ACL 09-47: Statutory Changes to Payment Of Medical Recognized Expenses (Share-Of-Cost Buyout) (9/16/09)

Information regarding two statutory changes to the payment of Medi-Cal Recognized Expenses (MRE) for Personal Care Services Program (PCSP) and IHSS Plus Waiver (IPW) program recipients (known as the SOC Buyout Program). In order to be eligible for the payment of MRE, individuals in PCSP or IPW must be eligible for and receive services under one of those programs before July 1, 2009, and continue to receive those services. (So, new folks to PCSP or IPW, IHSS Residual (IHSS-R) program people, and any one covered who then leaves the programs or loses eligibility are no longer eligible.) Secondly, these individuals will have the MRE payment eliminated as of October 1, 2009. As of that date, the SOC buyout program will be entirely eliminated. Includes a discussion of potential SOC buyout recipients and the treatment of state hearings appeals or Conlan II claims to have their payment of MRE restored, and payment of MRE eligibility for IHSS-R recipients who move to the PCSP or IPW program [