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DHCS MEDIL I-14-22: Informational Update and Guidance on Medi-Cal Notices of Action (NOA) Generation (4/14/14)
DHCS issued guidance on how Medi-Cal NOAs are being generated by CalHEERS and SAWS beginning 4/15/14. The full letter is available here. Two sets of NOAs will be released: A “one-time batch” of NOAs from pre-enrollment and pre-CalHEERS/SAWS…
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DHCS PL 14-003: Enteral Nutrition Products (4/11/14)
Effective May 1, 2014, enteral nutrition products are restored as a Medi-Cal benefit. This letter sets out the Standard of Care policy for managed care plans.
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DHCS ACWDL 14-18: Policies and Procedures for Annual Renewal and Change in Circumstance Redeterminations and Discontinuance from Medi-Cal (4/8/14)
This week, DHCS issued a letter clarifying what counties should do when discontinuing Medi-Cal beneficiaries at annual or change in circumstance redeterminations. The letter explains that beneficiaries should be reviewed for all programs, including MAGI Medi-Cal and non-MAGI…
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DHCS ACWDL 14-12E: Erratum Regarding New Limits and Disregards for the Aged and Disabled (A&D) Federal Poverty Level (FPL) Program for 2014 – Beginning April 1, 2014 (4/7/14)
The Department of Health Care Services issued All-County Welfare Director Letter 14-12E this week. This letter, accessible here, corrects the A&D income limit for couples from $1,641 to $1,621 (100% FPL of $1,311 plus $310 disregard).
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DHCS ACWDL 14-17: Treatment of Student Earned Income Exclusion (4/4/14)
This letter informs counties of an increase in student income deductions for working students under 22 in an MFBU with an aged, blind or disabled individual. This change should be applied retroactively.
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DHCS ACWDL 14-16: Refugee Medical Assistance and the Affordable Care Act (4/1/14)
In this letter, DHCS clarifies the redetermination process for beneficiaries on the Refugee Medical Assistance (RMA) program. Currently, RMA provides Medi-Cal benefits to refugees (including asylees, trafficking victims and special immigrants without categorical linkage) for their first eight…
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DHCS ACWDL 14-15: Processing Change of Circumstances Redeterminations for Pre-Affordable Care Act (ACA) Medi-Cal Beneficiaries (3/28/14)
As of 3/24/14, CalHEERS is able to process change of circumstance redeterminations. This letter directs counties to proceed with converting old potential MAGI-linked cases to MAGI cases using the instructions contained therein. This is not to affect existing…
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DHCS ACWDL 14-14: Implementation of the Hospital Presumptive Eligibility (HPE) Program
This letter provides preliminary information on Hospital Presumptive Eligibility. Effective January 1, 2014, qualified hospitals can temporarily enroll certain individuals into MAGI Medi-Cal. Application is by one-page attestation, and qualified hospitals complete the process through online Hospital PE…
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DHCS MEDIL I-14-21: Statement of Citizenship, Alienage and Immigration Status Form (MC 13) Under the Affordable Care Act
This letter provides guidance on verifying applicant citizenship/immigration eligibility through the federal data hub before sending out the MC 13 Status Form.
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DHCS ACWDL 14-12: New Limits and Disregards for the Aged and Disabled Federal Poverty Level Program for 2014 – Beginning April 1, 2014
This letter from DHCS updates the Aged and Disabled Federal Poverty Level thresholds to $1203 for an individual and $1641 for a couple.