SB X1 26 implemented midyear reporting requirements effective August 1, 2003 for some Medi-Cal beneficiaries. Beneficiaries that are exempt from the MSR requirements include children under age 21, persons whose basis for eligibility is their status as aged, blind or disabled, and pregnant women whose eligibility is based on pregnancy. Beneficiaries required to report will receive a MSR in the mail and must return it by the 5th day of the next month. The form asks the beneficiary either to report no changes by checking one box or to report changes by answering several questions. No documentation is required to be sent in with the MSR. Click here for more information about the form, reporting requirements, and potential problems. [Download]

AB 1672 eliminated the state-only second year of Transitional Medi-Cal program effective October 1, 2003. Letter reviews the procedures for sending Discontinuance of Benefits Notice of Action to beneficiaries that will be terminated. Advises counties to determine whether a terminated family has a member who may have linkage to other Medi-Cal programs, e.g., disabled, child(ren) have an absent or deceased parent. [Download]

Reviews existing procedures for “deemed eligibility” for Medi-Cal for an infant born to a mother who is eligible for and receiving Medi-Cal. Infant is “deemed eligible” for Medi-Cal until her first birthday and should be enrolled without an application as long as the infant can be linked to the mother’s Medi-Cal. Letter introduces and explains the revised Newborn Referral Form (MC 330) form). [Download]

Revises program rules immediately so that all income from parent(s) of a pregnant minor who live together in the home is disregarded when determining eligibility for the Income Disregard (200%) Program if the pregnant minor is not eligible using regular rules. This includes a pregnant minor who is between the ages 18 to 21 and is claimed as a tax dependent by her parents even though she does not live in the home of her parents. A pregnant minor who has a share-of-cost due to parental income and resources may redetermine her eligibility using the new rule retroactive to January 1, 2002. [Download]

Provides questions and answers about implementation of the Craig v. Bonta order requiring counties to redetermine eligibility for Medi-Cal recipients when they lose SSI/SSP, instead of terminating their Medi-Cal. A chart is attached to the ACL that identifies each category of SSA discontinuance, codes and potential aid types, rules for each aid type (income, resources, immigration status), and other useful information to determine how a person discontinued from an SSA benefit can retain Medi-Cal. [Download]