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Developing policy, regulations and new statutes (legislation) necessary to determine eligibility of applicants for the Medi-Cal program.
Providing oversight and monitoring of the county eligibility determination to ensure compliance with state and federal laws.
Providing guidance and technical assistance to county human services agencies who administer eligibility for the Medi-Cal program.
Issuing All County Welfare Directors Letters (ACWDLs) and Medi-Cal Eligibility Division Information Letters (MEDILs) regarding new or amended policies and or procedures used in determining eligibility for Medi-Cal benefits.
Assisting Medi-Cal applicants/beneficiaries in obtaining benefits through the county and answering eligibility questions.
Overseeing the statewide application and eligibility functions of the Breast and Cervical Cancer Treatment Program.
Enrolling qualified providers in the Presumptive Eligibility for Pregnant Women Program.
Reviewing and evaluating program eligibility requirements and assuring compliance with federal medicaid (Title XIX, Title XXI) regulations.
Reviewing proposed state hearing decisions concerning eligibility issues and providing recommendations of action to the Director.
Developing policies and responding to questions related to the Medi-Cal Eligibility Data System (MEDS) and other automated systems that impact the Medi-Cal program.
Ensuring the security and confidentiality of data contained in MEDS by monitoring and authorizing access to MEDS.
Working cooperatively with stakeholders, consumer advocates, and business partners in administration of the Medi-Cal program.