Medi-Cal Eligibility Exceptions due to Public Health Crisis or Disaster

DHCS has issued guidance about the timeliness exceptions for processing applications and redeterminations in counties affected by a state or federally declared major public health crisis or natural disaster.

Applicants in affected areas requested expedited medical services shall not have their applications delayed.  Counties shall inform persons with immediate needs of available resources, expedite eligibility determinations, and accept self-attestation and electronic verification.

Any beneficiaries in affected areas shall have discontinuances delayed to the extent possible and be allowed additional time to provide required documents.  The County shall accept a signed and dated affidavit in place of requested verification documentation.  Those who were discontinued may have their benefits reinstated and given more time to provide information.

DHCS will waive premiums for state programs when a major public health crisis or natural disaster occurs.  Cash payments received for repair or replacement of lost, damaged, or stolen exempt property shall be treated as exempt property for nine months from the date of receipt (can be extended for good cause).

A beneficiary’s current health plan will be the point of contact for services out of county until an official change of address occurs.  Beneficiaries who are displaced may get assistance with transferring a case on a permanent or short-term basis.

DHCS ACWDL 19-01 (January 9, 2019)