MAGI RRR
Received RRR task with all income provided but the packet is not signed, is it complete or incomplete?
Complete. The packet is not required at RRR nor the signature.
A person with SSA/RSDI disability benefit, receiving Medicare, income under MAGI. Which program to eval for? MAGI or non-MAGI?
Non-MAGI
Which calendar we can use to know whether today is within the Y period?
Based on the Calwin deadline calendar. (Intranet-> Assistance-> tools)
How many days we give for MC 355? for batch exception? and for TMS subtask?
30 days for MC 355, 40 days for batch, and 31 days for TMS subtask
06/2019 RRR was disc due to no RRR. Case change task received with incomplete income verif on 07/05/2019, what action to take?
No action needed. MFW sent to inform client to send supplemental verification to complete RRR process
06/2019 RRR not received. Client sent in incomplete income during month of 06/2019. What action to take?
Rescind the case and send MC355
Who has linkage for non-MAGI evaluation?
Children under 21, Parent/Caretaker relatives, ABD, Pregnant Women
When to send CW 2.1 (absent parent form)? How to get it?
When the absent parent is not in the home and the mom is receiving Medi-Cal. We can print on CalWIN under Print form, search for CW2.1 (2 forms)
How can we check the meaning of all the codes on MEDS?
Use the MEDS quick reference guide
04/2019 RRR was disc due to failure to provide income verification. CH referral received with income updated, e-verified. What action to take?
Use the e-verified screens on CH as verification and rescind the case, then update the information accordingly
06/2019 RRR not received. Client sent in incomplete income after month of 06/2019. What action to take?
No action needed. Only rescind the case when complete verification is provided when it is after the RRR month
When to evaluate for non-MAGI?
When an ABD person is IE to MAGI
Upon request when person is over MAGI and has linkage to non-MAGI
Which resources we should use to know how to process a task (CalHEERS referral, case change, TLICP discontinuance, etc.)
Processing guide
How can we check the meaning of all the aid codes?
Use the Aid codes reference guide
04/2019 RRR was disc due to failure to provide income verification. CH referral received with income updated, NOT e-verified. What action to take?
No action needed. Only case comment
06/2019 RRR not received. Client sent in complete income after month of 09/2019. What action to take?
No action needed. 90 day cure period passed, client needs to re-apply
A person with SSA/RSDI disability benefit, not receiving Medicare, income under MAGI. Which program to eval for? MAGI or non-MAGI?
MAGI
Which resources we should use to know about the rules, regulations of the program (DDSD, DDS waiver, Sneede, etc.)
Worker tools and Program summary
A person with DACA is now over MAGI income limit, is he/she eligible for APTC?
No. DACA is NOT considered as qualified non-citizen to be eligible for tax filing or APTC
Which EW transaction to release the HOLD on MEDS and terminate the aid code as of 07/31/2019?
EW20, ESAC 7 and enter term date. Note: the aid code to use have to be a proper aid code (not T3 for 12 year-old child)
M355 sent out due on 07/25/2019. No verification received, however, worker was busy and only touch the case on 08/28/2019. what action to take?
Discontinue the case on 09/30/2019 for failure to provide. Timely NOA sent on 08/28/2019
A person with SSA/RSDI disability benefit, not receiving Medicare, income OVER MAGI. Which program to eval for? MAGI or non-MAGI?
non-MAGI
What is the difference between Message from worker and MC 355?
MFW is not valid to discontinue the case if client failed to provide while MC 355 is valid
A person with work visa (Employment authorization card), was M2 before, now over income. Is he/she eligible for APTC?
Yes. They're qualified non-citizen and can file taxes or APTC
Which forms need to be imaged on Onbase for MAGI? non-MAGI?
MAGI: MEDS screen showing aid code, NVRA
non-MAGI: MEDS screen showing aid code, NVRA, All screening forms (Pickle, DAC, DW)