Covers children on whose behalffinancial assistance is provided for state only foster care placement. x][s~xRc ^R[2%N#6OWn\etNjG@7|h0^/zy^?ua}^n{z_\/(4!1IkV$d~D/_\}zJn^QL(qedG^6Vr@rr//_6Y"g[K5/^KJxtDQ#dD' IY]y$R%)slw'JG^Y]zw_vz1ayy%J53~$KOx/^L4O'q +W|F;JUMy6jId1g;AK{""`MJY3T=FhU,Gx-v5PZw1oM}F:#@#kk`P\
I},dRS la*(IL(;4v) 0000006171 00000 n
stream
0000006937 00000 n
<>/Metadata 4145 0 R/ViewerPreferences 4146 0 R>>
0000007785 00000 n
(i.e., diagnosis, treatment, therapy and case management). "),c=g;a[0]in c||!c.execScript||c.execScript("var "+a[0]);for(var e;a.length&&(e=a.shift());)a.length||void 0===d?c[e]?c=c[e]:c=c[e]={}:c[e]=d};var l=function(b){var d=b.length;if(0 Covers eligible persons of any age who are eligible for parenteral hyperalimentation and related services and persons of any age who are eligible under the Medically Needy or Medically Indigent Programs. 2 0 obj
CHDP TriZetto (formerly Gateway) Deemed Infant. 0000000974 00000 n
Provides temporary full-scope Medi-Cal benefits with no SOC. Severely Impaired Working Individual (SIWI). Abandoned Baby Program. Provides six months of coverage for those discontinued from CalWORKs or the Section 1931(b) program due to increased earnings or increased hours of employment. Medically Indigent Long Term Care (LTC) services. HAP Card Issued. AFDC 1931(b) Non CalWORKS. (e in b)&&0 CMSP Companion Aid Code. CHDPTriZetto (formerly Gateway) Deemed Infant SOC. Provides an additional six months of emergency services coverage for those beneficiaries who received six months of initial TMC coverage under aid code 3T. 2 0 obj
For more information, refer to the Share of Cost (SOC) section of the Part 1 manual. Aid to the Aged In Home Support Services (IHSS). Covers all eligible refugees during their first eight months in the United States, including unaccompanied children who are not subject to the eight-month limitation. This coverage begins on the last day of pregnancy and ends the last day of the month in which the 60th day occurs. <<3CBB2AB7D71CB846827B23F0C1E06BEF>]>>
Cost-sharing requires a recipient to pay a set amount or percentage of each health care service received, while share of cost requires recipients to take full responsibility for health care expenses up to a predetermined amount. AFDC-Foster Care. Refugee Cash Assistance (RAC). Recipients remain in this aid code even if they leave LTC. Upon certification of the SOC, the IE individual is not eligible for Medi-Cal benefits in this case. 501 0 obj<>stream
Restricted to pregnancy and emergency services. x&{1AE(u@,&EXjEvl*GkvIP%'%l}On4F O+z!01r.043Ga<5gV{b.x^HU!OdkK% 6B.z9pcN0Q/Vl7{q8O|Zt~gx!DbhQY{fY!ral$Z~Yow_!aU5teD='e;k(Oj}8NYQka2Xa4l://8%pkE0ll,xs){Cmw[A.q6\DuH5A =[
(.NsB87E
FwyWQFWIt9kxxKVxxb6[
~oa0bhW]"-hvfGi]Am/2/(4 b0NV:rsR6/. [CDATA[ [CDATA[ Temporary Assistance to Needy Families (TANF) Timed-Out, Mixed Case. (e in b.d))if(0>=d.offsetWidth&&0>=d.offsetHeight)a=!1;else{c=d.getBoundingClientRect();var f=document.body;a=c.top+("pageYOffset"in window?window.pageYOffset:(document.documentElement||f.parentNode||f).scrollTop);c=c.left+("pageXOffset"in window?window.pageXOffset:(document.documentElement||f.parentNode||f).scrollLeft);f=a.toString()+","+c;b.b.hasOwnProperty(f)?a=!1:(b.b[f]=!0,a=a<=b.e.height&&c<=b.e.width)}a&&(b.a.push(e),b.d[e]=!0)};p.prototype.checkImageForCriticality=function(b){b.getBoundingClientRect&&q(this,b)};h("pagespeed.CriticalImages.checkImageForCriticality",function(b){n.checkImageForCriticality(b)});h("pagespeed.CriticalImages.checkCriticalImages",function(){r(n)});var r=function(b){b.b={};for(var d=["IMG","INPUT"],a=[],c=0;c (function(){var g=this,h=function(b,d){var a=b.split(". 0000008430 00000 n
Valid only for TB-related outpatient services. Post-BCCTP. 0000004658 00000 n
