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DDSD Referral for a Retro Month
Follow these instructions when DDSD must determine disability for a retroactive month:
New Applicant
When the client is applying for retroactive Medi-Cal and there has been no prior DDSD referral, a full DDSD packet must be sent.
DDSD Pending
When a DDSD decision is still pending and the client subsequently requests Medi-Cal for a retroactive month (an earlier onset date is needed), send an MC 222 LA to DDSD and specify the retro months requested under the “Other” section.
After DDSD Approval
When the need for retroactive Medi-Cal is identified within 12 months of the original application, the EW will complete a limited referral:
- Check the “Retro-onset” box in Item 8 of the new MC 221, and
- Attach a copy of the prior DDSD decision which shows the disability allowance.
Send a full DDSD packet if the request for retro onset is being sent more than one year after the original application.
Important: The above statement only applies when a court order, appeals decision or a state program decision require that a DDSD referral be made. Otherwise, an application for retroactive coverage must be submitted within one year of the month for which retroactive coverage is needed.
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