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DHCS ACWDL 14-35: 2015 Redeterminations for Non-Modified Adjusted Gross Income (MAGI) Cases and Non-MAGI/MAGI Mixed (Medi-Cal Mixed) Cases (9/29/14)
DHCS issued this letter to the counties regarding interim policies and procedures for Non-MAGI and Mixed Medi-Cal cases. Counties are to conduct ex parte reviews by consulting electronic records and information in other open cases (e.g., CalFresh, CalWORKS). …
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DHCS ACWDL 14-34: Safe at Home Confidential Post Office (P.O.) Box Process (9/25/14)
DHCS issued this letter to the counties about how to proceed with a Safe at Home confidential PO Box address. MEDS must only display the designated P.O. Box with a four digit Safe at Home identifier. While all…
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DHCS ACWDL 14-33: Reviewing Caseloads for Individuals Who are Linked to Medi-Cal Coverage Groups Based Upon Modified Adjusted Gross Income (MAGI) (9/19/14)
DHCS issued this letter instructing counties to search for and identify potential MAGI-eligible individuals. These individuals need to meet all of the following criteria: Must not have been evaluated under MAGI rules, Must be eligible of retroactively eligible…
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DHCS MEDIL I 14-47: Deactivating Aid Code Programming in Medi-Cal Eligibility Data System (MEDS) and Statewide Automated Welfare System (SAWS) (9/19/14)
DHCS issued this MEDIL regarding aid code deactivation in the SAWS and MEDS systems. Pre-ACA programming will stay active in both systems until further notice. When all beneficiaries are transferred to MAGI aid codes, counties will receive instructions…
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DHCS ACWDL 14-32: Medi-Cal Annual Redetermination Process for MAGI Beneficiaries (9/19/14)
DHCS has issued this letter to guide SAWS and counties on implemented annual redeterminations for 2015 for MAGI Medi-Cal beneficiaries. First, counties are to review any ex parte information available to the county about the beneficiary or beneficiary’s…
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DHCS MMCD APL 14-011: Interim Policy for the Provision of Behavioral Health Treatment Coverage for Children Diagnosed with Autism Spectrum Disorder (9/15/14)
Following the release of federal guidance on the matter, DHCS issued interim policy guidance on the provision of BHT services to Medi-Cal beneficiaries 0-21 diagnosed with Autism spectrum disorder. Under Federal law, states are required to provide coverage…
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DHCS ACWDL 14-31: 2014 Alternate Renewal Policy Letter (9/11/14)
DHCS issued this letter about implementing Medi-Cal annual redeterminations in 2014, a process meant to convert some beneficiaries from pre-ACA Medi-Cal to MAGI Medi-Cal. At the 2014 annual redetermination, counties will try to convert beneficiaries to MAGI by…
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ACWDL 14-30: 2014/2015 Family Member Base Allocation Amount (August 11, 2014)
DHCS issued this letter to update the family member base allowance from $1,939 to $1,967. This allowance is used to determine how much a long-term care beneficiary may allocate to family members living with a community spouse.
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ACWDL 14-29: Interim Non-Payment of Premium (NPP) Processes for the Optional Targeted Low-Income Children Program (August 8, 2014)
DHCS issued guidelines for counties to proceed on discontinuing Optional Targeted Low-Income Children Program cases on the basis of non-payment of premiums (NPP). The counties have experienced a backlog of NPPs that should have been terminated. DHCS has…
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DHCS MEDIL I 14-45: Clarification of Medi-Cal Eligibility for Deferred Action for Childhood Arrivals (DACA) (August 6, 2014)
DHCS has issued this letter to explain that those individuals granted deferred action status through DACA are eligible for full-scope state-funded Medi-Cal as PRUCOLs. Individuals must meet all other Medi-Cal eligibility requirements. DACA status will be verified through…