":"&")+"url="+encodeURIComponent(b)),f.setRequestHeader("Content-Type","application/x-www-form-urlencoded"),f.send(a))}}},s=function(){var b={},d=document.getElementsByTagName("IMG");if(0==d.length)return{};var a=d[0];if(! Foster Care. Minor Consent Program. Aid to Families with Dependent Children (AFDC) 1931(b)
0000003142 00000 n
Provides emergency services only for eligible children without satisfactory immigration status who are ages 1 up to 6 or beyond 6 years when inpatient status, which began before 6th birthday, continues, and family income is at or below 133 percent of the federal poverty level. Department of Developmental Services (DDS) Waivers (No SOC). 0000009127 00000 n
Limited to services related to Sexually Transmitted Diseases, sexual assault, drug and alcohol abuse, family planning, and outpatient mental health treatment. Covers children supported by public funds other than AFDC-FC. 133 Percent Program (OBRA). Paper Medi-Cal ID Card issued. Covers children on whose behalf financial assistance is provided for federal foster care placement. Craig v. Bonta Disabled Pending SB 87 redetermination. Covers persons until the age of 22 who were in an institution for mental disease before age 21. Covers eligible minors at least 12 years of age and under the age of 21. Valid only for ambulatory prenatal care services. 0000005529 00000 n
Provides eligibility for Continued Eligibility for Children (CEC) if for some reason the child is no longer eligible under AAP prior to his/her eighteenth birthday. Paper Medi-Cal ID card issued. Allows special institutional deeming rules (spousal impoverishment) for MSSP transitional and non-transitional services for individuals 65 years of age or older. Covers those eligible for the Section 1931(b) program who do not have satisfactory immigration status. Covers children on whose behalffinancial assistance is provided for state only foster care placement. OBRA Not PRUCOL Long Term Care (LTC) services. BCCTP. 0000000016 00000 n
endobj
Disabled FPL. Eligible for CCS Medical Therapy Program services only. State-funded. Restricted to pregnancy-related and emergency services. x[msF)FIiN-V#d5L,i `xy _l7zjH]oU++sU$i*"Qqj,Ea&:1TJ0uY1{cl(GY Provides full-scope benefits to children up to 19 years of age who would otherwise lose their no Share of Cost Medi-Cal. The eligibility response returns a message indicating whether or not the recipient is eligible, and for what services. 0000009557 00000 n
Family PACT (FPACT). This option allows the Qualified Provider (QP) to make a determination of PE for outpatient prenatal care services based on preliminary income information. Covers children receiving federal AAP cash subsidies from out of state. Persons placed in 7G have pregnancy test results that are positive. One-Month Medi-Cal to Healthy FamiliesBridge. This option allows the Qualified Provider to make a determination of PE for outpatient prenatal care services based on preliminary income information. pregnancy-related and postpartum services if family income is at or below 200 percent of the federal poverty level. The aid codes in this chart are meant to assist providers in identifying the types of services for which Medi-Cal and Public Health Program recipients are eligible. Paper
Four-Month Continuing Eligibility. Provides eligible pregnant aliens of any age without satisfactory immigration status with family planning, pregnancy-related and postpartum, if family income is at or below 200 percent of the federal poverty level. 133 Percent Excess Property Child Emergency Services Only. QP issues paper PE ID Card. A recipient may have more than one aid code, and may be eligible for multiple programs and services. BCCTP AE. Provides for the pre-enrollment of children into the Medi-Cal program who are screened as probable for Medi-Cal eligibility. Provides temporary AE for full-scope, no SOC Medi-Cal while an eligibility determination is made for eligible females younger than 65 years of age without creditable health coverage who have been diagnosed with breast and/or cervical cancer. AFDC-Foster Care. Katrina-Covers eligible evacuees of Hurricane Katrina. If a recipient has an unmet Share of Cost, an aid code is not returned, since the recipient is not considered eligible until the Share of Cost//
