Medi-Cal beneficiaries information is now confidential; it can only be released for purposes directly related to administration of the Medi-Cal program. Employees can only access as much beneficiary information as they need to administer the program. As of 2/1/08 most providers will not get paid unless they bill using the beneficiaries BIC number, as opposed to the SSN. Beneficiaries have been noticed that providers can refuse to give them medical care if they do not have their BIC with them at appointments. [Download]

This ACWDL contains 5 different DRA related NOAs, in English and Spanish. They have yet to be translated into other threshold languages. The first two NOAs inform Medi-Cal applicants that they have been approved for restricted-scope Medi-Cal with or without a share of cost for failure to provide acceptable evidence of citizenship/ national status or identity. Notice’s 3 and 4 inform beneficiaries that their benefits are being reduced for not providing acceptable evidence. The final notice restores full-scope benefits to both applicants and beneficiaries because acceptable evidence was provided- yay. [Download]

Previously the Program Review Section reviewed Counties’ application processing times using two different application samples, one for general applications and one for disability-based applications. This ACWDL changes the process and integrates the area of application processing into one application sample. The idea is that the new process will create samples that are more representative of the total application population; the old process was yielding low numbers of reviewable disability- based cases. The reviews will be based on the same time standards of 45 days for general applications and 90 days for disability-based applications; of course disability-based applications that cannot be processed within 90 days due to state agency delay will not be considered.   [Download]