DHCS ACWDL 14-14: Implementation of the Hospital Presumptive Eligibility (HPE) Program

Posted on April 1, 2014 by John Tan

This letter provides preliminary information on Hospital Presumptive Eligibility. Effective January 1, 2014, qualified hospitals can temporarily enroll certain individuals into MAGI Medi-Cal. Application is by one-page attestation, and qualified hospitals complete the process through online Hospital PE portal; eligibility is made in real time.

Enrollment is limited to once per 12-month period for 60 days of HPE coverage; pregnant women are permitted one HPE period per pregnancy for ambulatory prenatal services. HPE providers are required to provide HPE individuals an insurance application prior to leaving the hospital, which must be completed no later than the end of the next month. HPE eligible individuals will receive full-scope Medi-Cal benefits unless eligibility is based on pregnancy.

DHCS MEDIL I-14-21: Statement of Citizenship, Alienage and Immigration Status Form (MC 13) Under the Affordable Care Act

Posted on April 1, 2014 by John Tan

This letter provides guidance on verifying applicant citizenship/immigration eligibility through the federal data hub before sending out the MC 13 Status Form.

DHCS ACWDL 14-12: New Limits and Disregards for the Aged and Disabled Federal Poverty Level Program for 2014 – Beginning April 1, 2014

Posted on April 1, 2014 by John Tan

This letter from DHCS updates the Aged and Disabled Federal Poverty Level thresholds to $1203 for an individual and $1641 for a couple.

ACIN I-14-14: Work Incentive Nutritional Supplement (WINS) Food Supplement (3/28/14)

Posted on April 1, 2014 by Jodie Berger

Information and instructions regarding the WINS program and its designated aid codes. WINS is a food benefit which applies to CalFresh only Non-Assistance households, which are not getting CalWORKs, but who who meet the qualifications for TANF work participation hours through work, and have at least one child in the household who is under 18 years old. If eligible, the WINS benefit is automatically added to the household’s EBT card. WINS eligibility is determined for the household a) at application, b) when the household reports a change, or c) at recertification, and continues on a monthly basis for so long as the household remains eligible. [Download]

ACL 14-15: Federal Requirements For The Transfer Of Indian Children To A Tribal Title IV–E Agency Or An Indian Tribe With A Title IV–E Agreement (2/14/14)

Posted on March 28, 2014 by Jodie Berger

A summary and explanation of the policies and procedures and identify the minimum federal requirements for transferring an Indian child from the county child welfare system and court jurisdiction, to the Title IV-E Agreement Tribe or tribal agency. [Download]

ACL 13-82E: Errata To The CalWORKs): Extending Benefits To Non-Minor Dependents – Questions And Answers (Part Two)(3/25/14)

Posted on March 28, 2014 by Jodie Berger

Revised responses to questions 13 and 14 to correctly reflect that if a child living with his or her parent, where the parent is a non-minor dependent and also a recipient of foster care, is not an eligible child for CalWORKs and must instead receive Foster Care benefits. [Download]

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