Former Foster Youth (FFY) Business Process 

The following process applies to individuals aging out of the FFY Program requiring a determination of eligibility for ongoing Medi-Cal coverage:

Step Who Action
1 Foster Care (FC) EW
  • Receives MC 210 RV and determines client is no longer eligible for FFY MC aid code 4M.
  • Contacts client by phone to obtain tax filing status and any other necessary information needed to determine eligibility for MC. Completes form SCD 2350 Request for Tax Filer Information (RFTHI) and obtains a Telephonic (Verbal) Signature for all information provided.
  • If unable to reach the client by phone, mails out SCD 2350 RFTHI and MC 355 allowing 30 days for the client to provide all necessary information.
  • Creates a CalSAWS Task for follow-up after the 30-day due date.
  • After 30 days, if client does not comply with providing necessary information, discontinues the case with a timely Notice of Action.
  • If all necessary information Is provided, reviews for companion cases and determines if a new MC case is needed due to confidentiality for MC Continuing office (BSC) to evaluate for ongoing Medi-Cal coverage.
  • Pulls general (non-confidential) verifications from current FC case (e.g. BC, SS card, or any other applicable items on file) 
  • Sends request with attached MC 210 RV, basic verifications, and completed tax filer form to FC Clerical team for Application Registration request (If applicable), and for case assignment.
  • Marks existing Task for MC RE as completed.
  • Documents all actions taken in CalSAWS Journal Detail page.
2 FC Clerical Team
  • Receives Application Registration request for a new MC case and/or case assignment.
  • Creates new pending MC case per FC EW's request, creates new Task for MC RE processing under correct case number and adds in Task long description: MC RE processing for FFY.
  • Images attached documents in the case that will be used for ongoing MC coverage.
  • If a new case was created, assigns to BSC caseload: 43LS0XKY0L.
  • Documents all actions taken in CalSAWS Journal Detail page.
3 Continuing EW
  • Receives MC RE Task for FFY client who is over age 26.
  • Reviews all available information and determines eligibility for ongoing health coverage (MC or APTC as appropriate)
  • Verifies appropriate Notice of Action is sent.
  • Documents all actions taken in CalSAWS Journal Detail page.