Medi-Cal
-
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%…
-
Instructions to determine IHSS eligibility for “non-disabled” people with MAGI Medi-Cal
Under the ACA, 19 to 64 year olds who are neither disabled nor blind can be eligible for Medi-Cal if if their modified adjusted gross income (MAGI) is below a certain amount. There are several MAGI aid codes,…
-
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…
-
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,…
-
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…
-
Upcoming Changes to CalHEERS online Single Stream Application
As of March 2, 2015, the online CalHEERS application portal has been changed to be more consumer friendly and in line with the paper application. This DHCS letter explains that changes were made to simplify language and improve…
-
Change in Third Party Administrator for CMSP Benefits
As of April 1, 2015, CMSP medical and dental benefits will be authorized by Advanced Medical Management, taking over for Anthem Blue Cross. On March 3, 2015, beneficiaries were mailed notices regarding this transition. CMSP ACL 15-02 (3/3/15).…
-
Updates to SSI Allocations and MSP property limits
DHCS has informed counties about the increase in the standard and parent allocations for SSI in 2015. This DHCS letter also includes information about the decrease in Medicare Part A premiums, and the lack of change for Part…
-
Medi-Cal Aged and Disabled FPL thresholds updated
DHCS issued guidance to the counties that updates the income limits for the Aged and Disabled FPL programs to $1211 for individuals and $1638 for couples. The amounts are based on 100% of the federal poverty level plus…
-
MAGI Medi-Cal Beneficiaries may be eligible for PACE program
DHCS issued guidance to the counties, noting that MAGI Medi-Cal beneficiaries could be eligible to participate in Programs for All-Inclusive Care for the Elderly (PACE) as long as they met all other requirements. The letter provides a list…