awilliams
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Delegation of Authority to Regional Directors to Waive Certain Handbook and Directives Provisions (72 FR 16809, April 5, 2007)
Effective March 30, 2007, the Secretary of HUD may delegate his power to waive certain HUD handbook and directives provisions to HUD Regional Directors. While there are certain safeguards and requirements regarding the the issuance of such waivers,…
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Home Visits by Fraud investigators
The 9th circuit upheld home visits to public aid applicants, conducted by fraud investigators, including searches of visible areas, and closed areas based on “consent.” [Download]
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New CalWORKs Forms
New forms for your clients. A Request for a Welfare to Work Exemption (the 2186A) and a new Plan Rights and Responsibilities. Hopefully a little clearer than the prior forms.
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ACWDL 06-08: New Limits and Disregards for the Aged and Disabled Federal Poverty Level Program For 2006 (2/15/06)
Provides the 2006 federal poverty level for the Medi-Cal Aged and Disabled program, which allows a higher disregard for couples due to SSI/SSP standards. Effective April 1, 2006, an individual’s effective income limit is $1047 ($817 + $230…
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ACWDL 06-07: New Federal Poverty Levels (2/10/06)
Provides the 2006 federal poverty levels for most of the Medi-Cal percentage programs. [Download]
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ACWDL 06-06: New Federal Poverty Levels (2/10/06)
Provides the 2006 federal poverty levels for Medicare Savings Program beneficiaries. For one person, the limits for each MSP are as follows: QMB: $817/mo; SLMB: $980/mo; QI-1: $1103/mo. [Download]
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Independent Medical Reviews – Experimental and Investigational Therapies – 28 C.C.R. § 1300.70.4
This regulation, effective July 2005, describes the requirements for a plan’s notice to its enrollee when denying coverage on the basis of the treatments’ experimental or investigational status, when it is appropriate to request an IMR for this…
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Independent Medical Review System, 28 C.C.R. §1300.74.30
This regulation, which became effective in September 2005, provides a mechanism for health plan enrollees to challenge their plans’ denials of coverage. The regulation details how applications for Independent Medical Review should be submitted and what supporting materials…
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ACIN I-04-06 Quality Assurance (QA) Initiative Fraud Detection And Prevention Activities (January 23, 2006)
This ACIN provides information on how counties can/should be implementing the anti-fraud provisions in SB 1104 and existing rules to prevent and pursue IHSS fraud. Just so you know what the counties will be up to. … Includes…