Reminds counties that, pursuant to the Lynch v. Rank lawsuit, every potentially eligible Pickle person must receive a Pickle Medi-Cal notice for three consecutive years. The letter also announces that individuals listed during years previous to the most recent three will be dropped from the Pickle Tickler report and a year’s worth of ineligibles will be purged each year. Lynch also requires that each person on the Pickle Tickler listing who has an active Medi-Cal case or who brings the Tickler notice into the county welfare department to apply under the Pickle Amendment shall have an eligibility determination completed.[Download]