Medicare
-
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,…
-
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…
-
2015 Medi-Cal spousal impoverishment caps increased
DHCS issued new income and poverty caps under the Medicare Catastrophic Coverage Act. As of 1/1/15, the community spouse resource allowance is now $119,220; the increased spousal income allowance/minimum monthly maintenance needs allowance is $2981/month. DHCS ACWDL 15-04…
-
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…
-
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.
-
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. …
-
DHCS ACWDL 14-25: The Extension of the Qualifying Individual 1 (QI-1) Program and Transitional Medical Assistance (TMA) Sunset Date (5/6/14)
This letter notifies counties that the QI-1 and TMA programs, which were originally scheduled to sunset on March 31, 2014, were extended to March 31, 2015, by the Protecting Access to Medicare Act of 2014. Counties are advised…
-
ACL 14-25: Coordinated Care Initiative, Care Coordination Team (3/27/14)
In 2012, the Coordinated Care Initiative (CCI) was implemented. It is a model of care includes person-centered coordination of components, one of which is Interdisciplinary Care Teams (ICT). It combines home and community-based, primary care, and other Medicare and Medi-Cal services into…
-
DHCS ACWDL 14-07: 2014 Medicare Premiums and SSI Standard and Parent Allocations and Property Limits for the MSPs and Other Programs
The purpose of this letter is to inform counties of the 2014 SSI Standard Allocation, Parent Allocation, property limits for the Medicare Savings Programs, and Medicare premium amounts to be used in determining eligibility and the cost of…
-
ACWDL 13-09: 2013 Federal Poverty Levels
Establishes new limits for all of the Medi-Cal programs for which eligibility is based on a percentage of the Federal Poverty Level (FPL), including 1931(b). The letter directs that for individuals enrolled in the Medicare Savings Programs (MSPs)…