This letter (here) explains new ex parte review process for MAGI Medi-Cal annual reviews.  Informs counties that pre-ACA Medi-Cal cases will be redetermined starting in May 2014 and provides a schedule for January 2014 -April 2014 redeterminations. At the first post-2014 counties will collect baseline information from pre-ACA Medi-Cal enrollees in order to move them into MAGI Medi-Cal by sending the Request for Tax Household Information (copy is attached to the letter). The errata to this letter, available here, states that redeterminations will not begin until June 2014.

Instructs counties to manually correct cases for applicants with immediate medical need incorrectly found ineligible by CalHEERS, for immigrants who should get full scope Medi-Cal but erroneously received restricted scope through CalHEERS, and for Former Foster Care youth up to 26 due to SAWS programming issues.  The letter, available here, further directs counties to report any new eligibility problems to DHCS and states that DHCS will fix the issues within 2 days.

This letter provides temporary guidance to counties on certain workarounds necessary to process MAGI Medi-Cal eligibility while the SAWS and CalHEERS interface is being improved.  This letter addresses how to manually process MAGI Medi-Cal applications with two primary tax filers on the same application as well as how to process cases that are rejected by CalHEERS because the applicant does not meet the 5 year immigration bar but is eligible for Medi-Cal per California rules.  To see the entire letter, click here.

This MEDIL clarifies for counties that individuals who are eligible under MAGI Medi-Cal can receive LTCSS under their MAGI Medi-Cal full scope aid code and also provides guidance to counties in situations where one LTC spouse is non-MAGI and one is MAGI. View the letter here.