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Federally Qualified Health Centers and Disproportionate Share Hospitals ............... page 31 

    • Question 1:  Where can we get information on Federally Qualified Health Centers and Disproportionate Share Hospitals?  
    • Answer 1:  Contact information on Federally Qualified Health Centers (FQHCs) and Disproportionate Share Hospitals (DSHs) is under construction and will be updated on the website when available. 
    • Question 2:  As outlined in ACWDL 07-12, FQHCs may view and copy original citizenship and identity documentation and forward to counties.  There are some concerns that counties will not be aware of this and will not accept the FQHC verification, thereby delaying Medi-Cal eligibility.  What mechanism should counties utilize for this to take place and should FQHCs contact the counties in advance to advise them they will be doing the initial verification?  
    • Answer 2:  ACWDL 07-12 page 31 explains what information FQHCs are required to forward to the counties when they view citizenship/identity documents (including Enclosure 5) and the process for FQHCs to follow in transmitting this to the county.  The mechanism for transmitting this information should be consistent with the process they normally use when accepting Medi-Cal applications which are forwarded to the county.  Wherever possible counties should work with FQHCs and DSHs who will be viewing citizenship/identity documents to ensure that all involved understand the process for transmitting citizenship/identity information to the counties.
    • Question 3: (posted 04/24/08): Could the following areas be included or altered on the Enclosure 5 form? Additional persons that may be covered in the Case Name area; Name, DOB, Case Name, and number of the person for whom documents were provided; The indication that only the County fill out that information may restrict FQHCs and DSHs staff from completing this form; The lack of form identification may lead to filing errors if it is separated from the application or other documents; and lastly the identifying details documents check boxes may not match the person bringing in the documentation.
    • Answer 3: (posted 04/24/08):  The Department has modified Enclosure 5 to be a receipt, rather than a proof and added additional identifying information at the top of the form because Federally Qualified Health Centers (FQHCs) and Disproportionate Share Hospitals (DSHs) are not likely to know the case name.  Enclosure 5 was also modified to address the identity of the person bringing in the documentation.
    • Question 4: (posted 04/24/08): Counties are required to complete Enclosure 5 for all documents received, and give a copy of the form to the client. If Counties want this form to be printed by the consortium system, will the Department of Health Care Services (DHCS) approve printing two copies and only signing the one that the County keeps, assuming the date, worker name and agency information is preprinted on the form? Or will they approve printing and signing one copy for the client and accepting the electronic record of the printed copy as the County's copy for the case file, even though the electronic version won't have a signature on it?
    • Answer 4: (posted 04/24/08): The revised Enclosure 5 is a receipt that indicates that the documents were original or certified copies. Any of the counties may use their own receipt, but must use Enclosure 5 if a county receipt is not given. The applicant / beneficiary must receive a signed receipt, whether Enclosure 5 or a consortium system / county generated receipt, with any electronic record printed in the case files.
    • Question 5: (posted 04/24/08): If a customer comes into a County Office providing a copy of Enclosure 5 that is incomplete from a different County, but the information is not in MEDS what course of action should counties take?
    • Answer 5: (posted 04/24/08): The County must ask the customer to bring in the original or a certified copy with a completed Enclosure 15. The Department of Health Care Services (DHCS) has created Enclosure 15 as proof of acceptability of a document. If a customer brings in Enclosure 15 obtained from any county, but that form is incomplete, it is not to be used as proof of acceptable documentation.

Limited benefits for failure to meet evidence of citizenship/national status ............... PAGE 31

    • Question 1:  (posted 11/02/07):  Mother and her child are recipients.  She just completed an RE in April, but received the information regarding the citizenship changes.  She called her worker and stated she could not afford the documents.  Although the worker explained that the county may be able to obtain the documents for her, she refuses to give additional information and both she and her daughter were born out of Ca.  Are we really going to restrict a child's benefits based on the parent's failure to act?  Are we correct to assume that the mother and child become eligible under restricted benefits?
    • Answer 1:  (posted 11/02/07):  Yes, the counties should reduce benefits for beneficiaries that fail to present documentation and are not making a good faith effort.