Affordable Care Act
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DHCS MEDIL I 14-35: Interim Non-Payment of Premium (NPP) Processes (6/18/14)
This letter updates counties about the process they should use for terminating TLICP beneficiaries for non-payment of premiums. For clients in non-payment of premium status, there are no redetermination requirements prior to sending a NOA to discontinue the…
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DHCS ACWDL 14-27: Additional Express Lane Enrollment Guidance (6/16/14)
This letter clarifies questions about the CalFresh Express Lane Enrollment procedures for Medi-Cal, particularly about aid code 7S (those individuals eligible for Medi-Cal under pre-ACA rules). Parents, guardians and caretakers relatives are to be put in aid code…
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DHCS MEDIL I 14-34: Temporary Suspension of Printing the Streamlined Paper Application in Threshold Languages (6/16/14)
This letter notifies counties that printing of Single Streamlined paper applications in threshold languages is being suspended for revisions. Translated applications are still available online in all threshold languages.
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DHCS MEDIL I 14-33: Pre-Affordable Care Act Medi-Cal Annual Redetermination Discontinuances (6/12/14)
This letter instructs counties to use the existing SAWS negative case action functions when discontinuing pre-ACA cases for failure to provide the RFTHI or other requested information. The letter also reminds counties that the RFTHI form is only…
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DHCS MEDIL I 14-32: Inter-County Transfer (ICT) of former Low Income Health Program (LIHP) Cases in Aid Code L1 (6/11/14)
DHCS issued this letter to provide guidance to counties regarding the transfer of L1 Aid Code cases (former LIHP cases) through the described workaround process. This workaround is necessary because SAWS does not yet support L1 aid code…
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DHCS MEDIL I 14-31: Pregnancy Changes in Circumstance Workaround (6/4/14)
This letter from DHCS provides a workaround for MAGI beneficiaries who report a change in circumstance due to pregnancy. A woman in one of the new adult coverage groups (M1, M2) who reports a change in circumstance due…
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DHCS MEDIL I 14-30: Denying Pending Applications Originating Through the CalHEERS Access Channel (5/22/14)
A previous letter directed counties to deny pending SAWS Medi-Cal applications after completing an ex parte review and making two 10-day requests for income verification. A third 10-day request was required when the prior requests were sent before…
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DHCS MEDIL I 14-29: Processing State Residency Verifications on Pended and Current Applications in CalHEERS and SAWS (5/16/14)
This letter extends the suspension of paper verification of state residency status until August 1, 2014. Verbal attestation or listing of a California address will be sufficient
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DHCS MEDIL I 14-27: Application Process for Retroactive Medi-Cal Coverage (5/15/14)
DHCS issued this letter to provide updated guidance on retroactive Medi-Cal coverage as a result of the Affordable Care Act. Individuals could previously request retroactive coverage before a year from the date of service by completing an MC…
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DHCS MEDIL I 14-26: Resume Remainder of Negative Case Actions on Non-Modified Adjusted Gross Income-Linked (Non-MAGI-Linked) Cases (5/7/14)
This DHCS letter instructs counties to resume the remainder of negative case actions for non-MAGI-linked individuals determined eligible under non-MAGI rules. Grandfathering protections do not apply for these individuals. Counties should take these negative actions on non-MAGI linked…