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Other Health Coverage (OHC)
Federal and state laws requires Medi-Cal applicants and beneficiaries to report OHC as a condition of Medi-Cal eligibility. Children and youth receiving FC, AAP and Kin-GAP are not required to report OHC.
Additionally, youth in FFY Medi-Cal are not required to report OHC.
MEDS is programmed to default the OHC Code to “N” for all children and youth in FC, AAP, Kin-GAP and FFY s.
Reporting OHC
When it is necessary for FC EWs to report OHC MEDS changes or removals, DHCS no longer processes mailed, e-mailed or faxed requests using the DHCS 6155, DHCS 6110 or SCD 2256. All OHC request sent via mail or e-mail will not be processed.
DHCS receives automated data exchanges from various sources. When it is necessary to remove OHC FC EW must follow the process outlined in MC Update 2013-10, for step by step procedures.
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