This letter details several changes to the CMSP eligibility manual that went into effect 4/1/10:
• Conforms the CMSP definition of long term care with the Medi-Cal definition.
• Removes GA/ GR from the same category as other public assistance programs- now those who receive GA/ GR are not excluded from the budget unit.
• Makes failure to cooperate with SSA a reason for denial or discontinuance. This denial is rescinded if an appeal is made to SSA within 30 days.
• Social Security overpayment reductions will be excluded in income/ share of cost calculations.
The letter includes the updated manual sections. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
ACWDL 10-08: 2010 Statewide average private pay rate (APPR) for nursing facility services (4/30/10)
The 2010 statewide APPR for nursing facility services is $6311. The APPR is used to calculate the period of ineligibility for disqualifying transfers of nonexempt property for less than fair market value. Periods of ineligibility that began prior to 2010 are not updated with this new figure. The letter includes a chart of APPRs from 1990 to 2009, to calculate disqualifying transfers made by previously institutionalized beneficiaries. [Download]
ACL 10-26: Adoption Assistance Program And The California Alliance Of Child And Family Services v. Cliff Allenby, et.al (5/10/10)
Sends the group home and Adoption Assistance rates that will now be used, post court decision. [Download]
ACIN I-38-10: The ILP Annual Narrative Report And Plan For FFY 2009 (5/11/10)
Transmits the ILP Annual Narrative Report and Plan for FFY 2009 for completion. The report is required by the HHS. [Download]
ACIN I-42-10: Statewide Fingerprint Imaging System (SFIS) Equipment And Software To Be Distributed Under The New SFIS Vendor Contract (5/5/10)
The schedule and what to expect as the new SFIS vendor distributes the new equipment. [Download]
ACIN I-39-10: Therapeutic Behavioral Services (4/29/10)
Information regarding the availability of Therapeutic Behavioral Services (TBS). TBS is included under Medi-Cal as an Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) supplemental service. This letter goes over the 9-point access plan and eligibility, and strongly encourages counties to actively work with their local mental health partners to facilitate access to these services for children and youth in foster care who need them. [Download]