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

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]