CSAC Bulletin Article

CMS Approves Additional Medi-Cal Eligibility Federal Flexibilities Throughout the Continuous Coverage Unwinding Period

July 13, 2023

The Centers for Medicare & Medicaid Services (CMS) approved the Department of Health Care Services’ (DHCS’) two requests for federal waiver authority to help streamline the processing of annual Medi-Cal eligibility renewals and ease burdens on county program administrators and Medi-Cal members.

  • The first flexibility waives the verification requirement for individuals whose income is at or below 100 percent of the federal poverty level (FPL) and who meet certain criteria.
  • The second request granted allows counties greater flexibility to redetermine eligibility and extend the renewal date when contact is made with hard-to-reach populations, such as unhoused individuals, seniors, and persons with disabilities.

Both temporary flexibilities will streamline renewal processing for Medi-Cal members, especially vulnerable populations, and ease burdens to provide additional paperwork or documentation during the continuous coverage unwinding period.

Both waivers are effective on June 1, 2023, and will continue throughout the continuous coverage unwinding period. On July 3, DHCS issued Medi-Cal Eligibility Division Letter (MEDIL) 23-40 to provide counties with immediate guidance on operationalizing these flexibilities.

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