00:18:22 Linh Diep: Good Morning Loni, Maria and DRC staff for presenting this training 00:21:17 Raymond Kwong: CA’s State Plan: https://www.dhcs.ca.gov/formsandpubs/laws/Pages/SPdocs.aspx 00:30:22 Raymond Kwong: List of services: https://www.dhcs.ca.gov/services/medi-cal/Pages/Benefits_services.aspx#top NHelps’s Guide the Medi-Cal Services: https://healthlaw.org/resource/an-advocates-guide-to-medi-cal-services/ 00:35:12 Raymond Kwong: EPSDT Guide for States: https://www.hhs.gov/guidance/document/epsdt-guide-states-coverage-medicaid-benefit-children-and-adolescents 00:48:13 Raymond Kwong: See SSA Redbook: https://www.ssa.gov/redbook/ 00:49:02 Julie Le: My husband recently passed. His employer offers some severance benefits of $50,000, 1 yr of his salary. Would my daughter and I lose Medical benefits? We are receiving SSA survivor benefits 00:49:37 Raymond Kwong: Medi-Cal lump sum payments: https://www.disabilityrightsca.org/publications/lump-sum-payments-and-medi-cal-eligibility SSI lump sum payments: https://www.disabilityrightsca.org/publications/lump-sum-payments-and-ssi-eligibility 00:51:25 Raymond Kwong: Effective July 1, 2022: The new limits are $130,000 countable resources for one person and an additional $65,000 for each additional family member for non-MAGI programs. https://www.dhcs.ca.gov/services/medi-cal/eligibility/letters/Documents/21-31.pdf By 2024 with CMS approval: no resource requirements https://www.dhcs.ca.gov/services/medi-cal/eligibility/letters/Documents/22-25.pdf https://www.dhcs.ca.gov/Pages/Asset-Limit-Changes.aspx 00:57:59 Julie Le: How do I find my aid code? 00:58:56 Loni Pfeifer, DRC: we will answer your questions when presenter pauses 01:00:12 Raymond Kwong: California’s program: CalABLE https://www.calable.ca.gov/ 01:02:59 Raymond Kwong: DB101.org https://ca.db101.org/ca/programs/health_coverage/medi_cal/program2a.htm 01:08:48 Julie Le: Where do I find Medical glossary? Lots of terminologies 01:09:37 Julie Le: Thank you 01:11:06 Julie Le: May I have a copy of your presentation? 01:11:16 Raymond Kwong: MAGI Income and deductions types: https://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/Co-OPS-Sup/Income-and-Deductions-Chart06252021.pdf FPL 2023: https://www.dhcs.ca.gov/services/medi-cal/eligibility/letters/Documents/23-03.pdf 01:11:24 Loni Pfeifer, DRC: yes we will send the materials at the end of the trainings 01:12:02 Raymond Kwong: DAC: https://www.disabilityrightsca.org/publications/disabled-adult-child-dac-medi-cal-program-benefits 01:12:19 Raymond Kwong: Pickle: https://www.dhcs.ca.gov/services/medi-cal/eligibility/letters/Documents/c07-28.pdf 1619b: https://www.ssa.gov/disabilityresearch/wi/1619b.htm 01:14:28 Raymond Kwong: Medi-Cal Aid Codes: https://www.dhcs.ca.gov/services/Documents/MMCD/Aid-Code-Chart-2023.pdf 01:18:28 Raymond Kwong: https://www.dhcs.ca.gov/services/Pages/Medi-CalWaivers.aspx 01:25:10 Raymond Kwong: In January 2023, DHCS required all managed care plans to cover Skilled Nursing Facility Service and in July 2023, all managed care plans will also be required to cover Intermediate Care and Subacute Care Facility Services. https://www.dhcs.ca.gov/provgovpart/Pages/Long-Term-Care-Carve-In-Transition.aspx 01:25:30 Raymond Kwong: Integrated care for dual eligibles. https://www.dhcs.ca.gov/services/Pages/Integrated-Care-for-Dual-Eligible-Beneficiaries.aspx 01:25:46 Raymond Kwong: CalAIM: https://healthlaw.org/resource/medi-cal-delivery-system-changes-in-2023-and-2024/ (See chart) 01:26:14 Raymond Kwong: January 1, 2021: Enhanced Care Management (ECM) to provide additional support to persons in managed care with complex health needs. https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-ECM-a11y.pdf https://www.dhcs.ca.gov/Documents/MCQMD/ECM-Policy-Guide.pdf 01:26:29 Raymond Kwong: Managed care has the option to provide and can’t force beneficiaries to use. https://www.dhcs.ca.gov/CalAIM/Documents/CalAIM-CS-a11y.pdf 01:26:44 Raymond Kwong: New dental benefits. https://www.dhcs.ca.gov/services/Pages/DHCS-CalAIM-Dental.aspx 01:26:58 Raymond Kwong: https://healthlaw.org/wp-content/uploads/2022/12/NHeLP-MediServicesGuide-Chapter-11.pdf 01:27:52 Raymond Kwong: https://www.dhcs.ca.gov/services/medi-cal/Pages/ApplyforMedi-Cal.aspx BenefitsCal - September 2021. See https://wclp.org/benefitscal-a-new-way-to-get-calfresh-medi-cal-cash-benefits/ 01:30:08 Raymond Kwong: Western Center Law and Poverty Medi-Cal Eligibility Manual: https://wclp.org/wp-content/uploads/2019/07/Western_Center_2016_Health_Care_Eligibility_Guide_Full_rev.1.pdf Health Consumer Alliance: https://healthconsumer.org/ Health Care Options: https://www.healthcareoptions.dhcs.ca.gov/need-help-choosing-program Managed Care Office of the Ombudsman: https://www.dhcs.ca.gov/services/medi-cal/Pages/MMCDOfficeoftheOmbudsman.aspx