Establishes new limits for all of the Medi-Cal programs for which eligibility is based on a percentage of the Federal Poverty Level (FPL), including 1931(b). The letter directs that for individuals enrolled in the Medicare Savings Programs (MSPs) who do not receive Title II income, counties must apply the new FPL figures retroactively to January 24, 2013. The letter and related charts are available here.
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
Author: Amy Williams
ACWDL 13-05: Presumptive Eligibility for Pregnant Women (PE) Program
Provides current information about the PE program as well as links to current forms. The letter, available here, provides information about PE covered services, application process and coverage period.
ACWDL 13-03: Screening of (1) Child Applicants in the Age Group 6-18 for Potential No Cost Medi-Cal Eligibility Under Section 1931(b) and (2) Deemed Eligible Medi-Cal Infants Under the Age of One
This letter is the result of the lawsuit filed by Maternal Health and Child Access (MCHA) against DHCS and MRMIB for failing to refer Healthy Families applicants who applied through the Single Point of Entry (SPE) to Medi-Cal for 1931(b) screening and for failing to implement deemed infant screening procedures. Because Healthy Families is no longer enrolling new applicants as of January 1, 2013, all applications are being forwarded to Medi-Cal anyway. However, MRMIB is conducting outreach to current HFP families who may have been impacted and advising them that they may complete a Premium Reevaluation form to be screened for 1931(b) eligibility. To see the letter and all related notices, click here.
ACWDL 13-02E: Errata 2013 Medicare Premiums and SSI Standard and Parent Allocations and Property Limits for the Medicare Savings Programs and Other Programs
Amends ACWDL 13-02, which informs counties of the allocations and property limits for the Medicare Savings Programs (MSPs) as well as the Medicare premium amounts for 2013. The letter, available here, also directs counties to disregard Title II COLAS for programs where eligibility is based on the Federal Poverty Level (FPL) until the new 2013 FPLs are effective for that program.
CMSP Letter No. 13-01: Path2Health and CMSP Notices of Action
This letter requires counties to send notices to Path2Health and CMSP enrollees in the 5th month of their eligibility reminding them that they need to have their eligibility redetermined. Along with the notice, counties are required to provide an application and self-addressed stamped envelope for return mailing. Additionally, the letter requires CMSP counties to provide notice and appeal rights regarding the Path2Health application whenever it approves or denies a CMSP application. Click here to download.
ACWDL 13-01: 2013 Medicare Catastrophic Coverage Act Spousal Impoverishment Caps
Informs counties of the increase to the maximum income and property caps. [Download]