Home Services Medi-Cal Resources Medi-Cal Eligibility Division All County Welfare Director’s & Medi-Cal Eligibility Division Information Letters 2025 All County Welfare Directors’ Letters

2025 All County Welfare Directors’ Letters

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The following are All County Welfare Directors’ Letters (ACWDLs) for 2025:

LetterDateTitle
ACWDL 25-01January 21, 20252025 FEDERAL POVERTY LEVELS
ACWDL 25-02January 22, 20252025 STATEWIDE AVERAGE PRIVATE PAY RATE FOR NURSING FACILITY SERVICES 
ACWDL 25-03February 12, 2025NON-COMPLIANCE WITH MEDI-CAL ELIGIBILITY REQUIREMENTS AND THE ELIMINATION OF THE REQUIREMENT TO APPLY FOR OTHER BENEFITS 
ACWDL 25-04February 13, 2025INCARCERATION VERIFICATION PROGRAM (IVP) PROCEDURE UPDATE 
ACWDL 25-05March 10, 2025ACCELERATED ENROLLMENT POLICY AND PROCEDURES UPDATE
ACWDL 25-06March 25, 2025GUIDANCE ON THE CENTERS FOR MEDICARE AND MEDICAID SERVICES FINAL RULE: UPDATING MEMBER ADDRESS PROCEDURES USING RELIABLE SOURCES
ACWDL 25-07(Obsolete)April 1, 2025STREAMLINING MEDICARE SAVINGS PROGRAMS (MSPs) ELIGIBILITY DETERMINATIONS USING LOW-INCOME SUBSIDY (LIS) LEADS DATA AND ALIGNING THE DEFINITION OF FAMILY SIZE FOR MSPs 
ACWDL 25-08April 1, 2025COUNTY MEDI-CAL PERFORMANCE DATA STANDARDS AND CALCULATIONS
ACWDL 25-09April 28, 20251902(e)(14)(A) WAIVERS AND FLEXIBILITIES AFTER THE END OF THE CONTINUOUS COVERAGE UNWINDING
ACWDL 25-10May 1, 2025REDUCTION OF THE REFUGEE MEDICAL ASSISTANCE PERIOD AND TERMINATION OF CATEGORICAL PAROLE PROGRAMS
ACWDL 25-11May 29, 20252025/2026 FAMILY MEMBERS BASE ALLOCATION AMOUNT (Reference: ACWDL 24-07)
ACWDL 25-12June 30, 2025ALTERNATE FORMATS REQUEST PROCESS FOR VISUALLY IMPAIRED APPLICANTS AND MEMBERS
ACWDL 25-13June 30, 2025MEDI-CAL EXPANSION FREEZE FOR ADULTS 19 AND OLDER WITHOUT SATISFACTORY IMMIGRATION STATUS
ACWDL 25-14June 30, 2025REINSTATEMENT OF ASSET LIMITS FOR NON-MODIFIED ADJUSTED GROSS INCOME (NON-MAGI) MEDI-CAL PROGRAMS
ACWDL 25-15July 15, 2025IMPLEMENTATION OF REASONABLE EXPLANATION IN THE CALIFORNIA HEALTHCARE ELIGIBILITY, ENROLLMENT, AND RETENTION SYSTEM AND THE CALIFORNIA STATEWIDE AUTOMATED WELFARE SYSTEM
ACWDL 25-16July 23, 2025INCOME ELIGIBILITY VERIFICATION SYSTEM (IEVS)
ACWDL 25-17September 17, 2025UPDATE TO THE TREATMENT OF STUDENT EARNED INCOME EXCLUSION
ACWDL 25-18October 9, 2025TRANSFERS OF ASSETS FOR LONG-TERM CARE MEDI-CAL AND PERIODS OF INELIGIBILITY FOR NURSING FACILITY LEVEL-OF-CARE
ACWDL 25-19October 19, 2025TREATMENT OF THE MEDICARE ADVANTAGE FLEX CARD FOR NON-MODIFIED ADJUSTED GROSS INCOME (NON-MAGI).
ACWDL 25-20October 31, 2025RESUMPTION OF ASSET VERIFICATION PROGRAM OPERATIONS DUE TO ASSET LIMIT REINSTATEMENT
ACWDL 25-21October 31, 2025UPDATE TO MODIFIED ADJUSTED GROSS INCOME (MAGI) MEDI-CAL BUDGET PERIOD SYSTEM FUNCTIONALITY
ACWDL 25-22(Enclosure)November 3, 20252026 SOCIAL SECURITY TITLE II COST OF LIVING ADJUSTMENT
ACWDL 25-23November 5, 2025RESUMPTION OF MEDICAL SUPPORT ENFORCEMENT REQUIREMENTS FOR MEDI-CAL
ACWDL 25-24November 12, 20252026 STUDENT EARNED INCOME EXCLUSION
ACWDL 25-25November 18, 2025UPDATED POLICY REGARDING NON-MODIFIED ADJUSTED GROSS INCOME MEDI-CAL ELIGIBILITY DETERMINATION PROCEDURES
ACWDL 25-26December 1, 20252026 MEDICARE PREMIUMS AND SOCIAL SECURITY TITLE II COST OF LIVING ADJUSTMENTS
ACWDL 25-27December 2, 20252026 MEDICARE SAVINGS PROGRAM PROPERTY LIMITS
ACWDL 25-28December 30, 2025MEDI-CAL ADULT EXPANSION FREEZE IMPACTS TO THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM (BCCTP)
ACWDL 25-29 (Enclosure 1, Enclosure 2, Enclosure 3)December 23, 20252026 SUPPLEMENTAL SECURITY INCOME/STATE SUPPLEMENTARY PAYMENT CASH GRANT LEVELS FOR DETERMINING PICKLE ELIGIBILITY AND OTHER RELATED INFORMATION
ACWDL 25-30December 30, 2025WORK AND COMMUNITY ENGAGEMENT REQUIREMENTS FOR NEW ADULT GROUP
ACWDL 25-31December 30, 2025SIX-MONTH RENEWALS FOR NEW ADULT GROUP REQUIREMENTS
ACWDL 25-32December 30, 2025MEDI-CAL CALL CENTER DATA
ACWDL 25-33December 30, 2025MONTHLY PREMIUMS FOR ADULT MEMBERS WITH UNSATISFACTORY IMMIGRATION STATUS