Craig v. Bonta Process

The following business process applies when processing Craig v. Bonta Medi-Cal applications:

Step Who Action
1 Information Systems
  • Generates the MEDS 331 Craig vs. Bonta report on the 28th of each month.
2 Management Analyst
  • E-mails the report in Excel spreadsheet to Craig unit EWS and to designated Application Support.
3 Application Support/Application Registration
  • Receives Craig vs. Bonta Excel spreadsheet.
  • Performs full file clearance and Application Registration use CalSAWS Craig vs. Bonta bank caseload ID: 43LS0DD04  (Refer to Clerical Handbook Application Registration and Preparation).
  • Places application in designated basket for scanning and Task Request creation.
4 Designated Application Support/Application Registration
5 Intake EW
  • Receives Task assignment.
  • Reviews CalSAWS Data Collection, Journal entries, IDM, MEDS, IEVS, etc.
  • Performs SB 87 process and sends the MC 355 as necessary. For more information on Craig vs Bonta Ex Parte, refer to MCHB chapter 35 subtopic Craig vs. Bonta - Loss of SSI/SSP.
    • Ex-Parte Review without client contact: Reviews IEVS/MEDS/SAVE information and other active/closed cases, etc.
    • Ex-Parte Review with direct contact: Contacts the client by phone to obtain necessary information.
    • Request for Information: MC 355 allowing 30 days for its return. 
    • Enters information into CalSAWS from verifications/forms provided.
    • Add a Case Flag: (Refer to Chewable Byte CB 2023-03: How to add a case flag.)
      • Title: Craig Vs Bonta
      • Category: Reporting
      • Type: County
      • Begin Date: Enter the application date

 

Note: SB 87 not necessary on cases if the client is deceased, lost California residency, or is incarcerated.

If... Then...
Ex-Parte process is complete and no further verifications needed,
  • Runs EDBC and authorizes the case.
  • Reviews client correspondence and processes as appropriate.
  • Reviews and resolves system alerts.
  • Documents actions taken in CalSAWS Journal Detail page.   
Ex-Parte process is NOT complete OR verifications are needed,
  • Sends the Information Packet (Cover letter MC 007, MC 219, SCD 391, DHCS 7077, DHCS 7077A) and MC 355 allowing 30 days for its return.
  • Documents actions in the CalSAWS Journal Detail page.

    • Note: CalSAWS will create an automated Task if pending verifications are not received by the MC 355 due date.

  • Send appropriate 10-day NOA (i.e., discontinuance or SOC).

Important: If the client fails to submit the requested verification by the due date, send appropriate discontinuance NOA and include 90-day cure period language. For 90-day Cure period language, refer to MCHB chapter 35 subtopic  Craig v Bonta-Loss of SSI/SSP, subsection Craig v Bonta RD Process. 

 
  • If Medi-Cal is approved:
    • Consults with the supervisor if unable to run EDBC due to batch issues.
    • Documents actions in CalSAWS Journal Detail page.
    • Reviews MEDS to verify eligibility and submits MEDS screens to Imaging.
    • Updates Task status to Completed and assigns to EWS for review. 
  • Task Request is automatically transferred to EWS Scoreboard for review.
6 EWS
  • Receives the Task assignment from the EW.
  • Selects and reviews application for accuracy and completeness as per policy.

    • Note: Updates Task status to Completed for all non-reviewed cases.

  • If Application Processing is:  
    • Accurate and complete:   
      • Updates Task Status to Completed.    
    • Not accurate or complete: 
      • Returns case to EW for corrections.
      • Updates Task Status to Assigned/In Process. 

Related Topics

Medi-Cal Business Processes Overview