This letter gives counties a high-level policy guidance regarding implementation of the ACA related changes to Medi-Cal and identifies areas where more federal guidance is needed before DHCS can provide additional information to the counties. It covers the single streamlined paper application, the impact of MAGI changes on Medi-Cal programs, the instances in which CalHEERS will forward applications to counties, new redetermination and reporting periods, and several other topics. Take a l0ok at the letter here.