Affordable Care Act
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Residency for Out-of-State Students for Medi-Cal Purposes
DHCS recently issued guidance around Medi-Cal residency requirements for students either from out-of-state who attend California schools or California residents who attend out-of-state schools. If otherwise eligible, those students who come to California to attend school may apply…
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Edits to Fluctuating income section of Pre-populated MC 216 form
DHCS updated the MC 216 Pre-Populated Renewal form to replace a question about fluctuating income. The forms are available in all threshold languages. DHCS MEDIL I 15-14 (5/19/15).
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More guidance about Medi-Cal application batches for Rivera, Covered CA transition
DHCS provided an update on the batching process for dealing with processing Medi-Cal applications in a more timely manner in the wake of the Rivera decision. DHCS was to issue a Notice of Inaction mailer for individuals who…
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New Medi-Cal noticing requirements under Rivera
DHCS issued guidance about notice requirements for Medi-Cal applicants whose applications have not been processed within 45 days per the Rivera decision. These beneficiaries have a right to file an appeal and request a hearing when the Medi-Cal…
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Approximately 120,000 current and former CMSP/P2H beneficiaries affected by data breach
Anthem Blue Cross’s January data breach may have affected 120,000 beneficiaries of the CMSP and Path2Health programs. These beneficiaries were sent notices at their last known address, but counties are to post information in county offices. CMSP ACL…
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Resource materials for remote identity proofing proces
DHCS has issued guidance and resources materials on the remote identity proofing process for CalHEERS. The letter contains a guide compiling a number of job aids about the RIDP process, as well as two reference sheets to address…
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Medi-Cal eligibility and transition of Refugee Medical Assistance cases
DHCS has instructed counties to evaluate all RMA beneficiaries for eligibility for MAGI and Covered California back to January 1, 2014. New RMA applicants will be screened for Medi-Cal up to 138%, 8 months of RMA from 138%…
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County instructions on entering reported income
DHCS has provided instructions on how the county should enter income information when applicants enter both or neither current monthly income or projected annual income. Currently, CalHEERS and SAWS are not programmed with appropriate changes for projected annual…
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Reference charts for Medi-Cal eligibility based on 2015 FPLs
DHCS has updated its Medi-Cal eligibility ceiling charts. The effective dates for these amounts vary by program; these dates are listed in the letter. Attached to the letter are FPL calculation charts for monthly and annual income amounts,…
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DHCS provides an overview of backlog batch processes
In this letter, DHCS walks through the various efforts the state has made to expedite processing and eligibility for applicants waiting for eligibility determinations throughout the ACA era. Of the described batches, the state is still processing the…