Announces the discontinuance of Medi-Cal eligibility codes 18, 28, and 68 after January 31, 2006. [Download]
Announces the discontinuance of Medi-Cal eligibility codes 18, 28, and 68 after January 31, 2006. [Download]
Updates the income standards and resource limits for Medi-Cal’s tuberculosis program, now at $1291 in income per month and $2000 in resources for an individual (if the applicant is married, this limit applies to all of the applicant’s separate property and half of the community property). [Download]
Makes note of the $30 Substantial Gainful Activity increase to $860 per month (effective January 1, 2006) and clarifies that, even where severe medical conditions exist, an applicant will not be considered disabled if he or she has average monthly earnings at or above the SGA level. [Download]
Reminds counties that, pursuant to the Lynch v. Rank lawsuit, every potentially eligible Pickle person must receive a Pickle Medi-Cal notice for three consecutive years. The letter also announces that individuals listed during years previous to the most recent three will be dropped from the Pickle Tickler report and a year’s worth of ineligibles will be purged each year. Lynch also requires that each person on the Pickle Tickler listing who has an active Medi-Cal case or who brings the Tickler notice into the county welfare department to apply under the Pickle Amendment shall have an eligibility determination completed.[Download]
Effective April 1, 2005, all Medi-Cal programs that use SSI property rules (Pickle, Disabled Adult Child, Disabled Widow(er), and 250% Working Disabled) are to adopt the following changes:
· The definitions of “Household goods” and “personal effects” have been broadened and, regardless of their dollar value, no longer count as resources.
· The $500 limit for items of unusual value has been eliminated. [Download]
Directs counties how to reinstate eligibility for Qualified Medicare Beneficiary Program (QMB) cases that are erroneously discontinued through no fault of the beneficiary. Eligibility can be reinstated for months when the beneficiary should have been receiving benefits. Medi-Cal must retroactively pay for all past-due Medicare premiums. [Download]