Medi-Cal
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DHCS APL 14-008: Standards for Determining Threshold Languages (7/15/14)
DHCS issued this letter to inform managed care plans of the updated dataset for threshold languages and language concentration standards. Included is the dataset and identified threshold languages for each county. DHCS has revised MCP contracts to include…
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DHCS MEDIL I 14-42: Denying Pending Applications from both the California Health Eligibility, Enrollment and Retention System (CalHEERS) and the Statewide Automated Welfare System (SAWS) Access Channels (7/25/14)
This DHCS letter instructs counties to follow the procedures outlined previous in MEDILs I 14-23 and 14-30 when counties need to deny pending applications after ex parte reviews and two ten-day letters while CalHEERS functionality is pending. SAWS…
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DHCS MEDIL I 14-41: Immigration Documents Commonly Used by Lawfully Present Immigrants (7/21/14)
In this update letter, DHCS provides a non-exhaustive desk reference for the different examples of immigration documents that applicants may use for verification purposes. The letter includes illustrations of these documents.
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DHCS MEDIL I 14-36: Using Modified Adjusted Gross Income and Express Lane Enrollment Aid Codes for Applications in the Pending Backlog (7/8/14)
In an effort to reduce the backlog of pending Medi-Cal applications, DHCS has issued this guidance to the counties on using MAGI and Express Lane Enrollment (ELE) aid codes as a manual workaround. These aid codes are to…
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DHCS ACWDL 14-28: Elimination of the Deprivation Requirement for Medi -Cal Linkage for the Modified Adjusted Gross Income Parent/Caretaker Group and the Aid to Families with Dependent Children-Medically Needy Program (7/7/14)
DHCS released this letter to clarify that the previous deprivation of requirement was eliminated as of January 1, 2014, as part of the implementation of the Affordable Care Act. Prior to January 1st, family linkage to 1931(b) or…
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DHCS APL 14-007: Dual-Eligible Special Needs Plans (6/26/14)
The Department issued this letter to Medi-Cal Managed Care plans providing guidance on D-SNPs as the state adopts the Coordinated Care Initiative and Cal MediConnect for dual eligibles. D-SNPs in non-CCI counties will continue to operate per contract. …
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DHCS MEDIL I 14-38: Department of Health Care Services (DHCS) Waiver Change Information (6/25/14)
DHCS released this letter to provide information about seven different DHCS Waivers constituting Home and Community-Based Services and Long-Term Care Services and Supports programs. Waivers coming up for renewal this year are being renewed for a five-year period. …
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DHCS MEDIL I 14-37: All Counties Jurisdictional Change for Medi-Cal Disability Referrals and Applications (6/24/14)
DHCS issued this letter explaining that due to downsizing of the Oakland State Programs Branch, all Medi-Cal disability referrals and packets will be handled by the Los Angeles office effective June 1, 2014.
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DHCS MEDIL I 14-35: Interim Non-Payment of Premium (NPP) Processes (6/18/14)
This letter updates counties about the process they should use for terminating TLICP beneficiaries for non-payment of premiums. For clients in non-payment of premium status, there are no redetermination requirements prior to sending a NOA to discontinue the…
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DHCS ACWDL 14-27: Additional Express Lane Enrollment Guidance (6/16/14)
This letter clarifies questions about the CalFresh Express Lane Enrollment procedures for Medi-Cal, particularly about aid code 7S (those individuals eligible for Medi-Cal under pre-ACA rules). Parents, guardians and caretakers relatives are to be put in aid code…