DHCS is directing managed care plans to treat Medical Exemption Requests as automatic requests for continuity of care for those Medi-Cal beneficiaries transitioning into managed care. MCPs must treat every exemption listed in data reports as an automatic continuity of care request. MCPs must attempt to contact beneficiaries via letter and two calls, and must begin processing requests within five days. DHCS All-Plan Letter 15-001 (1/14/15).