This letter instructs counties that when CalHEERS pends a MAGI Medi-Cal application because it is not reasonably compatible with data hub information, counties must conduct ex parte review to determine if income is already verified elsewhere. Also, the letter indicates that MAGI Medi-Cal applicants can only get retroactive coverage to January 1, 2014 but that individuals who applied with single streamlined applications can get coverage back to 2013 if otherwise eligible. Click here to read the letter.

CMS authorized DHCS to grant MAGI Medi-Cal eligibility automatic to CalFRESH eligibles who do not have current Medi-Cal eligibility. Individuals must be under 65, not blind or disabled and without Medicare or Medi-Cal.  These individuals will receive an opt-in letter and may opt in by phone, mail or online.  The letter (here) details how express lane enrollees can remain eligble and the impact of changed circumstances as well as CalFRESH termination.

This letter, gives counties instruction on the application of Continuous Eligibility for Children (CEC) in light of new federal guidance and the transition of Healthy Families Program (HFP) to Medi-Cal. Provides that children on both MAGI and non-MAGI Medi-Cal children retain eligibility for 12 months (starting with date of eligibility) or until they turn 20.  It further explains noticing and procedures for changed circumstances and also clarifies that former foster youth and former HFP enrollees are not subject to 10 day reporting requirement that Medi-Cal beneficiaries with other linkages are subject to.  Read the entire letter here.

 

 

Establishes new limits for all of the Medi-Cal programs for which eligibility is based on a percentage of the Federal PovertyLevel (FPL) effective April 1, 2014.  Note the addition of many new FPL limits associated with MAGI coverage under the ACA.  The letter, here, includes a 2014 FPL chart as well.

This letter (here) explains new ex parte review process for MAGI Medi-Cal annual reviews.  Informs counties that pre-ACA Medi-Cal cases will be redetermined starting in May 2014 and provides a schedule for January 2014 -April 2014 redeterminations. At the first post-2014 counties will collect baseline information from pre-ACA Medi-Cal enrollees in order to move them into MAGI Medi-Cal by sending the Request for Tax Household Information (copy is attached to the letter). The errata to this letter, available here, states that redeterminations will not begin until June 2014.