHCS MEDIL 14-17: Instructions to Counties When Beneficiaries Age Out of Certain Medi-Cal Programs or Reach the End of a Time Limited Coverage Period and Burman Holds
This letter furthers guidance already provided by DHCS that requires counties to continue not to make any negative changes to Medi-Cal cases for a period of time until certain programming can be completed by CalHEERS and SAWS that…
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DHCS ACWDL14-16: Income Verification for CalHEERS Pended Applications and the Processing of Retroactive Medi-Cal Eligibility
This letter instructs counties that when CalHEERS pends a MAGI Medi-Cal application because it is not reasonably compatible with data hub information, counties must conduct ex parte review to determine if income is already verified elsewhere. Also, the…
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DHCS ACWDL 14-07: 2014 Medicare Premiums and SSI Standard and Parent Allocations and Property Limits for the MSPs and Other Programs
The purpose of this letter is to inform counties of the 2014 SSI Standard Allocation, Parent Allocation, property limits for the Medicare Savings Programs, and Medicare premium amounts to be used in determining eligibility and the cost of…
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DHCS ACWDL 14-06: Express Lane Enrollment for CalFresh Eligible Adults and Children
CMS authorized DHCS to grant MAGI Medi-Cal eligibility automatic to CalFRESH eligibles who do not have current Medi-Cal eligibility. Individuals must be under 65, not blind or disabled and without Medicare or Medi-Cal. These individuals will receive an…
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DHCS ACWDL 14-05: Continuous Eligibility for Children
This letter, gives counties instruction on the application of Continuous Eligibility for Children (CEC) in light of new federal guidance and the transition of Healthy Families Program (HFP) to Medi-Cal. Provides that children on both MAGI and non-MAGI…
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DHCS ACWDL14-04: 2014 Federal Poverty Levels
Establishes new limits for all of the Medi-Cal programs for which eligibility is based on a percentage of the Federal PovertyLevel (FPL) effective April 1, 2014. Note the addition of many new FPL limits associated with MAGI coverage under…
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DHCS ACWDL 14-03: 2014 Renewals: Converting Pre-ACA Medi-Cal Beneficiaries to MAGI Medi-Cal
This letter (here) explains new ex parte review process for MAGI Medi-Cal annual reviews. Informs counties that pre-ACA Medi-Cal cases will be redetermined starting in May 2014 and provides a schedule for January 2014 -April 2014 redeterminations. At…
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DHCS All Plan Letter 14-004 Screening, Brief Intervention, And Referral to Treatment for Misuse of Alcohol
This letter explains the obligations of Medi-Cal managed care plans (MCPs) to providing screening, brief intervention, and referral to treatment (SBIRT) services for beneficiaries ages 18 and over who misuse alcohol. PCPs must offer a Staying Healthy Assessment…
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DHCS MEDIL 14-11 System Workarounds and Overrides
Instructs counties to manually correct cases for applicants with immediate medical need incorrectly found ineligible by CalHEERS, for immigrants who should get full scope Medi-Cal but erroneously received restricted scope through CalHEERS, and for Former Foster Care youth…
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DHCS MEDIL 14-08: E-HIT Workarounds- January 21, 2014
This letter provides temporary guidance to counties on certain workarounds necessary to process MAGI Medi-Cal eligibility while the SAWS and CalHEERS interface is being improved. This letter addresses how to manually process MAGI Medi-Cal applications with two primary…