Adoption Assistance Program/Aid for Adoption of Children (AAP/AAC). Initial Transitional Medi-Cal (TMC). OBRA Alien Pregnant Woman. 0000001863 00000 n
200 Percent FPL Pregnant (Income Disregard Program Pregnant). Cervical cancer-related services covered for 24 months. Does not cover individuals with creditable insurance. BCCTP Undocumented Aliens. 0000020726 00000 n
Used in conjunction with Medi-Cal aid code 53. For more information about LTC services, refer to the OBRA and IRCA section in this manual. Persons may continue to be eligible under aid code 82 until age 22 if they have filed for a State hearing. ///ExtGState<>/ProcSet[/PDF/Text]/Font<>>>/MediaBox[ 0 0 612 792]/Type/Page/Parent 473 0 R /Contents 2 0 R /Rotate 0/CropBox[ 0 0 612 792]/Annots 111 0 R /Tabs/S>>
<>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 16 0 R 63 0 R 64 0 R 70 0 R 71 0 R 72 0 R 73 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Provides full Medi-Cal benefits to eligible infants up to 1 year old or continues beyond 1 year when inpatient status, which began before first birthday, continues and family income is at or below 200 percent of the federal poverty level. CHDPTriZetto (formerly Gateway) Healthy Families. Covers eligible pregnant minors under the age of 21. Minor Consent Program. Provides full-scope, no Share of Cost (SOC) Medi-Cal benefits for infants born to mothers who were enrolled in Medi-Cal with no SOC in the month of the infants birth. The individual may be eligible for Medi-Cal benefits in another MBU where the person is not identified as RR. A child in this program is enrolled in a Healthy Families plan and is eligible for all CCS benefits
Covers persons discontinued from CalWORKs or Section 1931(b) due to the increased collection of child/spousal support. Paper Medi-Cal ID card issued. 0000007171 00000 n
Limited to two months. Entrant Cash Assistance (ECA). 0000002857 00000 n
MI Adult. Covers children receiving federal cash grants under Title IV-E to facilitate the adoption of hard-to-place children who would require permanent foster care placement without such assistance. CalWORKS Legal Immigrant Family Group. Craig v. Bonta Aged Pending SB 87 Redetermination. Valid for pregnancy verification office visit. Adoption Assistance Program (AAP) Child. 18-months (breast) and 24-months (cervical). Out-of-State Adoption Assistance Program (AAP). MI Adult. Presumptive Eligibility (PE) Pregnancy Verification. Covers with no SOC beneficiaries ages 21 to 65 who have lost their non-disability linkage to Medi-Cal and are claiming disability. Covers eligible individuals who are
Covers juvenile probation cases placed in foster care. Infants from a family with an income of 200 to 300 percent of the federal poverty level, born to a mother enrolled in AIM. Comprehensive family planning services for low income residents of California with no other source of health care coverage. 3 0 obj
xref
Cancer Detection Programs:Every Woman Counts only. Breast and Cervical Cancer Treatment Program (BCCTP) Accelerated Enrollment (AE). Aid to the Aged Multipurpose Senior Services Program (MSSP). 0000005351 00000 n
