Guidance on transitioning Covered California cases to Medi-Cal

DHCS issued a letter to guide counties on how to handle Covered California cases transitioning to Medi-Cal after Covered California’s annual redetermination process, which will always run at the same time each year.  When Covered California determines that a beneficiary may now be income-eligible for Medi-Cal, it will forward the information to the counties for final determination.

Those found eligible, conditionally eligible, or pending eligible are sent to the county for appropriate verification.  Eligible cases were granted  temporary full-scope Medi-Cal eligibility as of January 1, 2015, and assigned to the same health plan where possible.

DHCS’s letter included talking points on the transition process and sample notices/letters to consumers.  DHCS ACWDL 15-01 (1/7/15).