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Transitional Medi-Cal
TMC clients are NOT required to complete an MC RD while receiving TMC benefits until the end of the TMC period. Household members who are not on TMC are required to complete the MC RD when it is due. If non-TMC members fail to complete the MC RD process, they must be discontinued from MC. TMC eligible household members will remain on TMC for the entire TMC period providing all program requirements are met.
When a client reports increased earnings at/during the MC RD and it is over the MAGI MC limit, the household members are eligible for Initial TMC.
All Household Members are receiving TMC
When all household members are receiving TMC and the original MC RD is due before the TMC period expires, the MC RD is NOT due until the end of the TMC period. The MC RD for all household members must be completed in the last month of the TMC period to determine eligibility for other MC programs.
Household Members with Different TMC Expiration Dates
If the household has members receiving TMC with different expiration dates, the MC RD completed for the first household member at the end of his/her TMC period will establish the next RD for the entire household. At the end of the other household members’ TMC period, use existing case information to redetermine that individual’s MC eligibility.
Some Household Members are Receiving TMC
If some household members are receiving TMC and others are not when the RD is due for the household, the non-TMC members are required to complete the RD. Once the RD is completed, the RD date is established for the entire household. At the end of the TMC period for other household members, use existing case information to redetermine eligibility.
Reprinting MC RD forms
CalSAWS functionality includes the reprinting of previously printed MC RD forms. Replacement forms must be generated through CalSAWS. The form selected for reprinting will print out exactly as it did the first time it was printed, including all client specific information.
If the client requests a replacement RD packet, staff must re-print the forms that were originally auto-generated and must NOT manually generate new forms.
For specific guidance in CalSAWS on how to generate a replacement MC RD packet [Refer to Job Aid (JA): Medi-Cal Renewal Packets] and [Job Aid (JA): Forms and NOAs].
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