mtawatao
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ACWDL 09-36: Termination of the WATS phone service (7/7/09)
Third Party Liability’s (TPL) Wide Area Telephone System (WATS) will no longer be answered. Workers, providers, beneficiaries, and advocates will have to e-mail or fax in requests for removal of erroneous other health coverage. Beneficiaries can request that…
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ACL 09-07: COBRA premium assistance exemption for CMSP (6/29/09)
Under ARRA eligible individuals will have their COBRA premiums reduced to 35% of the premium with the federal government paying the other 65%. CMSP will exempt the COBRA premium reduction or reimbursement as income or property for CMSP…
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ACWDL 09-34: Medi-Cal eligibility division eligibility policy and regulation center pilot website (6/29/09)
DHCS launched a pilot website, E-PARC, that is intended to make searching ACWDLs easier and to be more effective for researching Medi-Cal eligibility policy. It is up and running, but not to be solely relied upon yet as…
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ACWDL 09-33: Processing eligibility determinations for the 250 % WDP (6/25/09)
Counties must place eligible beneficiaries in the 250% Working Disabled Program when their WDP premium would be lower than their share of cost. Counties must then contact the beneficiary and explain the advantages and disadvantages of the program.…
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ACL 09-06: CMSP benefits, naming change, & updated forms (6/22/09)
CMSP will not makes changes to the “optional” benefits that are being eliminated from the Medi-Cal program for most adults. In fact effective 10/08 CMSP added general anesthesia and crowns to their dental benefits and upped the vision…
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ACL 09-05: CMSP eligibility manual update (6/2/09)
This letter includes long awaited updated pages of the CMSP eligibility manual. [Download]
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ACL 09-04: CMSP treatment of payments due to the ARRA of 2009 (6/1/09)
Several ARRA related payments will be excluded from income determination by CMSP. The payments are: Unemployment insurance benefits increase of $25; one time payment of $250 to SS, SSI, Veterans disability payment and railroad retirement recipients; $250 tax…
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ACL 09-02: Pre-enrollment processing (3/9/09)
This ACL reminds CMSP workers to supply form CMSP 209 to any CMSP applicant who claims to have received emergency medical services ten days prior to the first of the month in which they applied, and 209A to…
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ACWDL 09-30: Premium assistance for COBRA continuation coverage for unemployed workers and COBRA premium reduction exemption (6/18/09)
The COBRA premium reduction is considered exempt income and property under Medi-Cal. To ensure no change in eligibility, when part of a beneficiary’s premium is being paid for by the federal government Medi-Cal still counts that as a…
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ACWDL 09-29: Addition of aid code 6G into the Medi-Cal managed care health plans (6/17/09)
As of July 1, 2009, beneficiaries in the 250% Working Diasabled Program, aid code 6G, must be in managed care in COHS counties and can choose to be in GMC and two-plan counties. [Download]