MCHA Enrollment Refresher Training-Resources
Posted: November 14, 2024
Maternal and Child Health Access hosted an enrollment refresher training through CCALAC’s training center that provided an overview of the following topics for enrollers:
- Medi-Cal Program Eligibility (MAGI and Non-MAGI) & Annual Redeterminations
- Covered California Open Enrollment & Program Changes
- ACA Eligibility for DACA Recipients (Effective Nov. 1)
- Children’s Presumptive Eligibility & Newborn Gateway (Effective as of July 1)
- Medi-Cal Access Program & Pregnancy Medi-Cal
- Kaiser Permanente Community Health Care Program
- LA County Ability to Pay Program
The presentation and resources can be accessed below:
Enrollment Refresher Training PowerPoint (002)
Covered California
Posted: October 31, 2024
Covered CA’s 12th annual Open Enrollment for Covered California begins on November 1, 2024, and continues until January 31, 2025.
California’s enhanced cost-sharing reduction program will be available to all Covered CA enrollees in 2025, making coverage more affordable for Californians. Twenty-three percent of current consumers will have a $0 monthly premium in 2025 if they keep their current plan and nearly ninety percent of individuals currently enrolled in Covered CA already receive financial assistance. Additionally, recipients of the Deferred Action for Childhood Arrivals (DACA) program will be eligible to enroll in Covered CA for 2025 due to a federal rule change. Current Covered CA estimates indicate that about 40,000 DACA recipients in California will be eligible for coverage this enrollment period.
“Let’s Talk Health” Outreach Campaign
This toolkit includes a suite of outreach materials in multiple languages to assist community partners with education and demystifying myths to help provide information to consumers who have questions about the basics of how to obtain coverage. Access the campaign materials here. Read Covered CA’s press release here.
Resources
- Open Enrollment Overview Slides (Los Angeles County) – Oct. 2024
- “What is Covered CA?” Brochure (English) – Oct. 2024
- “Differences Between Covered CA, Health Insurance Companies and Medi-Cal” YouTube Video (English) – Oct. 2024
Deferred Action for Childhood Arrivals (DACA)
A recent federal rule change allows recipients of the Deferred Action Childhood Arrivals (DACA) to sign up for health coverage for Covered California. From November 1 to December 31, 2024, DACA recipients can sign up for a health plan during a special enrollment period. If a DACA recipient is enrolled in November, their plan could start as soon as December 1, 2024. The special enrollment period overlaps with Covered CA’s regular open enrollment period, meaning DACA recipients can also sign up for health insurance for 2025 during this time. Learn more here.
Resources
- Covered CA DACA ACA eligibility fact sheets: English and Spanish
- National Immigration Law Center: DACA ACA FAQ
- National Immigration Law Center: Documents Typically Used by Lawfully Present Immigrants – Oct. 2024
- CA Protecting Immigrant Families: DACA ACA Toolkit
- Covered CA DACA Expansion Presentation Slides – Oct. 2024
- Center for Medicare and Medicaid Services (CMS) Coverage Options for DACA Recipients Guide
- CMS “How to Enroll DACA Recipients” Toolkit for Assisters
LA Public Library Open Enrollment Events
The Los Angeles Public Library is partnering with Covered CA in hosting a series of Covered CA Outreach and Enrollment tabling events with certified Covered CA enrollment counselors at local Los Angeles library branches across the county. Access the list of upcoming open enrollment events here.
Children’s Presumptive Eligibility & Newborn Gateway
Posted: July 29, 2024
Effective July 1, 2024, DHCS rebranded the gateway as Children’s Presumptive Eligibility (CPE). CHDP Gateway functionality and eligibility rules are retained. CPE is a means for Quality Providers (QPs) to grant temporary, full-scope Medi-Cal coverage to eligible applicants using an electronic application. CPE determinations are based on self-attestation of certain facts included in an application, no verification required. This webpage provides updated information about the transition from CHDP Gateway to CPE and the expansion of QPs qualified to participate in CPE.
DHCS Resources for Enrollment Providers
- DHCS CPE Webpage
- CHDP/CPE Provider FAQs (updated 7/10/24)
- CPE Pre-Enrollment Worksheet
- CPE Provider Enrollment Checklist
- CPE Eligibility Step-by-Step User Guide (updated July 11, 2024)
- CPE & Newborn Gateway All County Welfare Directors Letter 24-09 (June 21, 2024)
- CPE & Newborn Gateway Mandatory Trainings (May 21, 2024)
- Action Required: Training for Presumptive Eligibility Providers (May 22, 2024)
- CHDP 2024 Income Eligibility Guidelines (May 2024)
- CHDP New Provider Enrollment Deadline (June 7, 2024)
Medi-Cal Learning Portal Update for Presumptive Eligibility Providers (July 24, 2024)
- CPE Eligibility Flyer – ENGLISH (June 6, 2024)
- Medi-Cal Learning Portal
- Medi-Cal Learning Portal User Guide (June 2023)
- For general questions please e-mail ChildrenPE@dhcs.ca.gov.
- For assistance in accessing Presumptive Eligibility certification courses, contact the Medi-Cal Learning Portal Administrator at CAMMISAccountTraining@gainwelltechnologies.com
Medi-Cal Redeterminations
Posted: June 21, 2023
On February 17, 2023, DHCS began mailing an outreach letter to Medi-Cal members to inform them of the steps they must take to minimize their risk of losing Medi-Cal health coverage throughout the annual Medi-Cal renewals process. The letter can be accessed here in all Medi-Cal threshold languages. Access resources related to Medi-Cal redeterminations below.
