尊敬的各位利益相关方：​​ 

On April 6, 2022, the Department of Health Care Services (DHCS) submitted to the Centers for Medicare & Medicaid Services (CMS) an application to amend the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration to increase and eventually eliminate asset limits for certain low-income individuals whose eligibility is not determined using the modified adjusted gross income (MAGI)-based financial methods. Assembly Bill 133 (Chapter 143, Section 364, Statutes of 2021) directed DHCS to seek federal approval to implement a two-phased approach to increase and eventually eliminate the asset limits for non-MAGI coverage groups. Under Phase I, effective July 1, 2022, DHCS must apply a disregard of $130,000 in nonexempt property for a single Medi-Cal enrollee and $65,000 for each additional household member, up to a maximum of ten members. Under Phase II, effective January 1, 2024, DHCS must eliminate the asset test for non-MAGI Medi-Cal programs.​​ 

迄今为止，DHCS 已提交并获得 CMS 批准的州计划修正案 (SPA) 21-0053，以在第一阶段实施资源豁免，提高大多数非 MAGI 承保群体的资产限额；DHCS 尚未向 CMS 提交第二阶段的 SPA，但打算在不久的将来提交。然而，由于适用豁免的法定权力仅限于某些列举的承保群体，SPA 21-0053 不适用于“被视为补充保障收入 (SSI) 群体”，特别是那些强制性的 Medi-Cal 资格群体，这些群体由那些如果正在领取 SSI 和/或州补充付款则有资格获得 Medicaid，但现在不再领取此类付款，因此“被视为”有资格获得 Medi-Cal 的个人组成。因此，为了在两个阶段都维持被视为 SSI 群体的个人获得保险的途径，DHCS 请求 CMS 批准第 1115 节示范修正案，允许该州提高并最终取消这些群体的资产测试限额。​​ 

要查看 CalAIM 第 1115 节修正案申请，请访问DHCS 网站。​​