Affordable Care Act
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DHCS MEDIL I 14-25: Screening for Potential MAGI Eligibles Upon Return of the “Redetermination for Medi-Cal Beneficiaries (Long-Term Care in own MBFU)”, (MC 262) (5/7/14)
This letter provides guidance for counties to screen MC 262 forms to see if beneficiaries are potentially eligible for Medi-Cal under MAGI rules. Counties should collect tax household information, either by phone or by RFTHI, and use the…
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DHCS ACWDL 14-6E: Errata Express Lane Enrollment for CalFresh Eligible Adults and Children (5/7/14)
DHCS released this letter to clarify that counties should follow statutory procedure for processing redeterminations due to changes in circumstances. The letter also directs counties to verify income and poverty level for Express Lane Enrollment for CalFresh beneficiaries…
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DHCS ACWDL 14-26: Implementation of AB 720 – Suspension of Medi-Cal Benefits for All Inmates and Other Requirements (5/6/14)
DHCS issued a letter providing information about AB 720, which requires counties to suspend rather than terminate Medi-Cal benefits for all inmates regardless of age who were Medi-Cal beneficiaries at the time they became inmates of a public…
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DHCS ACWDL 14-24: State Inmate Pre-Release Medi-Cal Application Process (5/6/14)
DHCS released an all-county letter to clarify how to handle Medi-Cal applications from pre-release state inmates. The full letter is available here. CDCR pre-release staff is to identify potential Medi-Cal eligible inmates nearing parole and offer assistance with applying…
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DHCS ACWDL 14-22: Resetting Annual Redetermination Dates (4/25/24)
Earlier this week, DHCS released instructions on resetting redetermination dates for those Medi-Cal beneficiaries who retain eligibility due to a change in circumstances. The letter can be found here. Where the county is responsible for Medi-Cal case management.…
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DHCS ACWDL 14-21: 2014 Annual Redeterminations: Continued Eligibility for Pre-ACA Medi-CAl Children Implementing 2101(f) Protection (4/25/14)
DHCS is providing guidance to ensure continuing eligibility for children during 2014 annual redeterminations as pre-ACA coverage transitions to ACA MAGI coverage. The full letter is available here. Children currently enrolled in pre-ACA Medi-Cal coverage that would no…
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DHCS MEDIL I-14-23: Processing Income Verifications on Pended and Current Applications in the Statewide Automated Welfare System (SAWS) (4/24/14)
This week, the Department of Health Care Services has issued guidance to counties about verifying income for pending Medi-Cal cases. Those cases currently pending in SAWS are first to be rerun through the federal data hub when available. …
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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 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 14-16: 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…