Affordable Care Act
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DHCS ACWDL 14-06: Express Lane Enrollment for CalFresh Eligible Adults and Children
CMS authorized DHCS to grant MAGI Medi-Cal eligibility automatic to CalFRESH eligibles who do not have current Medi-Cal eligibility. Individuals must be under 65, not blind or disabled and without Medicare or Medi-Cal. These individuals will receive an…
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DHCS ACWDL 14-05: Continuous Eligibility for Children
This letter, gives counties instruction on the application of Continuous Eligibility for Children (CEC) in light of new federal guidance and the transition of Healthy Families Program (HFP) to Medi-Cal. Provides that children on both MAGI and non-MAGI…
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DHCS ACWDL14-04: 2014 Federal Poverty Levels
Establishes new limits for all of the Medi-Cal programs for which eligibility is based on a percentage of the Federal PovertyLevel (FPL) effective April 1, 2014. Note the addition of many new FPL limits associated with MAGI coverage under…
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DHCS ACWDL 14-03: 2014 Renewals: Converting Pre-ACA Medi-Cal Beneficiaries to MAGI Medi-Cal
This letter (here) explains new ex parte review process for MAGI Medi-Cal annual reviews. Informs counties that pre-ACA Medi-Cal cases will be redetermined starting in May 2014 and provides a schedule for January 2014 -April 2014 redeterminations. At…
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DHCS MEDIL 14-11 System Workarounds and Overrides
Instructs counties to manually correct cases for applicants with immediate medical need incorrectly found ineligible by CalHEERS, for immigrants who should get full scope Medi-Cal but erroneously received restricted scope through CalHEERS, and for Former Foster Care youth…
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DHCS MEDIL 14-08: E-HIT Workarounds- January 21, 2014
This letter provides temporary guidance to counties on certain workarounds necessary to process MAGI Medi-Cal eligibility while the SAWS and CalHEERS interface is being improved. This letter addresses how to manually process MAGI Medi-Cal applications with two primary…
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DHCS MEDIL 14-06: Long Term Care Services and Supports for Individuals With Eligibility Based Upon MAGI or Mixed with Non-MAGI
This MEDIL clarifies for counties that individuals who are eligible under MAGI Medi-Cal can receive LTCSS under their MAGI Medi-Cal full scope aid code and also provides guidance to counties in situations where one LTC spouse is non-MAGI…
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DHCS MEDIL 14-05: Treatment of Former Foster Care Program
Effective January 1, 2014, the Former Foster Care Children’s Program (FFCC) was extended to provide Medicaid coverage to individuals through age 26 who were in foster care on their 18th birthday in any state. This letter, available here,…
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DHCS MEDIL 14-02: Affordable Care Act Guidance
This letter provides guidance to counties on: 1) processing pending CalHEERS applications for individuals with current Medi-Cal eligibility; 2) ex parte review of pending CalHEERS Medi-Cal applications using existing CalWORKS and CalFresh cases; and 3) verifying state residency…
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DHCS ACWDL 14-01: Low Income Health Program Transition to Medi-Cal
Enrollees in the Low Income Health Program (LIHP) prior to December 31, 2013 have been and will continue to be administratively moved to MAGI Medi-Cal by DHCS until the end of March 2014. These individuals were given a…