Provides counties with copies of English and Spanish Notices of Action (NOAs) that were revised to reflect the requirements from Midyear Status Reporting, SB 87, and Sneede v. Kizer net nonexempt income determination. The Transitional Medi-Cal (TMC) flyer has been revised to reflect the elimination of the second year of TMC. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
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DHS ACL 04-26 – Pregnancy Exemption for the Midyear Status Report (July 8, 2004)
Informs counties that all pregnant women are exempt from the MSR requirement (see ACL 03-41). To qualify for the exemption, pregnant women must report their pregnancy to the county eligibility worker. DHS plans to revise the MSR form (MC 176 S) at a later date to reflect this new guideline. [Download]
DSS ACL 04-14 – Continuation of Medi-Cal Benefits in CalWORKs Intercounty Transfer Cases (April 14, 2004)
This is the companion letter to the DHS ACL [03-12] issued in February 2003. Provides instructions to counties to ensure Medi-Cal benefits continue for cases that are both discontinued from the CalWORKs Program and transferred to another county. Clarifies that counties cannot require individuals to reapply for Medi-Cal or complete a redetermination based solely on the family moving from one county to another. Announces a new DSS form (CW 215A) to be used by the receiving county to request documentation needed to determine the family’s continued Medi-Cal eligibility when the CalWORKs cash aid case is not continued in the receiving county. [Download]
DHS ACL 04-08 – Disability Program Reminders to Assist in Reducing Case Errors and Overall Disability Case Processing Time (March 16, 2004)
Identifies and reminds counties and State Disability and Adult Program Division of the procedures for processing disability cases in the areas where errors occur most frequently. Reiterates that Presumptive Disability (PD) decisions allow certain applicants with severe medical conditions to immediately receive full scope Medi-Cal while their disability evaluations are being processed. [Download]
DHS ACL 04-06 – Mid-Year Status Report Implementation (March 2, 2004)
Provides Questions and Answers about implementation of the new Mid-Year Status Report (MSR) requirement. Addresses how counties should process the MSRs, which groups are exempt, and what timelines apply. Clarifies that no exempt beneficiaries (such as children, elderly, and disabled) should lose Medi-Cal when a non-exempt household member fails to return the form. The letter also clarifies that documentation is not required with the MSR and that a beneficiary who is put back on Medi-Cal after termination due to a MSR issue can get retroactive coverage up to three months. [Download]
ACL 04-14 – Continuation of Medi-Cal Benefits in CalWORKs Intercounty Transfer Cases (April 14, 2004)
Well, we all know Medi-Cal is not supposed to terminate when CalWORKs does, but what the heck do you do when the cessation of cash aid is at the same time as an Intercounty Transfer (ITC)? This ACL instructs to counties what to do. Even has a companion form, attached to the ACL, to request Medi-Cal case documentation from the “sending” county, and a list of ITC coordinators. [Download]