DHCS Outreach Toolkit: Access call scripts, draft emails, website alert text, printable flyers & posters, social media graphics (like those at right), and more are all available for your use in 19 languages.
DHCS Keep Your Coverage Webpage: Access DHCS’ consumer-focused webpage focused on assisting communities with Medi-Cal coverage retention throughout the redetermination process.
DHCS Coverage Ambassadors: Sign up to receive the latest alerts and updates directly from DHCS.
DHCS Medi-Cal Redeterminations Mailer: Access the mailer DHCS sent to all Medi-Cal beneficiaries in March and April 2023 outlining steps consumers can take to retain their coverage.
BAILA Network Medi-Cal Renewals Flyer: Access a flyer from the BAILA Network detailing steps Angelenos can take to keep their coverage (available in multiple languages)
L.A. Care Medi-Cal Redeterminations Provider Toolkit
L.A. Care Medi-Cal Redeterminations Toolkit for Street Medicine Providers
DPSS Medi-Cal Redeterminations Resources
Health Care Consumer Alliance Keep Your Coverage Webpage: Access Medi-Cal renewals resources and detailed information for both providers and patients.
BenefitsCal Resources
Posted: January 18, 2023
BenefitsCal helps consumers apply for and manage the benefits with CalFresh, Medi-Cal, County Medical Services Program (CMSP), CalWORKs, General Assistance/Relief (GA/GR), and the Cash Assistance Program for Immigrants (CAPI). In 2022, Los Angeles County transitioned to BenefitsCal – which replaced the previous website (Your Benefits Now).
Resources for CBOs
BenefitsCal allows for CBO assisters to access their own CBO portal within the BenefitsCal system. CBO accounts in BenefitsCal will be set up with a “manager” role. This CBO Manager Account will be able to create assister accounts/logins for other people in their organization. They can also track and manage applications developed by the assister accounts that they create. Check this webpage for regular updates to the resources highlighted below. Access the latest BenefitsCal & CalSAWS Advocates newsletter HERE.
- BenefitsCal Quick Reference Guides – Full Library
- Quick Reference Guide – CBO Account Access
- Quick Reference Guide – CBO Portal
- Quick Reference Guide – CBO Referral Campaign
- Quick Reference Guide – Link to Case
- BenefitsCal YouTube Channel
- BenefitsCal Tips from Western Center on Law and Poverty (March 2022)
- BenefitsCal FAQs for Assisters and CBOs – CalSAWS Advocates regularly updates
- BenefitsCal FAQs for CBOs: Integrated Release of Information – CalSAWS Advocates regularly updates
- Ask CalSAWS – The “Ask CalSAWS” webpage allows for CBOs to request support in troubleshooting account issues with a CalSAWS representative.
- CalSAWS Advocates Listserv: Subscribe HERE to receive regular updates related to BenefitsCal in LA County.
Resources for Consumers
- BenefitsCal Consumer FAQs (updated regularly)
- BenefitsCal Document Verification Instructions (updated regularly)
UPDATE (5/10/24): Case Linking and Two-Step Verification
- Case Linking and Two-Step Verification: As of April 25, case linking has been restored for BenefitsCal.
- If a user receives a passcode and they were not logging in to BenefitsCal, they must go to BenefitsCal and change their password. Click here to access a quick guide on two-step verification.Multi Two-step verification is mandated for all BenefitsCal account logins for both customers and CBOs.
- BenefitsCal Security Update slide deck – March 2024
- BenefitsCal Case Link Two-Step Verification slide deck – April 2024
BenefitsCal Release of Information (ROI)
- BenefitsCal ROI Demo Video (downloaded from SharePoint)
- BenefitsCal ROI Flow Chart (updated regularly)
- Applicant/Recipient Authorization for Release of Information to CBO in BenefitsCal Form (ABCDM 299) – access the form in English here.
- ABCDM 229 is available in Spanish, Armenian, Russian, and Vietnamese here. (Additional threshold language translations pending.)
InSureFIT – Patient Instructions (Spanish Language Version)
Posted: December 5, 2017
Post-Election Advocacy Resources
Posted: December 13, 2016
The following is a collection of advocacy resources that can be used when speaking to patients, staff, elected officials, and other external stakeholders.
Please be sure to check for updates throughout the year.
Resources for a Successful Voter Registration Campaign
Posted: August 16, 2016
In Los Angeles County, community health centers are in a unique position to increase voter registration and get out the vote because of the their deep ties to the community.
There are many things to consider when planning a voter registration and voter engagement campaign. Since community health centers are 501(c)3s and health care providers, there are certain legal requirements they must adhere to comply with their tax exempt status and to be considerate to their patients privacy.
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Updated Family PACT Client Eligibility Determination
Posted: November 12, 2015
This week’s featured resource is the recently updated Family PACT Client Eligibility Determination Policy and eligibility forms!
The October Family Planning, Access, Care and Treatment (Family PACT) update bulletin was posted to the Medi-Cal website on October 16, and includes important updates to the Client Eligibility Determination Policy.
Effective November 1, 2015, the Family PACT program’s eligibility determination policy has been updated to reflect the use of Modified Adjusted Gross Income (MAGI) counting rules for eligibility determination in order to comply with the Patient Protection and Affordable Care Act (ACA) and to clarify policy regarding other health coverage and confidentiality.
The Client Eligibility Certification (CEC) form (DHCS 4461) and the Retroactive Eligibility Certification (REC) form (DHCS 4001), have been updated to reflect these changes, effective November 1. The forms can be found, in English and Spanish, on the Family PACT website. Please note that the new language on the forms refers to taxable household income and claimed dependents, which may be more confusing for some patients than the old forms.