awilliams
-
DHCS All Plan Letter 13-013: Continuity of Care for New Enrollees Transitioned Into Managed Care After Requesting a Medical Exemption
Informs Medi-Cal Managed Care Plans (MCPs)operating in Geographic Managed Care or Two Plan counties (not County Organization Health Systems, like Partnership) that they must ensure continuity of care for Medi-Cal beneficiaries transitioning from Fee For Service. MCPs must…
-
DHCS All Plan Letter 13-011: Ensuring Access to Transgender Services
This letter (available here) reminds Medi-Cal Managed Care Plans to communicate to its provider networks and subcontractors the requirement that transgender services (including psychotherapy, continuous hormone therapy, laboratory testing to monitor hormone therapy and gender reassignment surgery that…
-
DHCS MEDIL No. 13-07: Extension of Former Foster Care Children’s (FFCC) Program
This MEDIL provides guidance to counties on the expansion of the FFCC program to comply with federal law, which requires that, starting January 1, 2014, former foster youth be covered by Medi-Cal up to age 26. DHCS has…
-
DHCS MEDIL 13-03: Affordable Care Act of 2010- Intial Guidance
This letter gives counties a high-level policy guidance regarding implementation of the ACA related changes to Medi-Cal and identifies areas where more federal guidance is needed before DHCS can provide additional information to the counties. It covers the…
-
DHCS ACWDL 13-13: Medi-Cal General Notice of Action (NOA) Policy
After years of work and development by the NOA workgroup (of which LSNC has been a part), DHCS released a letter to remind counties of what is required in a NOA relating to Medi-Cal eligibility. It summarizes the…
-
DHCS ACWDL 13-12: Revised Other Health Reporting Coverage Reporting and Correction Procedures
This letter clarifies the procedures counties must take to add or remove Other Health Coverage (OHC) codes from a Medi-Cal case. Counties are able to temporarily remove these codes in immediate need cases but to make the change…
-
CMSP ACL 13-06: Eligibility Appeal & Grievance Process for Path2Health and CMSP – UPDATE
This letter provides the new number that consumers can use to request hearings and make grievances related to Path2Health and CMSP. The number is (800) 548-5880 and connects applicants/enrollees to the CMSP Governing Board. The Governing Board will send…
-
ACWDL 13-11: Limits and Disregards for the Blind Federal Poverty Level Program for 2013 – Beginning Apirl 1, 2013
Sets the income limit for a the Blind Federal Poverty Level program at $1188 for a single individual. For couples, the limit is $1751 if both individuals are blind and $166 if one individual is blind and the…
-
ACWDL 13-10: New Limits and Disregards for the Aged and Disabled Federal Poverty Level Program for 2013 – Beginning April 1, 2013
Effective April 1, 2013, sets new income limits for the Aged and Disabled Federal Poverty Level Program at $1188 for an individual and $1603 for a couple. Click here to access the letter.