Medi-Cal
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Change to Medi-Cal Appointment Period for Authorized Representatives
DHCS issued a letter on November 26, 2014, reminding counties that the appointment of authorized representatives now lasts until a change is made. This change could be the applicant/beneficiary modifying/cancelling the authorization, the appointment of a new representative,…
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Initial Guidance on Short-Term Negative Action for MAGI Medi-Cal Cases
DHCS is providing counties initial guidance on dealing with MAGI Medi-Cal cases where all individuals on the case need to be denied or terminated from the program. The letter outlines five steps: Counties will identify pending and active…
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Medi-Cal Efforts to Deal with Individuals Pending in the Application Backlog
This letter notifies counties of the DHCS-required process for reducing the pending backlog of Medi-Cal cases. DHCS will cull through lists for a preliminary determination of eligibility, which counties will then evaluate by December 1. DHCS will then…
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Materials to be Provided with Medi-Cal Application and Renewal Forms
DHCS issued guidelines about which materials must be offered to households at the time of application and at the time of renewal. The set of documents depends on applicant type: New Household, Medicare Savings Program, Non-MAGI, Renewal. The…
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DHCS MEDIL I 14-52: Translation of the Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary, and Qualifying Individuals Application (MC 14A) (10/24/14)
The Department issued this letter informing counties that the updated application for the Medicare Savings Programs has been translated in the 12 threshold languages.
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DHCS ACWDL 14-39: Every Woman Counts (EWC) Program Offers Free Breast and Cervical Cancer Screening Services to Uninsured Women (10/24/14)
This letter informs counties about the Every Woman Counts program. The letter includes a brochure and flyer about the program, and it encourages counties to provide this information to those ineligible for other programs.
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DHCS ACWDL 14-38: Annual Redetermination Process for Medi-Cal and Covered California Mixed Households (10/23/14)
DHCS issued this letter focusing on annual redeterminations for MAGI Medi-Cal and Covered California mixed coverage household. Since different annual redetermination periods and processes are involved, there will be two different annual redetermination dates for mixed coverage household…
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DHCS MEDIL I 14-48: Hospital Presumptive Eligibility (HPE) Program Medi-Cal Eligibility Data Systems (MEDS) Pending Application Transaction – Extension of Presumptive Eligibility (PE) Period (10/1/14)
DHCS issued this letter to remind counties to extend eligibility for Hospital Presumptive Eligibility individuals who have applied for Medi-Cal beyond the two months allotted under HPE. HPE beneficiaries who submit a timely application should not lose coverage. …
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DHCS ACWDL 14-35: 2015 Redeterminations for Non-Modified Adjusted Gross Income (MAGI) Cases and Non-MAGI/MAGI Mixed (Medi-Cal Mixed) Cases (9/29/14)
DHCS issued this letter to the counties regarding interim policies and procedures for Non-MAGI and Mixed Medi-Cal cases. Counties are to conduct ex parte reviews by consulting electronic records and information in other open cases (e.g., CalFresh, CalWORKS). …
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DHCS ACWDL 14-34: Safe at Home Confidential Post Office (P.O.) Box Process (9/25/14)
DHCS issued this letter to the counties about how to proceed with a Safe at Home confidential PO Box address. MEDS must only display the designated P.O. Box with a four digit Safe at Home identifier. While all…