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Referrals to MBA
Because there are very few of these special cases, they are to be referred to the Medi-Cal Benefit Assistance office, attention to the SSPM, when a determination of eligibility for regular Medi-Cal has been completed and the applicant:
- Is otherwise eligible for Medi-Cal as MN/MI except for excess property, or
- Is employed and has been determined eligible for Medi-Cal with a Share of cost, or
- Is in need of TPN, but has no linkage. (Is not linked to AFDC-MN or MI.)
Note: Individuals applying for MSTP for dialysis coverage must have linkage.
The case must remain in pending status until the MBA EW determines eligibility for these programs. The MBA EW will issue the appropriate Notice of Action (NOA) after eligibility for these programs has been determined.
Exception: Referrals for the Tuberculosis Program
Related Topics
Determination of Percentage Obligation