More on the sanctions/good cause front. WTW 26 Good Cause Determination Form is out. (It’s a “recommended form,” but counties must have alternative with at least these reasons). [Download]
More on the sanctions/good cause front. WTW 26 Good Cause Determination Form is out. (It’s a “recommended form,” but counties must have alternative with at least these reasons). [Download]
Provides questions and answers about implementation of the Craig v. Bonta order requiring counties to redetermine eligibility for Medi-Cal recipients when they lose SSI/SSP, instead of terminating their Medi-Cal. A chart is attached to the ACL that identifies each category of SSA discontinuance, codes and potential aid types, rules for each aid type (income, resources, immigration status), and other useful information to determine how a person discontinued from an SSA benefit can retain Medi-Cal. [Download]
The court in Craig v. Bonta ordered the three-step Medi-Cal redetermination process under SB 87 also applies to recipients that have been terminated due to loss of SSA benefits. Reviews the three-step process: (1) ex parte review; (2) direct contact; and (3) request for information form (MC 355). Provides timeline for implementing SB 87 determination process for backlogged cases and issues new aid codes for terminated Medi-Cal SSI recipients. [Download]