Medi-Cal Eligibility Division
The Medi-Cal Eligibility Division (MCED) is responsible for the coordination, clarification, and implementation of Medi-Cal regulations, policy, and procedures to assure that Medi-Cal eligibility is determined accurately and on a timely basis by the 58 county public social services agencies.
The MCED functions include:
- Proposal of New Legislation, New Regulations, and Identification of Policy Issues for Executive Staff Consideration;
- Providing assistance to counties who have questions regarding new or previously implemented programs;
- Responding to lawsuits involving the California Medi-Cal program;
- Developing policies and answer questions related to Medi-Cal Eligibility Data System and other automated systems that impact the Medi-Cal program;
- Reviewing Proposed State Hearing Decisions concerning eligibility matters and Recommendation of Action to the Director; and
- Reviewing and Evaluating Program Eligibility Requirements and assurance of compliance with Federal Medicaid (Title XIX) Regulations.
- Providing county public social services agencies with All County Welfare Directors Letters (ACWDLs) and Medi-Cal Eligibility Information Letters (MEBILs) regarding new or changed policies and/or procedures used in determining eligibility for Medi-Cal benefits.