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. No cancer treatment. Medi-Cal ID card issued. Covers former Supplemental Security Income/State Supplementary Payment recipients who are aged, until the county redetermines their Medi-Cal eligibility. Valid only for ambulatory prenatal care services. 0000003862 00000 n
OBRA/Out of CountyCare. AFDC 1931(b) Non CalWORKS. 469 33
0000000974 00000 n
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Continuing TMC. Limited to services related to family planning and sexual assault. Presumptive Eligibility (PE) Pregnancy Verification. 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). For more information about LTC services, refer to the County Medical Services Program (CMSP) section in this manual. SB 87 Pending Disability. Aid to the Aged In Home Support Services (IHSS). 0000005662 00000 n
7G is valid for Ambulatory Prenatal Care Services. 133 Percent Excess Property Child. 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. BCCTP AE. "),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(0X;OJd7JJxgtR! Um\-\y2$9!y//zOQdqHemy?HnMQ% &C>)#)7 i,r`F\v. Covers eligible pregnant alien women who do not have satisfactory immigration status. Provides Medi-Cal at no SOC to women who, while pregnant, were eligible for, applied for, and received Medi-Cal benefits. xref
Covers eligible individuals who are
NOTE:Unless stated otherwise, these aid codes cover United States citizens, United States Nationals, and immigrants in a satisfactory immigration status. Covers eligible pregnant minors under the age of 21. 0000002893 00000 n
The Cancer Detection Programs:Every Woman Counts recipient identifier. Satisfactory immigration status includes lawful permanent residents, Permanently Residing in the U.S. 0000020726 00000 n
Covers medically indigent persons under 21 who meet the eligibility requirements of medical indigence. Covers the disabled in the Aged and Disabled Federal Poverty Level program. Restricted Federal Poverty Level Disabled. x[msF)FIiN-V#d5L,i `xy _l7zjH]oU++sU$i*"Qqj,Ea&:1TJ0uY1{cl(GY endobj
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Paper Medi-Cal ID card issued. Adoption Assistance Program (AAP). 0000001863 00000 n
200 Percent Infant OBRA. Covers persons discontinued from CalWORKs or Section 1931(b) due to the increased collection of child/spousal support. Provides full-scope benefits to children up to 3 months of age who were voluntarily surrendered within 72 hours of birth pursuant to the Safe Arms for Newborns Act. 0000013647 00000 n
Provides immediate, temporary, fee-for-service, full-scope Medi-Cal benefits to certain children under the age of 19. California Work Opportunity and Responsibility to Kids (CalWORKs), Timed-Out, Safety Net All Other Families. MI Confirmed Pregnancy SOC. AFDC-Foster Care. Medi-Cal In-Home Operations (IHO) Waiver (No SOC). 0000007171 00000 n
Covers persons until the age of 22 who were in an institution for mental disease before age 21. Persons placed in 7G have pregnancy test results that are positive. BCCTP Undocumented Aliens. 0000010977 00000 n
AFDC-Foster Care. Covers persons aged 21 years or older, with confirmed pregnancy, which meet the eligibility requirements of medically indigent. Valid for pregnancy verification office visit. Restricted Federal Poverty Level Aged. The individual may be eligible for Medi-Cal benefits in another MBU where the person is not identified as RR. CalWORKS Legal Immigrant Family Group. endobj
Provides emergency and pregnancy-related benefits (no Share of Cost) to children without satisfactory immigration status who are up to 19 years of age who would otherwise lose their no Share of Cost Medi-Cal. Refugee Cash Assistance (RCA). Upon certification of the SOC, an RR individual is not eligible for Medi-Cal benefits in this Medi-Cal Budget Unit (MBU). Provides eligibility for CEC if for some reason the child is no longer eligible under foster care prior to his/her eighteenth birthday. Department of Developmental Services (DDS) Waivers (No SOC). A recipient may have more than one aid code, and may be eligible for multiple programs and services. 0000010401 00000 n
Covers emergency and pregnancy-related services only 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. For more information about LTC services, refer to the OBRA and IRCA section in this manual. MI Child. 0?+Xs_7;9~%7 a~nd
'?FBjx35! The infant's enrollment in the HF program is based on their mother's participation in AIM. %
