More guidance on cases transitioning from Covered California to Medi-Cal as of 1/1/15

DHCS issued additional guidance to counties for those cases transitioning to Medi-Cal due to the Covered California annual redetermination process.  A prior letter referred to a batch data file sorted rejected cases into categories of “eligible,” “conditionally eligible,” or “pending eligible.”  This file has 1720 cases, 879 of which were provided temporary coverage and 841 rejected for a second time.

The 841 rejected cases are to be evaluated manually by the counties and consortia for eligibility.  The 879 temporary coverage cases were granted Express Lane aid codes and Medi-Cal coverage until the cases can be evaluated.  DHCS ACWDL 15-05 (1/20/15).