This letter clarifies and modifies the Medi-Cal to Healthy Families bridging performance standards originally laid out in ACWDL 07-03. [Download]

The QI1 program is a Medicare savings program that pays the Medicare Part B premium for people under 135% of the FPL. The program’s sunset date has been extended until December 31, 2010. Counties will continue to accept applications until DHCS notifies them that the program has been discontinued. [Download]

AB 1512 requires that foster care children that have moved to a new county be disenrolled from the County Organized Health System (COHS) in the previous county within two working days of a request from certain entities. Foster care kids and kids in the adoption assistance program are not required to be in managed care in most counties, in COHS counties they do have to be in the COHS. In the past when FC and AAP kids moved out a COHS county they either were unable to disenroll right away or were disenrolled only to be automatically reenrolled at the beginning of the next month. This new letter lays out a process that implements AB 1512 and is designed to correct the past disenrollment problems. Counties will immediately enter in the county system the child’s new residence address and where necessary the residence county code and counties will contact the Medi-Cal Managed Care Ombudsman’s office to disenroll the child. When the ombudsman’s office is contacted not by the county but by an authorized medical decision maker the ombudsman’s office will disenroll the child and instruct the decision maker to contact the FC or AAP worker in the county of responsibility to ensure that the new residence address is updates in the county system. The letter also contains information regarding access to mental health services and instructions for when a Foster Child moves out of state. [Download]

This all county letter includes a comprehensive chart of 2009 calculations for different Medi-Cal programs. [Download]

The couples’ 100% FPL effective April 1, 2009, was printed in 09-08 as $1214 it is actually $1215. This does not changed the actual couples income cap of $1579 for the A&D FPL. [Download]

The 2009 income limits and disregards for the A&D FPL program are now out. $1133 is the limit for an individual beginning April 1st (2009, although the letter says 2008). The A&D FPL couple income limit is still $1579 as of January 1, 2009. [Download]