Medi-Cal
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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…
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DHCS MEDIL 13-15: Temporary Eligibility for Medi-Cal Pending Cases
This letter grants presumptive temporary MAGI Medi-Cal eligibility (aid code 8E) to individuals who applied through the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and whose applications have been delayed due to the delay in functionality of…
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DHCS ACWDL 13-26: Increase in SGA Wage from $1,040 per month to $1070 Effective 1/1/14
The letter notifies counties that the federal SGA amount will increase effective 1/1/14 and instructs counties that were unable to implement the change by 1/1/14 to retroactively redetermine Medi-Cal eligibility based on disability if a case has been…
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DHCS All-Plan Letter 13-023: Continuity of Care for Medi-Cal Beneficiaries Who Transition From Fee-For-Service Medi-Cal into Medi-Cal Managed Care
This one is pretty self-explanatory. Click here to review the circumstances in which Medi-Cal beneficiaries are entitled to continuity of care, what continuity of care entails, and the processes for providing services through continuity of care.
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DHCS All Plan Letter 13-021: Medi-Cal Managed Care Plan Responsibilities for Outpatient Mental Health Services
Prior to 2014, Medi-Cal beneficiaries enrolled in a Medi-Cal Managed Care Plan (MCP) received services within the scope of their primary care provider’s (PCP’s) practice through their PCP and received specialty mental health services for serious mental illness…
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DHCS ACWDL 13-25: January 2014 Social Security Title II and Title XVI COLA and Related Issues
Reminds counties that Medically Needy Medi-CAl cases with Title II income must have the Share of Cost adjusted effective 1/1/14. Instructions for how to apply the COLA to these cases are included. Importantly, note that the COLA is…
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DHCS ACWDL 13-18: Medi-Cal and Related Programs for State and County Inmates
While LSNC does not represent state or county inmates, the letter also provides information about Medi-Cal eligibility for parolees and babies born to inmates. The letter specifies that inmates who had eligibility through Medi-Cal Inmate Eligibility Program (MCIEP),…
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DHCS All Plan Letter 13-013: Continuity of Care for New Enrollees Transitioned Into Managed Care After Requesting a Medical Exemption
Informs Medi-Cal Managed Care Plans (MCPs)operating in Geographic Managed Care or Two Plan counties (not County Organization Health Systems, like Partnership) that they must ensure continuity of care for Medi-Cal beneficiaries transitioning from Fee For Service. MCPs must…
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DHCS All Plan Letter 13-011: Ensuring Access to Transgender Services
This letter (available here) reminds Medi-Cal Managed Care Plans to communicate to its provider networks and subcontractors the requirement that transgender services (including psychotherapy, continuous hormone therapy, laboratory testing to monitor hormone therapy and gender reassignment surgery that…
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Regulation packet open for comment: Residential Care Facilities for the Elderly Hospice Care, Terminally Ill Persons, and concerning Adult Residential Facility, Hospice Terminally Ill
The California Department of Social Services has scheduled a public hearing for April 9, 2014 to receive testimony on regulation changes concerning Residential Care Facilities for the Elderly Hospice Care, Terminally Ill Persons, and concerning Adult Residential Facility, Hospice Terminally…