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The Medi-Cal Eligibility Division (MCED) is responsible for the development, coordination, clarification, and implementation of Medi-Cal regulations, policy, and procedures to assure Medi-Cal eligibility is determined accurately and timely by the 58 county human services agencies.

MCED functions include:

Guidance 

• 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.

Eligibility

• 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. 

Partnership with Counties & Stakeholders

• 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.