Monday, April 10, 2006

AB 1948 Montanez [CDR SUPPORTS] Pre-enrollment

AB 1948, as amended, Montanez Medi-Cal program: Healthy Families
Program: Child Health and Disability Prevention (CHDP) program.
This bill would require the department, by July 1, 2008, to modify
the electronic preenrollment application process to include a
process to be used, at the option and with the written consent of the
person applying on the child's behalf, to simultaneously preenroll
and apply for enrollment into the Healthy Families Program or
Medi-Cal program. It would require this process to include an
application to provide for continuing preliminary benefits until a
final eligibility determination is made.
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Existing law provides for the Medi-Cal program, which is
administered by the State Department of Health Services and under
which qualified low-income persons receive health care benefits.
Existing law establishes the Healthy Families Program,
administered by the Managed Risk Medical Insurance Board, to arrange
for the provision of health services to an eligible person.
Existing law establishes the Child Health and Disability
Prevention (CHDP) program, administered by the department, to provide
early and periodic assessments of the health status of children.
Under existing law, benefits under the Medi-Cal program provided
to an individual pursuant to a preliminary determination end, without
the necessity for any further review or determination by the
department, on or before the last day of the month following the
month in which the preliminary determination was made, unless an
application for medical assistance is filed on or before that date.
If an application for medical assistance is filed before this
deadline, preliminary benefits continue until the regular eligibility
determination based on the application has been completed.
Existing law requires the department to develop an electronic
application to serve as the application for preenrollment into the
Medi-Cal program or the Healthy Families Program and to also serve as
an application for the CHDP program.

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