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.
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
Affordable Care Act
DHCS MEDIL 14-05: Treatment of Former Foster Care Program
Effective January 1, 2014, the Former Foster Care Children’s Program (FFCC) was extended to provide Medicaid coverage to individuals through age 26 who were in foster care on their 18th birthday in any state. This letter, available here, instructs counties to enroll any new applicants who meet this criteria.
DHCS MEDIL 14-02: Affordable Care Act Guidance
This letter provides guidance to counties on: 1) processing pending CalHEERS applications for individuals with current Medi-Cal eligibility; 2) ex parte review of pending CalHEERS Medi-Cal applications using existing CalWORKS and CalFresh cases; and 3) verifying state residency and remote identity proofing procedures until the CalHEERS/SAWS interface is functional. The letter is linked here.
DHCS ACWDL 14-01: Low Income Health Program Transition to Medi-Cal
Enrollees in the Low Income Health Program (LIHP) prior to December 31, 2013 have been and will continue to be administratively moved to MAGI Medi-Cal by DHCS until the end of March 2014. These individuals were given a transition aid code which will remain in place until the next scheduled redetermination unless the enrollee makes a new application or reports a change in circumstance that requires a new eligibility determination. For more information on the LIHP transition to Medi-Cal, view the letter here.
DHCS MEDIL 13-15: Temporary Eligibility for Medi-Cal Pending Cases
This letter grants presumptive temporary MAGI Medi-Cal eligibility (aid code 8E) to individuals who applied through the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and whose applications have been delayed due to the delay in functionality of interface between CalHEERS and the Statewide Automated Welfare Systems (SAWS). The letter also provides instructions for how to complete these applications once the interface is live. Read the entire letter here.
ACIN I-53-13: Guidance On The Implementation Of The Affordable Care Act Of 2010 (9/17/13)
Sending to the DSS side of the world the Dept. of Health Care Services Medi-Cal Eligibility Division Letters (MEDIL) that relate to the Affordable Care Act of 2010. Part of ensuring the “seamless experience for customers and streamlining existing processes.” [Download]