HomeMy WebLinkAboutfinal-hcs-medi-cal-enrollment-steps-how-to-v2-2023-10-31HOW DO I CHECK THE MEDI-CAL
STATUS OF MY CLIENTS?
To check your client’s eligibility and
renewal status:
You will need your client’s Social
Security Number.
Assist the client with setting up a
BenefitsCal account, if they don’t
already have one.
Once logged in, you and the
client can view benefits status1 OR
Call the “Medi-Cal Status Automated Phone Line” at
1-888-999-4772 (client must be present for the call
unless you are an authorized representative).
CHR: The CHR shows current Medi-Cal enrollment
status. If your client has a signed Information Sharing
Authorization (ISA), then you can also see the
redetermination date. (If your client does not have a
signed ISA, please work with your client to get one signed.)
For clients who get SSI, the Medi-Cal is tied to their SSI so
the renewal is automatically part of their annual SSI renewal.
For clients who get SSDI but not SSI, they must apply
separately through Social Services to get Medi-Cal.
Starting 24 months after the date of disability onset, SSDI
recipients get Medicare.
WHAT DOCUMENTS AND INFORMATION DO I
NEED TO HELP MY CLIENT HAVE READY?
❒Photo identification such as a driver’s license, passport, or
other school/government-issued identification card with a
photo.
Social Services Agency may be able to assist the applicant
with obtaining a reduced fee California ID at the DMV.
❒Social Security number
This is not applicable/not required if your client is
undocumented.
❒Proof of income (pay stubs, Social Security award letter, child
support, alimony, disability/unemployment stubs, veteran
1 There is a planned future update to BenefitsCal that will allow CBOs to look up case information as long as the client signs a release of information.
More information to come.
benefits) if available. If applicable, previous year’s federal
income tax return and other tax documents.
❒Proof of residency (lease, mortgage receipt, utility bills) may
be requested if it is not clear that client lives in California.
HOW OFTEN SHOULD I CHECK THE MEDI-CAL
STATUS OF MY CLIENTS?
When you enroll a client in a Housing Community
Supports program such as Housing Navigation or Tenancy
Sustaining Services, you should:
Check Medi-Cal enrollment as part of your initial
intake. Do NOT just rely on client report.
It is also important to regularly track the Medi-Cal
status of your client at least quarterly.
If they are
NOT enrolled?
If they are enrolled?
Help ensure
they complete
the enrollment
process
1. Check redetermination date
2. Add the date to your client’s
calendar with an annual reminder
3. Add the date to any Shared Care
Plans to alert yourself and other
providers of renewal dates
4. Assist your client with the renewal
form and ensure it has been mailed
in or dropped off to the social
services agency
HOW DO I KEEP ADDRESSES UP TO DATE?
If clients do not have an address, they can use one of the
Alameda County Social Services Agency offices as their
mailing address. Clients can pick up their mailed
Medi-Cal letters at the SSA office. Client should be
reminded to check their mail at the SSA office regularly.
When clients change their address, notify Alameda
County Social Services Agency immediately.
DON’T just rely on
asking your client
if they are enrolled.
You should check
to see if your
client is enrolled
and if they are
enrolled, check the
redetermination
date.
Alameda County Housing Community Supports (HCS)
STEPS TO HELP CLIENTS GET AND RETAIN MEDI-CAL
HOW TO GET ASSISTANCE WITH APPLICATIONS
AND REDETERMINATIONS?
Some clients may have their coverage auto-renewed
through the Federal Hub. You can verify whether or not
this is the case through BenefitsCal.
If your client needs to enroll or renew their Medi-Cal,
there are several options to help:
Go online to the BenefitsCal website.2
Go online to Covered California’s website or call:
1-800-787-6921.
Get an appointment with an eligibility and enrollment
specialist for your client:
»With their medical home (many, but not all, clinics
provide eligibility and enrollment assistance).
»Use Covered California’s database to find a Certified
Enrollment Counselor.
Visit an Alameda County Social Services Agency office
Monday–Friday 8:30am–5:00pm
»Enterprise Self-Sufficiency Center
8477 Enterprise Way, Oakland, CA 94621
»Eastmont Town Center—Self Sufficiency Center
6955 Foothill Blvd #100, Oakland, CA 94605
»North County Self-Sufficiency Center, Thomas L Berkeley
Square, 2000 San Pablo Ave, Oakland, CA 94612
»Gail Steele Multi-Service Center (formerly Eden Area)
24100 Amador St, Hayward, CA 94544
»Livermore Self-Sufficiency Center
2499 Constitution Dr, Livermore, CA 94551
»Fremont Office
39155 Liberty St., Suite C330, Fremont, CA 94536
Schedule an appointment for your client with the
Alameda County Health Care Services Agency Health
Insurance Technician team directly by calling
1-800-422-9495 or send an email referral to
appassist@acgov.org.
»Best practice when referring a client: 1) one referral per
e-mail, 2) include the preferred language in the subject
line, 3) in the e-mail include: the full name of the client
plus an adult’s name if the client is a minor, phone
number, and the service they are requesting.
»Please encourage clients to answer all calls, have
voicemail set up if possible, and listen to all messages
after the referral is made.
2 There is a planned future update to BenefitsCal that will allow CBOs to look up case information as long as the client signs a release of information.
More information to come.
HOW DO I BECOME AN AUTHORIZED
REPRESENTATIVE?
To access your client’s application status and receive
future correspondence on behalf of your client, you need
to list yourself as an authorized representative.
Download and fill out the Authorized Representative
Form
The MC 382 (Appointment of Authorized
Representative) must be completed if the Authorized
Representative is an individual. The form needs to be
completed for each Authorized Representative.
The MC 383 (Authorized Representative for Standard
Agreement for Organizations) must be completed
if the Authorized Representative is a clinic or
organization. Each individual that will be acting as the
applicant’s/beneficiary’s Authorized Representative
should be listed on Form MC 383.
If you aren’t listed as the authorized representative,
your client will need to be present to receive
information about benefits status, or request
verification letters.
WHEN AUTOMATING RENEWALS THROUGH
CALHEERS, WHAT IS CONSENT FOR ELECTRONIC
VERIFICATION?
When a consumer fills out their application, they choose
to allow Covered California to verify the information
in their application electronically using the Federal
Data Services Hub (FDSH)—this is called Consent
for Verification. Consumers may authorize Covered
California to verify their information electronically for a
period of zero (0) to five (5) years without the consumer
having to take any action. To ensure that your consumers
receive any increased financial help they may be eligible
to receive, please confirm
that their Consent for
Verification is provided.
For instructions, see the
Consent for Verification
Quick Guide
PLEASE SEND QUESTIONS ABOUT THE HOUSING COMMUNITY SUPPORT PROVIDER ROLE TO CALAIM@ACGOV.ORG
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