Transmitting the updated requirements for the ILP Annual Narrative Report. Due 4/15/14. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
ACL 14-28: Expansion Of The Definition Of Relative For The Federal KIN-GAP Program (3/25/14)
Instructions on the implementation of the expanded definition of “relative” for the federal KinGAP program. (No change to the state-funded KinGAP). In addition to the traditionally defined relatives, California can now provide federal KinGAP to “fictive” relatives. These are: non-related extended family members; adult members of the child’s tribe or an Indian custodian, and a current foster parent who has established a family-like relationship with the child and who enters into an agreement to be a permanent connection for the child. These new definitions cannot be retroactive to the period prior to federal approval, even though the state law exercising the state optional expansion passed in 2013. All the other eligibility rules that apply to KinGAP must be met. [Download]
CMSP ACL 14-02: CMSP Policy on Determination of Other Health Coverage Under Expanded Medi-Cal and Covered California
Earlier this year, the CMSP Governing Board issued guidance regarding eligibility for CMSP after the expansion of Medi-Cal and implementation of Covered California. All applicants will be considered for MAGI Medi-Cal and Covered California before being evaluated for CMSP. For full details, read the letter here.
For applications subject to the Covered California open enrollment period, applicants not otherwise eligible for Medi-Cal must provide evidence to the county of a Covered California application and, when required, evidence of the first month’s premium payment.
- Applicants who provide the evidence will receive CMSP coverage for the period between the application date and the start of Covered California coverage.
- Applicants who fail to provide evidence will be denied eligibility for CMSP due to non-compliance. The start date of CMSP aid will be the first of the month after Covered California enrollment ends.
For applications not subject to the Covered California open enrollment period, applicants not otherwise eligible for Medi-Cal must provide evidence that any Covered California coverage was terminated due to lack of monthly premium payment and attestation that no special circumstances for enrollment exist.
- If no special circumstances exist, the county will determine an applicant’s CMSP eligibility.
- If a special circumstance exists, the applicant must provide evidence of application to Covered California and evidence of the first month’s premium payment.
- If no evidence is provided, the county will deny the CMSP application.
DHCS PL 14-002: Requirement to Use Food and Drug Administration Approved Drugs, Rather Than Compounded Alternatives
In this Policy Letter to all Medi-Cal managed care plans, DHCS requires the use of FDA-approved and nationally marketed drugs unless a medical necessity can be established for the use of a compounded alternative. Read the letter here.
DHCS APL 14-005: New Benefit — Voluntary Inpatient Detox
This letter to Medi-Cal managed care plans outlines a new benefit available on a fee-for-service basis. Beneficiaries with medical necessity may receive voluntary inpatient detoxification services at general acute care hospitals. The letter is available here.
ACL 14-19: KIN-GAP Program Nonrecurring Costs For Legal Guardianship (2/28/14)
Both federal and state law allow for kinship guardians to be reimbursed for the total cost of nonrecurring legal expenses in obtaining the guardianship. This includes transportation costs for attending the hearing(s), mileage, parking, lodging and food to attend the hearing, and out of pocket attorney’s fees. [Download]