DHCS ACWDL14-16: Income Verification for CalHEERS Pended Applications and the Processing of Retroactive Medi-Cal Eligibility

This letter instructs counties that when CalHEERS pends a MAGI Medi-Cal application because it is not reasonably compatible with data hub information, counties must conduct ex parte review to determine if income is already verified elsewhere. Also, the letter indicates that MAGI Medi-Cal applicants can only get retroactive coverage to January 1, 2014 but that individuals who applied with single streamlined applications can get coverage back to 2013 if otherwise eligible. Click here to read the letter.