New Medi-Cal noticing requirements under Rivera

DHCS issued guidance about notice requirements for Medi-Cal applicants whose applications have not been processed within 45 days per the Rivera decision.  These beneficiaries have a right to file an appeal and request a hearing when the Medi-Cal determination has not been made within 45 days of application.

To comply with these requirements, DHCS has implemented in two phases a Rivera notice that foregoes the 90 day deadline to file for a hearing (applicable only for Rivera notices).  Notices are available only in English and Spanish; samples are available with the letter.

DHCS MEDIL I 15-11 (4/7/15)