ACWDL 09-17: Amendment of the federal provision of “deemed” eligibility for infants (4/13/09)

Deemed eligibility infants used to lose eligibility if they stopped residing with their mother. It was also required for the infants eligibility that the mother remain eligible for Medi-Cal or would remain eligible if still pregnant. Starting April 1, 2009 deemed infants will stay on Medi-Cal their first year even if they no longer live with their mother or if their mother is no longer eligible for Medi-Cal. This change was made by the new CHIPRA law. DHCS will change the regulations to comply there will also be changes to the MEPM and the relevant forms. [Download]

ACWDL 09-16: MOU between the CDCR AND DHCS regarding the pre-parole process for securing Medi-Cal entitlements (4/1/09)

The California Department of Corrections and Rehabilitation and the Department of Health Care Services struck up an agreement that facilitates the completion and submittal of Medi-Cal applications for inmates and wards of CDCR prior to their release. Attached to this letter is the memo of understanding between the two departments. The letter includes a summary of the mou. [Download]

ACWDL 09-15: Suspension of CEC reduction and Medi-Cal MSR requirements for children (3/27/09)

To receive the FMAP increase under ARRA states cannot have more restrictive policies then were in place on July 1, 2008. Since July 1, 2008 California had reduced the continuous eligibility for children (CEC) period from one year to six months as well as added a Mid-Year Status report requirement for some children. The 6 month CEC and the MSR requirement will be suspended until the Director of DHCS issues a declaration specifying that the increased FMAP is no longer available through the ARRA. Upon such a declaration, the CEC time period will be restored to six months and MSR requirements for children will be required. The letter includes instructions to reinstate any child who was discontinued because of the 6 month CEC or the MSR. [Download]

ACWDL 09-13: Extension of the Transitional Medi-Cal (TMC) Program Sunset Date (3/13/09)

TMC, which provides an additional six to twelve months of Medi-Cal eligibility to beneficiaries discontinued from the Section 1931(b) program due to earnings from employment, has a new sunset date of December 31, 2010. Counties will continue to do eligibility determinations for TMC until DHCS notifies them that the program has been discontinued. [Download]