Former SSI No Longer Disabled in SSI Appeals Status. Covers persons 65 years of age or older who are medically needy and in LTC status. endobj
Covers children on whose behalffinancial assistance is provided for state only foster care placement. 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. They remain eligible while still in need of treatment and meet all other eligibility requirements. Infants from a family with an income of 200 to 300 percent of the federal poverty level, born to a mother enrolled in AIM. Providers NOTE:Long Term Care services refers to both those services included in the per diem base rate of the LTC provider, and those medically necessary services required as part of the patients day-to-day plan of care in the LTC facility (for example, pharmacy, support surfaces and therapies). 100 Excess Property Child. State-funded cancer treatment services are
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0000006937 00000 n
Provides full-scope Medi-Cal benefits with a Share of Cost (SOC) for infants born to mothers who were enrolled in Medi-Cal with a SOC in the month of the infants birth and SOC was met. Paper Medi-Cal ID card issued. Continuing TMC (6 months). pregnancy-related and postpartum services if family income is at or below 200 percent of the federal poverty level. Cancer Detection Programs:Every Woman Counts only. 100 Percent OBRA Child. Emergency Assistance Foster Care. Breast and Cervical Cancer Treatment Program (BCCTP) Accelerated Enrollment (AE). Share of cost is also not a premium; it is an amount that a recipient is responsible for only during a month in which Medi-Cal's assistance with health care expenses is needed. Covers medically indigent persons under 21 who meet the eligibility requirements of medically indigent. 0000002857 00000 n
OBRA Not PRUCOL Long Term Care (LTC) services. 60-Day Postpartum Program. The eligibility response returns a message indicating whether or not the recipient is eligible, and for what services. 133 Percent Excess Property Child Emergency Services Only. Provides temporary AE for full-scope, no Share of Cost (SOC) Medi-Cal for eligible females younger than 65 years of age who have been diagnosed with breast and/or cervical cancer. 0000002404 00000 n
The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Eligibility Verification System (EVS). Covers children receiving cash grants under the state-only AAP/AAC program. SB 87 Pending Disability (SOC). Provides four months of emergency services for aliens without satisfactory immigration status who are no longer eligible for Section 1931(b) due to the collection or increased collection of child/spousal support.
Minor Consent Program. Presumptive Eligibility (PE) Ambulatory Prenatal Care. 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. MI Adult Disability Pending SOC. Provides six months of coverage for eligible aliens without satisfactory immigration status who have been discontinued from Section 1931(b) due to increased earnings from employment. Under Color of Law (PRUCOL) aliens, and certain amnesty aliens. They may continue to be eligible for all postpartum services and family planning. 100 Percent Excess Property Child Pregnancy and Emergency Services Only. Share of cost is also not a premium; it is an amount that a recipient is responsible for only during a month in which Medi-Cal's assistance with health care expenses is needed. Qualified Medicare Beneficiary (QMB). CalWORKs Legal Immigrant Aid to families. Covers foster children placed in California from another state. Kin-GAP Cash Assistance. CCS-eligible. Eligible for all CCS benefits (i.e., diagnosis, treatment, therapy and case management). Medically Indigent Long Term Care (LTC) services. 0000009127 00000 n Upon certification of the SOC, the IE individual is not eligible for Medi-Cal benefits in this case. Paper Non-CalWORKS. Restricted to parenteral hyperali-mentation-related expenses. CHDPTriZetto (formerly Gateway) Healthy Families. 0000001372 00000 n 2 0 obj is met. CHDPTriZetto (formerly Gateway) Medi-Cal.
0000004415 00000 n Continues as long as the woman is in need of treatment and, other than immigration, meets all other eligibility requirements. Valid only for TB-related outpatient services. CHDPTriZetto (formerly Gateway) Deemed Infant SOC. Allows special institutional deeming rules (spousal impoverishment) for MSSP transitional and non-transitional services for individuals 65 years of age or older. Foster Care.
