CSAC Bulletin Article

Governor Approves COVID-19 Testing & Treatment per CARES Act

April 16, 2020

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.

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