尊敬的利益相關者，​​ 

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.​​ 

迄今為止，DHCS 已提交並獲得 CMS 批准的州計劃修正案 (SPA) 21-0053，以在第一階段實施資源豁免，提高大多數非 MAGI 承保群體的資產限額；DHCS 尚未向 CMS 提交第二階段的 SPA，但打算在不久的將來提交。然而，由於適用豁免的法定權力僅限於某些列舉的承保群體，SPA 21-0053 不適用於“被視為補充保障收入 (SSI) 群體”，特別是那些強制性的Medi-Cal資格群體，這些群體由那些如果正在領取 SSI 和/或州補充被認為有資格獲得Medicaid ，但現在領取此類付款，因此擁有此類Medi-Cal ， 因此，為了在兩個階段都維持被視為 SSI 群體的個人獲得保險的途徑，DHCS 請求 CMS 批准第 1115 節示範修正案，允許該州提高並最終取消這些群體的資產測試限額。​​ 

若要查看 CalAIM 第 1115 節修正案申請，請造訪DHCS 網站。​​