Change of Address for Children in FC and AAP Placed Out of County

When a FC or AAP child is placed in a facility out of the county, the county where the court has jurisdiction retains responsibility for the child or youth, the child or youth must disenroll from the COHS within two working days upon notification of the address change. For instructions on disenrollment refer to Emergency Disenrollments.

RESIDENCE ADDRESS and RESIDENCE COUNTY CODE on MEDS

It is the RESIDENCE ADDRESS and RESIDENCE COUNTY CODE on MEDS that determines which managed care plan is available to the child/youth.

Although Santa Clara is not a COHS county, the Residence Address and Residence-County code for a FC and AAP child/youth, including children or youth who also receive SSI benefits, must be updated IMMEDIATELY in CalSAWS and MEDS. This is to ensure the child/youth can quickly obtain medical and mental health services in their new county of residence through fee-for-service providers or through a Medi-Cal managed care plan; especially if the county they move to is a COHS county.

Note: The Collect Individual Residency Detail must not be updated. It must stay as “Santa Clara”. The “Home County” and “CA Resident [Y/N]” must remain as displayed below.as displayed below.

The address of where the child or youth is placed must be entered in CalSAWS and MEDS. The following steps apply when updating the out-of-county address for FC and AAP children or youth:

  1. Go to the Display Individual Demographic Summary window for the child or youth.
  2. From the Collect Individual Demographics Detail window select the “Individual Address” tab and the Collect Individual Address Detail window will display.
  3. From the Collect Individual Address Detail window select the “Address” and enter the address of the facility or for children placed in FFA use the address of the certified home.
  4. When necessary complete Disenrollment from MCP.
  5. Check MEDS in two working days to ensure the new address and Residence-County Code are properly recorded. If necessary, submit a SCD 1296 requesting the MTO to update the address

Change of Address for Children in FC, Kin-GAP and AAP

When a FC, Kin-GAP or AAP child/youth has moved to a new county, he/she must be disenrolled from the COHS in the former county within two working days upon notification of the address change.

RESIDENCE ADDRESS and RESIDENCE COUNTY CODE on MEDS

The original county where the court has jurisdiction (FC) or the county with the payment responsibility (AAP and Kin-GAP) retains responsibility for the child. It is the RESIDENCE ADDRESS and RESIDENCE COUNTY CODE on MEDS that determines which managed care plan is available to the child/youth.

Although Santa Clara is not a COHS county, the residence address and Residence-County code for a FC, Kin-GAP and AAP child/youth, including those who also receive SSI benefits, must be updated IMMEDIATELY in CalSAWS and MEDS. This is to ensure the child/youth can quickly obtain medical and mental health services in their new county of residence through fee-for-service providers or through a Medi-Cal MCP.

For a list of Health Care Plans by counties that may be used by the providers, refer to the Medi-Cal Managed Care Health Care Plan Master ListMedi-Cal Managed Care Health Care Plan Master List on the SSA intranet at http://intranet.ssa.co.santa-clara.ca.us/calwin/calwin_ref_materials.html.

 

Note: The Collect Individual Residency Detail must not be updated

 

To update the address for children in FC, AAP and Kin-GAP including children on SSI where the child or youth is no longer a resident of Santa Clara County the following steps apply:

  1. Go to the Display Individual Demographic Summary window for the child or youth
  2. From the Collect Individual Demographics Detail window select the “Individual Address” tab and the Collect Individual Address Detail window will display.
  3. From the Collect Individual Address Detail window select the “Address” and enter the new address.
  4. When necessary complete Disenrollment from MCP refer section 34.2.4 on page 4.
  5. Check MEDS in two working days to ensure the new address and Residence-County Code are properly recorded. If necessary, submit a SCD 1296 requesting the MTO to update the address.

Additional Steps for SSI FC, AAP and Kin-GAP Children or youth

Additional steps are required when updating the out-of-county address and Residence-County code for a FC, AAP and Kin-GAP child who is also an SSI beneficiary:

  • Suppress the address change via the Send Forced Add/Suppress Transactions to MEDS window to prevent MEDS alerts from being generated since this is a Federal/State-controlled record.
  • Submit an SCD 1296 requesting the MTO to complete an EW55 (SSI/SSP Modify) transaction to update the child’s residence address and Residence-county code with the current month as the VALID-MMYY.
  • Inform SSA of the address change so that they can also update the address in their system. Remember to let SSA know that the child is placed out of the county by Santa Clara and that our county is to remain the responsible county.

Note: Currently the SSI SW Coordinator is the contact person for reporting address changes to Social Security Administration.

Related Topics

Medi-Cal