Annual Redetermination for Medical (sic) Medi-Cal
Form # MC 216 & 262

MAGI - Medi Cal Renewal Form - MC 216

You'll be getting the MAGI Medi Cal Renewal Form - MC 216 (ONLINE pdf)  soon, say  March 2023  ^{Cal Matters * CMA Docs.org * hhs.gov} * , when the COVID Public Health Emergency ends.  During COVID you couldn't be terminated, from Medi Cal  ^{Disability Rights * Footnotes} * .

VIDEO Explanation Kaiser

The renewal is usually automatic and done through the Federal Hub.  So, if you get the MC 216 form, that means Medi Cal couldn't automatically renew you. So you have to fill out the form or risk losing your coverage.

dhcs.ca.gov/keep-your-medi-cal  Website

• 
• If you're earning too much $$$ for Medi Cal, get Covered CA quotes with subsidies here.
  • SB 260 automatic transfer to Covered CA - Bill Text  *  Covered CA Power Point *
    • You can appoint us as your broker, no extra charge
    • 
    • From Covered CA training - Click image to enlarge
      • APS = Automatic Plan Overview
      • APTC = Advance Premium Tax Credit = Subsidy
      • Automatic Transfer to Covered CA does NOT include dental.  You need to pick a dental plan
    • 
• KFF Kaiser Foundation estimates that between 5 million and 14 million people will lose Medicaid Medi Cal coverage once the PHE Public Health Emergency ends.  ^KFF  *
  • Millions of children could lose Medicaid coverage once the public health emergency ends
• If Thank Goodness you're earning more $$$ Get INSTANT, NO OBLIGATIION Covered CA QUOTES!
• Anthem Blue Cross Medi Cal Redetermination
• Go on your Employers Group Plan
  • Information for Employers  from Blue Cross
• Our main webpage on redetermination
  • If you lose Medi Cal as your income increased  and you  are now eligible  for advanced premium tax credits (APTC).  Get INSTANT, NO OBLIGATIION Covered CA QUOTES! We can help you, no additional charge
    • MEDI-CAL COVID-19 PUBLIC HEALTH EMERGENCY OPERATIONAL UNWINDING PLAN
      • Medicaid.gov technical on how to get back to normal procures now that the COVID emergency is over.
  • The Importance of Properly Terminating MAGI Medi-Cal Insure Me Kevin.com
    • Email us [email protected] for the SB 260 toolkit
• If you have questions, that are not answered on this page about KEEPING your Medi Cal and not going into Covered CA with subsides, we won't be able to help you...
  • Please contact Medi Cal Directly
  • DHCS Keep yourself and family covered
    • Tool Kit
    • DHCS is committed to maximizing continuity of coverage for Medi-Cal beneficiaries through the course of the Continuous Coverage Unwinding Period as the Department works with local county offices to resume normal eligibility operations.  ^{DHCS.gov Unwinding} *
  • bet tzedek.org/get-help
• SCAN FAQ's if password is required, email us  [email protected] 

Instructions

• VIDEO - How to do a renewal
• What is MAGI Income?
• What are the income limits for Medi Cal vs Covered CA?
• Who counts in the household? 
• 

What is Medi Cal looking for?
What do they want?

