DHCS is providing counties initial guidance on dealing with MAGI Medi-Cal cases where all individuals on the case need to be denied or terminated from the program. The letter outlines five steps:
- Counties will identify pending and active cases that should be denied or terminated where all members on the case are MAGI Medi-Cal within three priority areas: duplicate applications, failure to complete redetermination, and failure to complete determination.
- SAWS will receive the county lists and send them to CalHEERS.
- SAWS or MEDS will take negative action through a backend data fix.
- SAWS will generate and send NOAs.
- CalHEERS will take negative action using a backend data fix.
The letter includes a list of negative actions (Attachment A) and an overview of the different systems (Atttachment B). DHCS MEDIL I 14-56