Provides payment of Medicare Part A premium and Part A and B coinsurance and deductibles for eligible low income aged, blind or disabled individuals. 200 Percent FPL Pregnant Omnibus Budget Reconciliation Act (OBRA) (Income Disregard Program Pregnant OBRA). Under Color of Law (PRUCOL) aliens, and certain amnesty aliens. MI Adult Disability Pending. s:xS>X;OJd7JJxgtR! Um\-\y2$9!y//zOQdqHemy?HnMQ% &C>)#)7 i,r`F\v. Also provides eligibility for the Former Foster Care Children (FFCC) program (aid code 4M) at age 18. OBRA/Out of CountyCare. Medi-Cal Dialysis Only Program/Medi-Cal Dialysis Supplement Program (DP/DSP). 469 33
%
Emergency Assistance (EA) Foster Care. Please note:Cancer Detection Programs:Every Woman Counts and Medi-Cal are separate programs; however, Cancer Detection Programs:Every Woman Counts relies on the Medi-Cal billing process (with few exceptions). 60-Day Postpartum Program. Covers medically indigent adults aged 21 and over but under 65 years that meet the eligibility requirements of medically indigent and have a pending Medi-Cal disability application. endobj
Provides limited-scope no SOC Medi-Cal emergency, pregnancy-related and Long Term Care (LTC) services for females younger than 65 years of age with unsatisfactory immigration status and without creditable health insurance coverage who have exhausted their 18-month (breast) or 24-month (cervical) period of cancer treatment coverage under aid code 0U. Restricted to parenteral hyperali-mentation-related expenses. CountyMedical Services Program (CMSP). MI Confirmed Pregnancy. 100 Percent Excess Property Child Pregnancy and Emergency Services Only. Cervical cancer-related services covered for 24 months. 0000004415 00000 n
State-funded cancer treatment services are
100 Percent Child. %PDF-1.6
Aid to the Aged Long Term Care (LTC). Provides full-scope, no SOC Medi-Cal for eligible females younger than 65 years of age who are diagnosed with breast and/or cervical cancer and are without creditable insurance coverage. Adoption Assistance Program (AAP). 0000002022 00000 n
0000005884 00000 n
0000005662 00000 n
Covers eligible minors at least 12 years of age and under the age of 21. 0000010977 00000 n
<>
Providers must submit an inquiry to the EVS to verify a recipients eligibility for services. Restricted Federal Poverty Level Disabled. <>stream
0000013647 00000 n
endobj
CCS authorization required. Covers former Supplemental Security Income/State Supplementary Payment recipients who are aged, until the county redetermines their Medi-Cal eligibility. 0000003862 00000 n
Provides eligibility for CEC if for some reason the child is no longer eligible under foster care prior to his/her eighteenth birthday. Cancer Detection Programs:Every Woman Counts offers reimbursement for screening, diagnostic and case management services. Covers emergency and pregnancy-related services to otherwise eligible children, without satisfactory immigration status who are ages 6 to 19 or beyond 19 when inpatient status begins before the 19th birthday and family income is at or below 100 percent of the federal poverty level. Eligible for all CCS benefits (i.e., diagnosis, treatment, therapy and case management). The chart includes only aid codes used to bill for services through the Medi-Cal claims processing systems and for other non-Medi-Cal programs that need to verify eligibility through EVS. Continues as long as the woman is in need of treatment and, other than immigration, meets all other eligibility requirements. 133 Percent Program. Continuous Eligibility for Children (CEC). Interstate Compact on the Placement of Children (ICPC) Child. Accelerated Enrollment. Kinship Guardianship Assistance Payment (Kin-GAP) Cash Assistance. HF covers medical, dental and vision services to enrolled children. CalWORKS Timed-Out, Safety Net Two-Parent Families. 0000002404 00000 n
0?+Xs_7;9~%7 a~nd
'?FBjx35! Covers former Supplemental Security Income/State Supplementary Payment recipients who are disabled, until the county redetermines their Medi-Cal eligibility.
Sitemap 9