• Western Poverty Law Page 240 - 6.227
• LA Care
• IEHP
• Medi-Cal Contact Information
  • Please read the instructions and materials on this page, very carefully.   We are NOT authorized Medi Cal agents and do not get any compensation to help you with your Medi Cal questions.
    • If you no longer qualify for Medi Cal, say you're now earning more than 138% of Federal Poverty Level, we can help you get coverage from Covered CA.  There is no extra charge for our expertise &  assistance!  We are paid by whatever Insurance Company that you choose.   Get INSTANT, NO OBLIGATIION QUOTES!
• What is MAGI Modified Adjusted Gross Income?
  • What income counts?
• If you are on SSI - Medi Cal is automatic!  Even when you change to SSDI Pickle Amendment
• More references & Links
  • MEDI-CAL COVID-19 PUBLIC HEALTH EMERGENCY AND CONTINUOUS COVERAGE OPERATIONAL UNWINDING PLAN
  • 10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision KFF
  • Medicaid Enrollment Nears 100 Million, But Millions May Lose Access In April KFF
  • Millions of people who enrolled in Medicaid during the COVID-19 pandemic could start to lose their coverage on April 1 if Congress passes the $1.7 trillion spending package leaders unveiled Tuesday.The legislation will sunset a requirement of the COVID-19 public health emergency that prohibited states from booting people off Medicaid.  Learn More AP News *
  • Medicaid Programs Scramble With Coverage for Millions at Risk
  • Medi-Cal Renewal Broker Resource Toolkit  Anthem
    • Medicaid & CHIP in California
  • Covered CA vs Medi Cal Monthly Income Kevin Knauss
• Transitions from Medi-Cal to get Covered CA
  • Redetermination Medi Cal MC 216 & 262
• 10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision  KFF
  • A paltry 3% of people got Affordable Care Act exchange coverage within a year after leaving Medicaid or the Children’s Health Insurance Program, a new study found, 2017 to 2019 ^{Fierce Health Care} *
• 
• Click on Image to enlarge
• Understanding the Long-Term Implications of Medicaid Unwinding  Read More Managed Health Care *  It’s time to talk about the ramifications of pulling the rug out from the low-income and disabled individuals who rely on Medicaid’s basic healthcare services

Dental For #Everyone,
has an excellent  website with full brochures, Instant online quoting and enrollment

• One of our colleagues on how Dental for Everyone Works.
• Some of our webpages on dental
  • Dental & Vision for Adults and Mandatory Pediatic as an essential benefit
    • Dental Implants
    • Dental under Medicare is very limited – 2022 Budget to increase benefits
• VSP Vision

Covered CA (& Medi Cal) - Calculate - #Countable Sources of  MAGI Income
Short Summary

Medi Cal Contact Information

• #Email  Addresses & Phone #'s
• Who to #contact at Medi Cal
• Main Email to Get a hold of Medi Cal  ---  [email protected] 
  • Form to authorize someone else to talk to Medi Cal for you
  • Medi-Cal Member & Provider helpline, at (800) 541-5555.
• All inquiries related to Medi-Cal, including questions about terminating Medi-Cal coverage, must be referred to the beneficiary’s local county Social Services office.
  • • Department of Health Care Services County Listings:
    •  
    • • Covered California’s Medi-Cal page:.
    • • Medi-Cal Reminders and When to Contact County Social Services:
      • guide outlining information that certified enrollers can use when assisting Medi-Cal beneficiaries who may be eligible for and wish to enroll into a Covered California plan.
• dhcs.ca.gov/medi-cal/Contacts
• health care options.dhcs.ca.gov/contact-us
• Medi-Cal Rx Customer Service Center
• Department of Health Care Services Contacts
• [email protected]  regarding general Medi-Cal eligibility.  
  • If the question contains specific details  the county or the  district office that handles your case must  answer. 
• Benefits Cal - Enrollment Website 

• 
• • Assisting Medi-Cal Eligible Consumers FAQ:
  • frequently asked questions and glossary terms to understand the Medi-Cal enrollment process and learn how to seek help for various scenarios.
• California Department of Health Care Services 1-844-253-0883
• Non MAGI Medi Cal  1.916.345.8675
• [email protected]   Ms. Leslie Benson 
• IHSS In Home Supportive Services

• Ombudsman Webpage
  • Phone: 1-888-452-8609
  • Email:   [email protected] 
    • The Office of Ombudsman cannot approve/terminate/reinstate Medi-Cal eligibility; alter aid codes, change/update addresses, change/update name or initiate inter-county transfers.

• Complex Questions Assistance
  • • Health Consumer Alliance at 1-888-804-3536.
      • HCA-What-is-the-HCA
    • Disability Rights California at 1-800-776-5746.

