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MAGI Medi-Cal Beneficiaries may be eligible for PACE program
DHCS issued guidance to the counties, noting that MAGI Medi-Cal beneficiaries could be eligible to participate in Programs for All-Inclusive Care for the Elderly (PACE) as long as they met all other requirements. The letter provides a list…
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New Aid for determining MAGI income types and deductions
DHCS issued guidance to the counties about what types of income deductions are used for MAGI Medi-Cal and Covered California determinations. The information is being incorporated into CalHEERS. The letter includes a chart that lists the types of…
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Counties no longer need to make third contact for pending Medi-Cal applications
This letter informs counties that they no longer have to make a third contact for verification of pending applications. DHCS MEDIL I 15-02 (2/12/15).
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Medi-Cal premium waivers for American Indians/Alaskan Natives on the Targeted Low Income Children Program
The letter provides information about processing requests for waiver of premium payments for eligible American Indian and Alaskan Native child as allowed by federal statute. Workers will submit waiver requests for the Optional Targeted Low Income Children Program…
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Medi-Cal Pre-Populated renewal forms have been translated
DHCS has issued a letter with the MC 216 pre-populated renewal forms, which have now been translated into the threshold languages. DHCS ACWDL 15-09 (1/30/15).
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The effect of the January 2015 COLA on Medi-Cal eligibility
DHCS has issued guidance on how to process the 2015 cost of living adjustment in SAWS. This COLA does not affect MAGI groups, and CalHEERS will wait for the 2015 FPL updates to run retroactive eligibility batches. The…
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Medi-Cal coverage of podiatric and chiropractic services provided by FQHCs and RHCs
DHCS issued a letter to all Medi-Cal managed care plans regarding podiatric and chiropractic services in light of California Rural Health Clinics v. Douglas. If these services are provided at a Federally Qualified Health Center or Rural Health…
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How to count self-employment or fluctuating income for MAGI determinations
DHCS issued guidance to counties regarding how to treat fluctuating or self-employment income and how to use projected annual income in MAGI determinations in CalHEERS. The letter notes that IRS rules for net income from self-employment activities are…
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More guidance on cases transitioning from Covered California to Medi-Cal as of 1/1/15
DHCS issued additional guidance to counties for those cases transitioning to Medi-Cal due to the Covered California annual redetermination process. A prior letter referred to a batch data file sorted rejected cases into categories of “eligible,” “conditionally eligible,”…
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2015 Medi-Cal spousal impoverishment caps increased
DHCS issued new income and poverty caps under the Medicare Catastrophic Coverage Act. As of 1/1/15, the community spouse resource allowance is now $119,220; the increased spousal income allowance/minimum monthly maintenance needs allowance is $2981/month. DHCS ACWDL 15-04…