DHCS provided this updated information on processing state residency verifications for pending and current applications through SAWS and CalHEERS.  Previously, the paper verification of state residency status had been suspended until 8/1/14.  That suspension is now extended until further notice.  Attestation by verbal contact or listing of California address is sufficient.

DHCS issued this letter to the counties about the implementation of the new Full-scope Medi-Cal coverage and affordability benefits program for low-income women and non-qualifying immigrants, to be operational no sooner than 1/1/15.

Currently, Medi-Cal limits full-scope benefits to pregnant women under 60% FPL and pregnancy-only Medi-Cal to those between 60%-208% FPL.  Recent legislation established an affordability wrap between Medi-Cal and QHPs purchased through Covered California where pregnant women and non-qualifying (5 year bar) immigrants in a Covered California plan could have out-of-pocket expenses (including copays, premiums and deductibles) paid for by Medi-Cal.

Once these programs are fully implemented, pregnant women under 138% FPL will qualify for full-scope Medi-Cal.  Pregnant women between 138-213% FPL who are enrolled in a Covered California QHP will have the option to enroll in the wrap.  NQIs who would have been eligible for Medi-Cal due to MAGI expansion rules would enroll in a QHP with automatic enrollment in the wrap.

The letter also discusses the implementation process to be followed leading up to January 2015.