Stay up to date on the significant federal and state policy changes affecting Medi-Cal eligibility and program administration. This comprehensive training provides an in-depth review of key provisions associated with HR 1, including changes already implemented as well as those scheduled for future rollout.
Participants will explore how these updates may affect eligibility determinations, case management practices, and program compliance requirements. The course will provide practical guidance for interpreting new policies and preparing for operational changes that impact Medi-Cal beneficiaries and eligibility staff.
Topics
- Medi-Cal Expansion Freeze
- Revised Definition of Qualified Non-Citizen
- Residency Verification Requirements
- Deceased Member Verification Processes
- Six-Month Eligibility Redeterminations
- Changes to Retroactive Medi-Cal Coverage Timeframes
- Work and Community Engagement Requirements
- Resumption of Medical Support Enforcement
Learning Objectives
Upon completion of this course, participants will be able to:
-
Identify key Medi-Cal policy and eligibility changes associated with HR 1.
-
Explain how new and reinstated requirements may affect program eligibility and beneficiary access to coverage.
-
Apply updated verification, redetermination and case processing procedures in accordance with federal and state guidance.
-
Evaluate the impact of policy changes on current and future Medi-Cal eligibility determinations.
-
Maintain compliance with evolving Medi-Cal regulations and administrative requirements.