Medi-Cal: eligibility redetermination.
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Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill changes how California’s Medi-Cal health insurance program determines if people are still eligible. Currently, Medi-Cal recipients need to be re-evaluated every 12 months. This bill requires counties to re-evaluate eligible individuals every six months, aligning with federal guidelines for ‘Medicaid expansion adults.’ It also simplifies the process for verifying income and assets during these re-evaluations, potentially reducing the amount of paperwork required for recipients.
Key provisions
- Medi-Cal eligibility redeterminations must occur every six months for certain adults.
- Counties can verify income and assets without additional documentation in specific circumstances.
- The bill requires counties to gather relevant information before contacting beneficiaries for re-evaluations.
- The bill requires an appropriation to fund these changes.
- The bill conforms to federal Medicaid requirements regarding eligibility redeterminations.
- It clarifies the process for determining eligibility based on disability or blindness.
- It establishes a timeframe for redeterminations based on disability.
- It requires counties to transfer eligible individuals to other insurance affordability programs if determined ineligible.
Who is affected
- Medi-Cal recipients
- California counties
- Individuals eligible for Medicaid expansion
- Healthcare providers
Bill text
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