The QI-1 program provides the state payment of the Part B premiums for Medicare beneficiaries with income below135% FPL. The sunset date for this program has been extended to June 30, 2008. Counties will continue accepting applications and determining eligibility for the program until they receive notice from DHCS that the QI-1 program has been discontinued. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
medi-cal
ACWDL 08007: SECOND CONTACT REQUIREMENTS FOR MEDI-CAL APPLICATIONS (2/27/2008)
Reminds counties that they must make two contacts with applicants when attempting to get enough information from applicants to complete the application procedure. Contacts can be either verbal or written, but leaving a voicemail does not count as contact. [Download]
ACWDL 08-06: NEW LIMITS AND DISREGARDS FOR THE AGED AND DISABLED FEDERAL POVERTY LEVEL PROGRAM FOR 2008 (2/25/2008)
The 2008 income limits and disregards for the A&D FPL program are now out. $1,097 is the limit for an individual beginning April 1st. [Download]
ACWDL 08-05: New Federal Poverty levels (2/14/2008)
The new Medi-Cal FPL chart is here. For most Medi-Cal programs these new levels do not go into effect until April. There is also a Sneede v. Kizer chart based on the new poverty levels. [Download]
ACWDL 08-04: CONFIDENTIALITY POLICIES GOVERNING MEDI-CAL AND THE MEDI-CAL ELIGIBILITY DATA SYSTEM
Medi-Cal beneficiaries information is now confidential; it can only be released for purposes directly related to administration of the Medi-Cal program. Employees can only access as much beneficiary information as they need to administer the program. As of 2/1/08 most providers will not get paid unless they bill using the beneficiaries BIC number, as opposed to the SSN. Beneficiaries have been noticed that providers can refuse to give them medical care if they do not have their BIC with them at appointments. [Download]
ACWDL 08-03- Notices of Action for the Requirement to Provide Evidence of Citizenship/ National Status and Identity as a Condition of Medi-Cal Eligibility (1/24/08)
This ACWDL contains 5 different DRA related NOAs, in English and Spanish. They have yet to be translated into other threshold languages. The first two NOAs inform Medi-Cal applicants that they have been approved for restricted-scope Medi-Cal with or without a share of cost for failure to provide acceptable evidence of citizenship/ national status or identity. Notice’s 3 and 4 inform beneficiaries that their benefits are being reduced for not providing acceptable evidence. The final notice restores full-scope benefits to both applicants and beneficiaries because acceptable evidence was provided- yay. [Download]