Reviews existing procedures for “deemed eligibility” for Medi-Cal for an infant born to a mother who is eligible for and receiving Medi-Cal. Infant is “deemed eligible” for Medi-Cal until her first birthday and should be enrolled without an application as long as the infant can be linked to the mother’s Medi-Cal. Letter introduces and explains the revised Newborn Referral Form (MC 330) form). [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
Author: Brian Lawlor
DHS ACL 03-35 – “Express Enrollment” for Children Enrolled in Free School Lunch Program (July 2, 2003)
AB 59 (2001) allows children who are approved for free lunches to apply for Medi-Cal using the information on the National School Lunch Program (NSLP) application. Effective July 1, 2003, all counties are required to participate in a statewide pilot project to make Medi-Cal determinations using the NSLP application and a supplemental form. School participation in the project is voluntary and schools are not required to share the information on NSLP applications. If a school participates, the school follows a simplified income eligibility process, called “Express Enrollment,” to determine temporary Medi-Cal eligibility. As of the date of the letter, school districts in only five counties were participating: Los Angeles, San Diego, Santa Clara, San Mateo, and Fresno. The NSLP county contact list is attached to the letter. [Download]
DHS ACL 03-34 – Changes in the Income Disregard (200%) Program for Pregnant Women (June 19, 2003)
Revises program rules immediately so that all income from parent(s) of a pregnant minor who live together in the home is disregarded when determining eligibility for the Income Disregard (200%) Program if the pregnant minor is not eligible using regular rules. This includes a pregnant minor who is between the ages 18 to 21 and is claimed as a tax dependent by her parents even though she does not live in the home of her parents. A pregnant minor who has a share-of-cost due to parental income and resources may redetermine her eligibility using the new rule retroactive to January 1, 2002. [Download]
WTW 26 Good Cause Determination Form
More on the sanctions/good cause front. WTW 26 Good Cause Determination Form is out. (It’s a “recommended form,” but counties must have alternative with at least these reasons). [Download]
DHS ACL 03-52 – Questions and Answers on SB 87 Redetermination Process for all Discontinued SSI/SSP Beneficiaries as Ordered in Craig v. Bonta (November 14, 2003)
Provides questions and answers about implementation of the Craig v. Bonta order requiring counties to redetermine eligibility for Medi-Cal recipients when they lose SSI/SSP, instead of terminating their Medi-Cal. A chart is attached to the ACL that identifies each category of SSA discontinuance, codes and potential aid types, rules for each aid type (income, resources, immigration status), and other useful information to determine how a person discontinued from an SSA benefit can retain Medi-Cal. [Download]
DHS ACL 03-24 – SB 87 Redetermination Process for all Discontinued SSI/SSP Beneficiaries as Ordered in Craig v. Bonta (May 6, 2003).
The court in Craig v. Bonta ordered the three-step Medi-Cal redetermination process under SB 87 also applies to recipients that have been terminated due to loss of SSA benefits. Reviews the three-step process: (1) ex parte review; (2) direct contact; and (3) request for information form (MC 355). Provides timeline for implementing SB 87 determination process for backlogged cases and issues new aid codes for terminated Medi-Cal SSI recipients. [Download]