The sunset date for Transitional Medi-Cal (TMC) has been extended to December 31, 2012. TMC provides up to 12 months of Medi-Cal eligibility to beneficiaries discontinued from the Section 1931(b) Medi-Cal program due to employment-related reasons, such as increased hours and/or earnings. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
Medi-Cal
ACWDL 12-08: New Federal Poverty Levels
Updated FPLs for the Medi-Cal program. In most circumstances, the effective date is April 1, 2012. Some exceptions apply for people eligible for Medicare Savings Programs (MSPs). [Download]
ACWDL 12-6: Communication Error Between SSA and MEDS for Qualified Medicare Beneficiaries During Open Enrollment
Once again there was a communication error between the Social Security Administration (SSA) and the state while processing the records for Qualified Medicare Beneficiary (QMB) applicants who applied during the Medicare open enrollment period of January through March 2011. There are two types of impacts: 1) some people still show pending Medicare Part A status in the SSA and state systems after July 2011 and 2) others had their Medicare Part A status restored, but the QMB buy-in did not take place. DHCS issued corrective instructions to the Counties, and Counties must report final resolution of all cases to DHCS no later than May 15, 2012. Download
ACWDL 12-05: Medicare Catastrophic Coverage Act Spousal Impoverishment Caps
For Medi-Cal Long Term Care (LTC) Eligibility: For 2012 the community spouse resource allowance (CSRA) increased to $113,640 and the maximum spousal income allocation/minimum monthly maintenance needs allowance (MMMNA) increased to $2,841 per month. Download
ACWDL 12-3: Six New Aid Codes To Identify Assembly Bill 12 Non-Minor Dependents in the Foster Care, Kinship Guardianship Assistance Payment Program, CalWORKs, and Adoption Assistance Program
More Medi-Cal aid codes! These new codes will identify dependents age 18 through 21, who qualify for the current Foster Care (FC), Kin-GAP, CalWORKs, and Adoptions Assistance Program (AAP), who meet certain criteria under AB 12 to continue to receive extended benefits starting January 1, 2012.
Effective April 1, 2012, counties must begin using the new aid codes (43, 49, 07, 4N, 4S, and 4W). Until then, counties must perform a MEDS transaction maintain eligibility for these beneficiaries. Download
ACWDL 12-02: MC 223C – Supplemental Statement of Facts For Medi-Cal Child Only Under Age 18
A new form, the MC 223C, is now required for applicants under the age of 18 filing for Medi-Cal based on a disability. The MC 223C supplements the regular Medi-Cal application and is available in threshold languages. Download