DHCS issued a letter with directions on how the county should deal with refunds of TLICP premiums or waivers due to beneficiary request or retroactive eligibility for non-premium aid codes. When a beneficiary requests prospective discontinuance in writing, counties must request the refund or waiver on the beneficiary’s behalf even if the beneficiary claims not to have paid the premium. When retroactive eligibility for free Medi-Cal is determined, the county must submit a request to Maximus (the administrative vendor) for refund/reimbursement. Note that a beneficiary may continue to receive premium due invoices after discontinuance due to the billing cycle. DHCS ACWDL 14-43 (1/5/15)
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations