DHCS issued this letter instructing counties to search for and identify potential MAGI-eligible individuals. These individuals need to meet all of the following criteria:
- Must not have been evaluated under MAGI rules,
- Must be eligible of retroactively eligible for the month of December 2013 or after under specific coverage groups and aid codes (MN/MI with Share of Cost, 250% Working Disabled, State-only funded or limited-scope Medi-CAl), and
- Must be MAGI-linked (parents, caretaker relatives, children, or pregnant women, or non-Medicare recipients aged 19-64)
Counties are to search their case loads for MAGI-linked individuals and sent RFTHIs to those who were denied eligibility due to excess property in December 2013 or later, and those who have not been evaluated under MAGI rules. If an individual is MAGI eligible, the county must rescind the discontinuance notice, reestablish eligibility back to the discontinuance, and send a new notice.
Counties will send a translated version of a letter informing affected Medi-Cal beneficiaries of this process along with the RFTHI. If the form is returned and the individual is MAGI eligible, the county will take the actions outlined in this letter. If the beneficiary does not return the RFTHI, counties must keep the beneficiary in the same aid code until the next annual redetermination or a change in circumstances.
Those MAGI-eligible beneficiaries who are later found ineligible at redetermination or change in circumstances must be evaluated under non-MAGI criteria before being discontinued.