CCHIP Questions and Answers

Does CCHIP meet MEC?

Answer: Yes CCHIP meets MEC.

Can a client have both CCHP and Non-MAGI MC without a SOC?

Answer: No, the FPLs are not the same for CCHIP and zero SOC Non-MAGI MC.

 Can a client have both CCHIP and Non-MAGI MC with a SOC?                                                                                                        Answer: No, a client cannot have both CCHIP and SOC MC.

Can a client have both CCHIP and MAGI MC?                                                                                                                                        Answer: No, the FPL programs are not the same.

Can a client have CCHIP and CPTC?  Answer: No, if a client is eligible for CCHIP, they are not eligible for subsidized coverage, APTC, or CSR. The client can choose QHP instead of CCHIP, at the full plan cost.

 What aid code will the client receive for CCHIP and where will it appear in MEDS?                                                                  Answer: The CCHIP aid code is 2C and will appear in MEDS on a special segment.

What is the EW responsibility for CCHIP clients?                                                                                                                                   Answer: EWs are not responsible for case management with CCHIP. The client will receive notification of eligibility, discontinuance from the program, and annual renewal determination from the CalHEERS system. However, the no “wrong door” policy applies to CCHIP. EWs must assist clients with the application online, in person, by phone, or by mail.

EWs will not confirm enrollment in CCHIP, confirmation comes directly from MAXIMUS.

If a client provides verifications to the EW, the EW will save the documents in IDM and update the CalSAWS case with the verification status. If verifications remain pending, MAXIMUS will follow up with the client.

What notifications will the client receive when they are approved, denied, or discontinued from CCHIP?                              Answer: Eligibility and/or denial notices for CCHIP and/or APTC will come from Covered California. The client will receive notification of enrollment, start date of coverage, or discontinuance from MAXIMUS.

 Will the client be automatically enrolled in CCHIP once the determination is made in CalHEERS or is there a batch process? Answer: Eligibility for CCHIP is determined with aid code 2C. Enrollment is completed by MAXIMUS.

What happens when the client’s income increases above 322 percent?                                                                                        Answer: CCHIP children will receive 12 months of uninterrupted coverage. If the income increases above the limit, the child will remain active on CCHIP until the end of the certification year.