Medi-Cal
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Reimbursement for telehealth services
The California Department of Managed Health Care Social Services (DMHC) has ordered that health plans reimburse providers at the same rate regardless of the modality of delivery. For services provided by telehealth, a health plan may not impose…
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Health services during self-isolation orders
The California Department of Managed Health Care Social Services (DMHC) has issued guidance regarding health plan services during self-isolation orders. Health plans must continue to provide health care services and perform health plan functions. Plans may delay some…
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90 day suspension of redeterminations, CalWORKs clock stop, and public meeting requirements
Governor Gavin Newsom has issued an executive order regarding public benefits programs in California. The executive order suspends otherwise required redeterminations for Medi-Cal, CalWORKs, CalFresh , Cash Assistance Program for Immigrants, California Food Assistance Program, and In Home…
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Medi-Cal public health crisis or disaster reminders
The Department of Health Care Services has issued a reminder regarding Medi-Cal processes during a public health crisis for disaster. For all populations affected by a public health crisis or disaster, counties must continue to provide benefits beyond…
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Reasonable accommodations in CDSS and DHCS programs
The California Department of Social Services (CDSS) and the Department of Health Care Services (DHCS) have issued a joint letter reminding counties of their obligation to ensure equal access to persons with disabilities to state and federal funded…
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Disability and domestic violence questions computer system flags
The California Department of Social Services (CDSS) has issued directions regarding AB 2030. AB 2030 requires CDSS to include in any amendments or revisions to standard application or semi-annual reporting forms after January 1, 2019 that allow applicants…
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Recent DHCS Clarifications on Verifications and Paperwork
Annual Redetermination Signature Requirements DHCS is clarifying the signature requirements for the MAGI and Non-MAGI renewal forms, as well as the property supplement form. The renewal form may be signed by handwriting, electronic signature, or telephonic recorded signature. Beneficiaries may respond…
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New Medi-Cal Authorized Representative Forms
DHCS is providing counties with new documentation around designating an authorized representative for Medi-Cal. Appointment of Authorized Representative Form (MC 382): provides an applicant/beneficiary with a way to appoint an AR, limit the AR’s scope, and authorize an…
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Expanding Guidance on Medi-Cal Spousal Impoverishment Rules
The Affordable Care Act broadened the definition of an “institutionalized spouse” to include HCBS recipients and persons who have requested HCBS and generally reside at home or in the community. DHCS ACWDL 17-25 (July 19, 2018) initially extended spousal…
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Updated DHCS Charts of MAGI Medi-Cal Income and Deductions
DHCS has updated its “Whose Income Counts” Flowchart [DHCS MEDIL I 18-12 (September 14, 2018)] and its MAGI Income and Deductions Type Chart [DHCS MEDIL I 19-03 (January 11, 2019)].