9059 - MIPPA LIS App - Current Medi-Cal and MSP Eligible - Urgent

This alert is generated as a result of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) to notify the county that the Medicare Part D Low Income Subsidy (LIS) applicant must be evaluated for Medi-Cal and Medicare Savings Programs (MSP) eligibility.

The applicant was matched to the MEDS system and it was found that the client is currently receiving both Medi-Cal and MSP benefits.

Action Required

Obtain all inquiry screens from the LIS database in MEDS.
Compare the LIS application date(s) shown on the [LIS1] and [LIS6] screens against the application date in CalSAWS.
Deny the application as a duplicate application if the LIS application date is LATER than the Medi-Cal and/or MSP application date.
Evaluate the beneficiary for Medi-Cal and/or MSP eligibility for the month(s) prior to their current eligibility if the LIS application date is PRIOR to the Medi-Cal and/or MSP application date.

For more information, refer to MC HB Chapter 20: Medicare Coverage, Section Low Income Subsidy Applications.

9059 - MIPPA LIS App - Current Medi-Cal and MSP Eligible - Urgent

Action Required

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