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Transitioning from Covered CA to MC
Covered CA clients are transitioned to MC coverage due to the result of the completion of their Covered CA annual renewal or changes reported outside of the renewal period. Covered CA begins processing renewals in October of each year. The completion of the renewal evaluates the household for APTC subsidies for the following benefit year. Covered CA clients are required to complete their renewal within 34 days of the date of their annual renewal notice. If clients do not complete their renewal by the 34th day, Covered CA re-enrolls clients into the last health plan they selected for coverage in the past (or current) benefit year, or a close or equivalent plan if last year's health plan is unavailable.
When the changes the client reports during their Covered CA renewal period result in the termination of their APTC subsidized health plan, an ERD is sent to the county for processing. If the change happened in the current month, the client has the option of choosing to keep their APTC until the end of the year, or being evaluated for MAGI immediately
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