Resource materials for remote identity proofing proces

DHCS has issued guidance and resources materials on the remote identity proofing process for CalHEERS.  The letter contains a guide compiling a number of job aids about the RIDP process, as well as two reference sheets to address additional questions.

Currently, there are three methods for identity proofing in CalHEERS:

  1. Visual verification (mail, upload, or scan an identity document)
  2. RIDP (connect to data hub for in-person, online or telephone application)
  3. Signature (paper application)

DHCS MEDIL I 15-10 (3/24/15).

Medi-Cal eligibility and transition of Refugee Medical Assistance cases

DHCS has instructed counties to evaluate all RMA beneficiaries for eligibility for MAGI and Covered California back to January 1, 2014.  New RMA applicants will be screened for Medi-Cal up to 138%, 8 months of RMA from 138% to 200%, and Covered California above 200%.

For current RMA beneficiaries whose 8 month time limit has not expired, counties must restore eligibility back to 1/1/14 for those who would have been eligible for MAGI Medi-Cal; those who are not eligible for MAGI or for other Medi-Cal linkage will be assessed for Covered California APTCs once their eight month eligibility period has run.  Reviews should be ex parte to the fullest extent possible, with requests for information used only if counties can not get the information through available sources.

For RMA/RCA cases closed after 1/1/14, counties must redetermine them for MAGI or Covered California eligibility.

RCA beneficiaries must stay in the RCA aid code for the full eight months until further notice.  DHCS ACWDL 15-16 (3/20/15).

Instructions to determine IHSS eligibility for “non-disabled” people with MAGI Medi-Cal

Under the ACA, 19 to 64 year olds who are neither disabled nor blind can be eligible for Medi-Cal if if their modified adjusted gross income (MAGI) is below a certain amount.  There are several MAGI aid codes, many of which indicate eligibility for full-scope Medi-Cal with federal financial participation (FFP).  For such individuals who have not yet been determined to be disabled by CDSS or the Social Security Administration, they may still receive IHSS if they (1) meet the criteria for disability under MPP Section 30-780.2(b), and (2) have an assessed need for IHSS.  ACL 14-67.

High unemployment stops the CalWORKs clock in Indian Country

After conducting a survey on the unemployment rate of adults in federally recognized tribes, CDSS has determined which tribes experienced an unemployment rate of 50 percent or higher in 2013, providing CalWORKs and tribal TANF recipients exemptions from the CalWORKs time limits during those months of high unemployment. A recipient may still qualify for an exemption if CDSS has not recognized the tribe’s unemployment rate, but must obtain written documentation from the federally-recognized tribe that adult unemployment was 50 percent or higher during the months in question. ACL 14-108.

New CalWORKs form for self-certifying motor vehicle value

CDSS released the CW 80 in February, which is to be used by CalWORKs applicants and recipients to report the equity value of motor  vehicles owned by the assistance unit. Only equity value in excess of $9,500 is counted against the unit’s resource limit and no equity value is counted for vehicles driven by a household member younger than 18 to commute for employment, job search or to training or education intended to lead to employment. If a recipient reports that a vehicle was a gift, donation or family transfer, he or she must obtain verification from the Department of Motor Vehicles of the transaction and provide that to the county.  ACL 15-27.