DHCS ACWDL 14-22: Resetting Annual Redetermination Dates (4/25/24)
Earlier this week, DHCS released instructions on resetting redetermination dates for those Medi-Cal beneficiaries who retain eligibility due to a change in circumstances. The letter can be found here.
Where the county is responsible for Medi-Cal case management. beneficiaries shall be granted a new 12 month period of eligibility if they retain eligibility after a change of circumstances redetermination. This is applicable only when the change is to an eligibility data element, such as income or household composition. If the beneficiary is protected by a consumer protection program (e.g., CEC, TMC, etc…), the redetermination date will not reset. Change of circumstances applies to changes reported in other public benefit programs as well.