ACWDL 11-33: Deemed Eligibility and Continued Eligibility for Infants (08/25/11)

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This letter modifies policies for deemed eligibility (DE)  and continued eligibility (CE) for infants. This letter supersedes ACWDL 09-17.

An infant born to a Medi-Cal eligible woman at the time of birth has deemed eligibility for Medi-Cal until age one year. The infant is deemed eligible regardless of the infant’s living arrangements.  The letter provides additional guidance about specific share-of-cost scenarios. Infants may stay enrolled in Medi-Cal through age one regardless of increases in family income.  Counties must conduct a redetermination for the infant as it approaches age one.  Counties may terminate a family with a deemed infant from Medi-Cal due to loss of contact but may also reinstate deemed eligibility if contact is re-established.

Review the letter for additional guidance on DE and CE for infants. [Download]

ACWDL 11-34: Section 1931(b) and new CalWORKs Time Limits As a Result of Senate Bill 72 (08/17/11))

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This letter clarifies that beneficiaries experiencing a CalWORKs reduction or termination as a result of SB 72 should maintain Medi-Cal eligibility. SB 72 reduced the CalWORKs time-on-aid for adults from 60 months to 48 months. If any beneficiary becomes ineligible for CalWORKs solely because of the time limit changes, the county must transition these individuals to Section 1931(b) Medi-Cal and use the CalWORKs case information for the Medi-Cal case file until the next annual re-determination. [Download]

ACIN I-72-11: Katie A Lawsuit – Notice Of Hearing On Proposed Settlement Agreement (10/21/11)

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This class action case involves access to mental health and support services for those in foster care or at risk of removal. LA county already settled, but there will be a hearing on the settlement with the state. The Order, Notice and Proposed settlement are attached to the letter. The hearing is 12/1/11 in Los Angeles.  [Download]

 

ACL 11-72: Change In Sanction Period For Failure To Cooperate In A Quality Control (QC) Review (10/18/11)

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Federal rules previously sanctioned the entire household, even if only one member of the household refused to cooperate with the QC review. New federal rules now apply the sanction for non-cooperation with the QC review to the individual. If it is determined that the entire household is “complicit” with the refusal to cooperate, the sanction shall be applied to the entire household.

The sanction period is also extended from 95 days to 125 days (state) and for refusal to cooperate with the federal QC reviewer from seven months to nine months after the end of the annual review period. These changes are effective beginning October 1, 2011.  [Download]