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Breast cancer-related services covered for 18 months. BCCTP State-funded. Four-Month Continuing Pregnancy and Emergency Services Only. Breast cancer-related services covered for 18 months. Provides full Medi-Cal benefits to eligible children 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. 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. 200 Percent FPL Infant (Income Disregard Program Infant). Limited to services related to Sexually Transmitted Diseases, sexual assault, drug and alcohol abuse, family planning, and outpatient mental health treatment. 1 0 obj
Provides an additional six months of TMC for beneficiaries who had six months of initial TMC coverage under aid code 39. stream
CountyMedical Services Program (CMSP). <>/Metadata 4145 0 R/ViewerPreferences 4146 0 R>>
0000006937 00000 n
Provides full-scope Medi-Cal benefits with a Share of Cost (SOC) for infants born to mothers who were enrolled in Medi-Cal with a SOC in the month of the infants birth and SOC was met. Paper Medi-Cal ID card issued. Continuing TMC (6 months). pregnancy-related and postpartum services if family income is at or below 200 percent of the federal poverty level. Cancer Detection Programs:Every Woman Counts only. 100 Percent OBRA Child. Emergency Assistance Foster Care. Breast and Cervical Cancer Treatment Program (BCCTP) Accelerated Enrollment (AE). Share of cost is also not a premium; it is an amount that a recipient is responsible for only during a month in which Medi-Cal's assistance with health care expenses is needed. Covers medically indigent persons under 21 who meet the eligibility requirements of medically indigent. 0000002857 00000 n
OBRA Not PRUCOL Long Term Care (LTC) services. 60-Day Postpartum Program. The eligibility response returns a message indicating whether or not the recipient is eligible, and for what services. 133 Percent Excess Property Child Emergency Services Only. Provides temporary AE for full-scope, no Share of Cost (SOC) Medi-Cal for eligible females younger than 65 years of age who have been diagnosed with breast and/or cervical cancer. 0000002404 00000 n
The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Eligibility Verification System (EVS). Covers children receiving cash grants under the state-only AAP/AAC program. SB 87 Pending Disability (SOC). Provides four months of emergency services for aliens without satisfactory immigration status who are no longer eligible for Section 1931(b) due to the collection or increased collection of child/spousal support. Minor Consent Program. Presumptive Eligibility (PE) Ambulatory Prenatal Care. 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. MI Adult Disability Pending SOC. Provides six months of coverage for eligible aliens without satisfactory immigration status who have been discontinued from Section 1931(b) due to increased earnings from employment. Under Color of Law (PRUCOL) aliens, and certain amnesty aliens. They may continue to be eligible for all postpartum services and family planning. 100 Percent Excess Property Child Pregnancy and Emergency Services Only. Share of cost is also not a premium; it is an amount that a recipient is responsible for only during a month in which Medi-Cal's assistance with health care expenses is needed. Qualified Medicare Beneficiary (QMB). CalWORKs Legal Immigrant Aid to families. Covers foster children placed in California from another state. Kin-GAP Cash Assistance. CCS-eligible. Eligible for all CCS benefits (i.e., diagnosis, treatment, therapy and case management). Medically Indigent Long Term Care (LTC) services. 0000009127 00000 n Upon certification of the SOC, the IE individual is not eligible for Medi-Cal benefits in this case. Paper Non-CalWORKS. Restricted to parenteral hyperali-mentation-related expenses. CHDPTriZetto (formerly Gateway) Healthy Families. 0000001372 00000 n 2 0 obj is met. CHDPTriZetto (formerly Gateway) Medi-Cal.
0000004415 00000 n Continues as long as the woman is in need of treatment and, other than immigration, meets all other eligibility requirements. Valid only for TB-related outpatient services. CHDPTriZetto (formerly Gateway) Deemed Infant SOC. Allows special institutional deeming rules (spousal impoverishment) for MSSP transitional and non-transitional services for individuals 65 years of age or older. Foster Care.
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