Affordable Care Act
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Medi-Cal Efforts to Deal with Individuals Pending in the Application Backlog
This letter notifies counties of the DHCS-required process for reducing the pending backlog of Medi-Cal cases. DHCS will cull through lists for a preliminary determination of eligibility, which counties will then evaluate by December 1. DHCS will then…
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Materials to be Provided with Medi-Cal Application and Renewal Forms
DHCS issued guidelines about which materials must be offered to households at the time of application and at the time of renewal. The set of documents depends on applicant type: New Household, Medicare Savings Program, Non-MAGI, Renewal. The…
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DHCS ACWDL 14-38: Annual Redetermination Process for Medi-Cal and Covered California Mixed Households (10/23/14)
DHCS issued this letter focusing on annual redeterminations for MAGI Medi-Cal and Covered California mixed coverage household. Since different annual redetermination periods and processes are involved, there will be two different annual redetermination dates for mixed coverage household…
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CMSP ACL 14-08: CMSP Policy on Determination of Other Health Coverage Under Covered California (10/15/14)
The CMSP Governing Board issued this letter to update its current policy regarding Covered California eligibility to reflect Open Enrollment dates of November 15, 2014, to February 15, 2015. The policy is largely unchanged. If a CMSP application…
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DHCS MEDIL I 14-48: Hospital Presumptive Eligibility (HPE) Program Medi-Cal Eligibility Data Systems (MEDS) Pending Application Transaction – Extension of Presumptive Eligibility (PE) Period (10/1/14)
DHCS issued this letter to remind counties to extend eligibility for Hospital Presumptive Eligibility individuals who have applied for Medi-Cal beyond the two months allotted under HPE. HPE beneficiaries who submit a timely application should not lose coverage. …
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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 14-33: 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 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…