DHCS has instructed counties to evaluate all RMA beneficiaries for eligibility for MAGI and Covered California back to January 1, 2014. New RMA applicants will be screened for Medi-Cal up to 138%, 8 months of RMA from 138% to 200%, and Covered California above 200%.
For current RMA beneficiaries whose 8 month time limit has not expired, counties must restore eligibility back to 1/1/14 for those who would have been eligible for MAGI Medi-Cal; those who are not eligible for MAGI or for other Medi-Cal linkage will be assessed for Covered California APTCs once their eight month eligibility period has run. Reviews should be ex parte to the fullest extent possible, with requests for information used only if counties can not get the information through available sources.
For RMA/RCA cases closed after 1/1/14, counties must redetermine them for MAGI or Covered California eligibility.
RCA beneficiaries must stay in the RCA aid code for the full eight months until further notice. DHCS ACWDL 15-16 (3/20/15).