The Department of Health Care Services (DHCS) has created a new
aid code for individuals to assist them in accessing testing,
treatment, and care for COVID-19 related services. Approved
federally as part of the CARES Act, California can now provide
access to coverage for COVID-19 diagnostic testing,
testing-related services, and treatment services, including all
medically necessary care, at no cost to the individual.
The new Presumptive Eligibility (PE) aid code will allow
individuals to seek testing and all medically necessary COVID-19
care, including associated medical office, clinic, or emergency
room care, at no cost to the individuals. Eligible individuals
are California residents with no insurance or private insurance
that does not cover diagnostic testing, testing-related services,
and treatment service, including all medically necessary care for
COVID-19, and are not eligible under any other Medi-Cal program.
Immigration status, income, and resources will not be considered
when determining eligibility for this program.
Implementation of this PE program will begin April 24, 2020. DHCS
will issue application guidelines for providers to follow for
applications received prior to April 24. CSAC will continue to
monitor for additional information regarding this program and
include any further details in upcoming communications. DHCS has
posted frequently asked questions
here.
