More clarification on the Conlan reimbursements. DHCS is required to provide recipients reimbursement for medically necessary services received and paid for during the following time periods: 1) the retroactive period (up to 3 months prior application for Medi-Cal, 2) the evaluation period (time between the dates that an application for Medi-Cal eligibility was submitted and approved); and 3) the post approval period which is after the recipient was approved for Medi-Cal and addresses the excess share of cost expenses.
IHSS recipients who paid their provider an excess share of cost can file a Conlan II claim to request reimbursement. [Download]