DHCS has issued a letter to Medi-Cal managed care plans to instruct plans to include adult immunizations on plan formularies. A pharmacist may administer immunizations according to plan protocols as long as the pharmacist completes an immunization training, is certified in basic life support, and comply with all state and federal recordkeeping and reporting requirements.
DHCS APL 16-009 (August 31, 2016).
The California Department of Social Services has informed counties that the legislature has repealed the CalWORKs Maximum Family Grant (MFG) rule. Effective January 1, 2017, no child will denied aid because the child was born into a family receiving CalWORKs. Any child previously excluded by the MFG rule must be added to the assistance unit effective January 1, 2017.
Counties are required to review their caseloads to determine existing cases with children excluded by the MFG rule and inform those families that their CalWORKs grant will change to include the previously excluded children. In addition, counties must send a mass mailing starting on November 1, 2016 to all CalWORKs recipients informing them of the repeal of the MFG rule. CDSS encourages counties to display the informing notices in their offices and to discuss the MFG repeal at application and redetermination.
Children previously excluded by the MFG rule will be subject to child support assignment. Children excluded by the MFG rule were able to keep all child support paid on their behalf. Child support paid on behalf of these children will be assigned to the state the effective January 1, 2017 and the family will receive the first $50 of child support collected on behalf of the family. Parents will need to complete the CW 2.1Q Child Support Questionnaire for children previously excluded by the MFG rule if those children are not already identified on an existing CW 2.1Q. Parents will be required to cooperate with the local child support agency unless they have good cause, including that cooperation will put the family at risk.
Other benefits paid on behalf of children excluded by the MFG rule, such as Social Security dependant’s benefits, will be counted as income for CalWORKs effective January 1, 2017. In addition, CalFresh benefits will be redetermined based on the new CalWORKs grant. ACL 16-66 (August 26, 2016).
The CalWORKs Maximum Aid Payment (MAP) will increase by 1.43% effective October 1, 2016. CDSS has directed counties to notify recipients of the change to their grant no later than September 20, 2016. CDSS also directed the computer system consortia to automate the grant increase or ensure a workaround to ensure that CalWORKs recipients receive the MAP increase on October 1.
The MAP change may change the Income Reporting Threshold (IRT) for some CalWORKs assistance units. CDSS directed counties to inform these recipients of their new IRT.
CDSS provided a chart of the new CalWORKs grant levels. ACL 16-64 (August 16, 2016).
The California Department of Social Services has issued instructions about child support referrals for Adult Relative Caregiver (ARC) recipients. ARC cases can be referred to the local child support agency for child support enforcement and ARC benefits can be recouped from collected child support.
However, an ARC recipient should not be referred for child support enforcement if the parent or guardian of a child on whose behalf ARC benefits are being received is receiving reunification services and child support will pose a barrier to reunification. Child support can pose a barrier to reunification if child support payment will compromise the parent’s ability to meet the requirements of the reunification plan or the parent’s current or future ability to meet the financial needs of the child.
In addition, the county must determine whether there is good cause for not cooperating with local child support agency under Welfare and Institutions Code Section 11477.04. This includes risk of harm to either the child or the parent. ACIN I-48-16 (June 29, 2016).
The California Department of Social Services has issued information about new regulations implementing IHSS provider enrollment rules and procedures. These rules and procedures include 90 days to complete the provider enrollment process with a possible 45 day extension for good cause, attending an in-person orientation, fingerprinting for criminal background check, notice of eligibility or ineligibility to be enrolled as a provider and waiver of disqualifying convictions. In addition, the county will determine whether a provider has legal authority to work in the United States.
The new regulations also specify that an enrolled provider cannot be required to complete the provider enrollment process when the provider moves from one county to another. The county that the provider moved from is obligated to give the new county the criminal background check clearance documents and the new county must accept that documentation. ACL 16-53 (July 7, 2016).
DHCS has issued an informational letter to summarize the categories of employment authorization codes and the scope of Medi-Cal benefits qualified individuals can expect. The EAD category code indicates an individual’s immigration status, and this MEDIL includes a chart of codes with their corresponding scope eligibility.
DHCS MEDIL I 16-12 (8/5/16)