Annual Redetermination

The MC Redetermination (RD) must be completed and updated in CalSAWS when it is due. The change of county address does not exempt the beneficiary from complying with the RD requirements.

The Receiving County is responsible for processing the annual RD when the RD is initiated, due or overdue during the eICT transfer period. The Sending County, upon notification of the move, must change the address and county code on MEDS and initiate an eICT to the Receiving County.

The Receiving County cannot reject an ICT for an overdue RD if the individual is now residing in the Receiving County. Refer to Redeterminations. 

Redetermination Rules for ICT

The following rules apply:

If the...

Then the...

Sending County has received the RD packet or contact from the client and all information/verification are provided,

Sending County should update the RD and then initiate an eICT to the client’s current county of residence.

Sending County has already started the RD process but the RD packet or required information/verification(s):

  • Has not been returned by the client, or
  • Is incomplete (e.g., missing information/ verifications)

Sending County must initiate the eICT immediately and forward the RD packet and any information reported by the client to the Receiving County when received.

Receiving County must process the eICT without delay and update the RD after the eICT is completed.

Client applies in the Receiving County or contacts either county within 90 days after Medi-Cal is terminated for failure to complete the annual RD

Receiving County must:

  • Not require the client to complete a new application.
  • Assist the client in completing required RD forms and ask the client to provide new or changed information/verification.
  • Contact the Sending County for copies of verification that are already available.
  • Request the Sending County to rescind the termination and initiate an eICT.
  • Process the annual RD when the eICT is completed.

Client applies at or contacts the Receiving County after 90 days of termination from Medi-Cal for failure to complete the annual RD,

Receiving County may require the client to complete a new application, unless the client can provide evidence of good cause for not completing the annual RD.

If good cause exists, follow the instructions mentioned above, as if the client made a contact within 90 days from the Medi-Cal discontinuance date.

Related Topics

California Residency

Redeterminations