The County will no longer ask for verification of PRUCOL status from people who choose the last option on the MC13 Form, the option that reads: “Not in any of the above categories, who can show that: (1) INS knows he/she is in the United States; and (2) INS does not intend to deport him/her, either because of the person’s status category or individual circumstances.” Counties will grant full scope Medi-Cal to people who check that box, if they are otherwise eligible, without checking into immigration status. [Download]

RMA eligible individuals are eligible for up to three months of retroactive eligibility to the same extent as are Medi-Cal beneficiaries, provided that:1) They apply within their RMA eligibility period. 2) They meet all RMA eligibility requirements during any retroactive months. 3) The three (or fewer) months of retroactive eligibility are within their RMA eligibility period. The letter includes examples. [Download]

This letter contains a notice, in English and Spanish, that workers can send to Medi-Cal beneficiaries who may be eligible for the COBRA continuation coverage premium assistance under ARRA. Eligible beneficiaries may receive a 65% reduction in their COBRA premiums. [Download]

DHCS will be sending to the counties monthly reports of people who had QMB eligibility but now are discontinued or are in non-pay status for their Part A premiums. The counties should restore QMB eligibility for people on this list when possible. [Download]

Counties are responsible for referring Medi-Cal applicants and beneficiaries with breast cancer to BBCTP. If an applicant or beneficiary may be disabled she should be referred for a disability determination as well as referred to BCCTP. Beneficiaries losing Medi-Cal eligibility should not be cut off until a determination has been made by BCCTP. The letter lays out step by step the process counties are supposed to take in different situations. [Download]

Information on the inapplicability of the temporary enhanced California’s Federal Medi-Cal Assistance Percentage (FMAP) (under the American Recovery and Reinvestment Act) for administrative expenses. As part of ARRA, a temporary increase to FMAP was enacted for Medicaid covered services. The enhanced FMAP does not apply to administrative costs. See if you can find the creative math in the letter.[Download]