Upcoming Changes to CalHEERS online Single Stream Application

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As of March 2, 2015, the online CalHEERS application portal has been changed to be more consumer friendly and in line with the paper application.  This DHCS letter explains that changes were made to simplify language and improve applicant understanding by putting some information front and center and making links available in easier places.  The changes include:

  • Asking questions about whether applicant qualifies for subsidies up front;
  • Links to information about the Deemed Infant Program, the Former Foster Youth program, and programs for pregnant women;
  • Updating the household information section to clarify what documentation is required;
  • Preventing the entry of contradictory tax information; and
  • Offering the opportunity to register online to vote.

Paper applications are being reviewed and will be printed when approved.  DHCS MEDIL I 15-04 (3/4/15).

Eligibility criteria and instructions to counties on Approved Relative Caregiver program

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Relative caregivers of foster children who are not eligible for federal foster care payments may be eligible for an equivalent payment through the Approved Relative Caregiver (ARC) program if their counties elect to participate in the program.  While the households of relative caregivers might be eligible for CalWORKs benefits for non-federally eligible foster children, those payments are lower than the federal foster care payment rate.  This letter explains the eligibility requirements for the children and caregivers and instructs the counties on the requirements of the program and how to opt in or out, in accordance with Welf. & Inst. Code §11461.3.  ACL 14-89.

Change in Third Party Administrator for CMSP Benefits

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As of April 1, 2015, CMSP medical and dental benefits will be authorized by Advanced Medical Management, taking over for Anthem Blue Cross.  On March 3, 2015, beneficiaries were mailed notices regarding this transition.  CMSP ACL 15-02 (3/3/15).

AEVS responses and the Medi-Cal Provider Operations Manual will be updated to reflect this change as of April 1, 2015.  DHCS MEDIL I 15-06 (3/6/15).

Updates to SSI Allocations and MSP property limits

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DHCS has informed counties about the increase in the standard and parent allocations for SSI in 2015.  This DHCS letter also includes information about the decrease in Medicare Part A premiums, and the lack of change for Part B premiums and deductibles.  Similarly, the property levels for the various Medicare Savings Programs remain at $7,160 for an individual and $10,750 for a couple.  DHCS ACWDL 15-13 (3/3/15).

MAGI Medi-Cal Beneficiaries may be eligible for PACE program

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DHCS issued guidance to the counties, noting that MAGI Medi-Cal beneficiaries could be eligible to participate in Programs for All-Inclusive Care for the Elderly (PACE) as long as they met all other requirements.  The letter provides a list of program contacts for PACE, a program that allows participants to avoid institutionalization and stay at home.  DHCS ACWDL 15-11 (2/27/2015).