• • HICAP – Health Insurance Counseling & Advocacy Program
    • CA Health Care Advocates – 1-800-434-0222   Volunteer counselors can help you understand your specific rights and health care options
      
  • Medi Cal Consulting Services
  • National Center on Law & Elder Rights
  • VITA Volunteers Income Tax Assistance
  • Bet Zdedek Legal Services
  • Medi Cal - Technical Comprehensive Reference Materials
  • Our webpage on education, research & tutoring for a fee 
  • aging.ca.gov/Medicare_& Medi Cal Counseling
  • Elder Care locator
  •  medi helper.com
  • 
  • Pdf Brochure   -  I was told their fee is $3k

• Medi Cal - #County Office Lookup

  County Listings: A - L

   

• County Listings: M - R

   
• County Listings: S - Z

See our Main Webpage on Medi Cal contact information

Non MAGI Medi Cal

• dhcs.ca.gov/ Non MAGI Medi Cal
• Western Poverty Law - Non MAGI Medi Cal

#Understanding Medicare Advantage Plans (PDF) #12026

Spanish 

Watch Steve's Video Seminar

• MAPD Plans look like a great deal, as the "premium" is paid by fee from the Federal Government, on average $2k/year.^Kff *  MAPD Plans must cover all A & B services ^Medicare.Gov * generally they also cover Part D Rx.
• That's why the premium is very low or ZERO!

• Set a Zoom Meeting
  • We can now do SOC Scope of Appointment, before the Meeting via a 3 minute recorded  meeting 2 days before.  ^{AHIP Training Module 4 Page 14} *
• #Intake Form   Berwick Needs Assessment Form    - We can better prepare for the meeting
• Medicare Advantage (Medicare Part C): An Overview   Hi Cap
• HMO - Narrow Networks?
• HI Cap CA Health Care Advocates Fact Sheet
• Do I just sign up with a Medicare Advantage Company and automatically get * Parts A & B or do I have to get those from Medicare.Gov  *   VIDEO
• 17 Reasons to use Steve Shorr Insurance
• Get Quotes, Full Information and Enroll
  • Blue Cross
  • United Health Care
  • SCAN
  • Blue Shield 
    • scope of  appointment
  • Tell us about your self and your situation - Needs Assessment (Berwick)
• MANDATED wording!:  ^{Think Advisor} * ‘‘We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area.  Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options.’’
• We disagree with the above wording, as we can use the same tools on Medicare.gov as they do!
• FYI  a 4.27.2022 HHS Office of the Inspector General report found that MAPD plans denied 13% of prior authorizations that would have been covered under original Medicare (Conversely, Medi Gap, just follows what Medicare pays.)
• 88% of MAPD enrollees are happy

• MAPD plans often include Dental &  Part D - Rx Prescriptions   and often have NO premiums! 

  • How is that possible?

    • The Federal Government pays them around $700/month to handle your medical care.  You must continue to pay your Medicare Part B premium of about $170/month.  It's best to apply when you turn 65 for the supplement plans or advantage plans, as that's the main "Open Enrollment" period, guaranteed issue for any plan. 

• Medicare Advantage Plans also have an annual open enrollment now known as AEP Annual Election Period October 7 to December 15th.

• Additional Coverage is important as Medical Bills are increasing Seniors Credit Card Debt or leading to possible bankruptcy?

• If You Have Problems with Your Medicare Advantage Plan
  • forbes.com/how-insurers-can-navigate-the-costs-of-medicare-advantage-benefits
  • politico.com/medicare-advantage-plans-congress
  • Uncle Sam wants you to help stop insurers' bogus Medicare Advantage sales tactics
  • ca health advocates/using-ai-to-deny-care
  • Dodging the Medicare Enrollment Deadline Can Be Costly
  • Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors 
  • Medicare Advantage is bad for patients and bad for investors
• When Medicare Advantage Plans Terminate Coverage
• Medi-Cal D-SNP Feasibility Study
  • MLN Fact Sheet Beneficiaries Dually Eligible for Medicare & Medicaid
  • Congress Considers Strategies To Improve Medicare And Medicaid Integration For Dual-Eligible Individuals
  • Fixing the FIDE-SNP – Redefining “Fully Integrated”
  • Medicare Medi-Cal Plans​  Dhcs.ca.gov

See My Medi Cal information