Healthy Families Transition FAQs

For families facing the transition from Healthy Families to Medi-Cal, there are plenty of questions. Luckily, the CA Department of Health Care Services has compiled a pretty comprehensive list of FAQ’s regarding the transition.

Here’s an excerpt, showing the top 10:

1. Why is HFP transitioning to Medi-Cal?
A new law in California says that children in HFP will move to Medi-Cal.  The move will take place over one year, starting no sooner than January 1, 2013.

2. What is Medi-Cal?
Medi-Cal is California’s Medicaid Program.  It provides medical, dental, mental health, alcohol and drug use treatment, and vision care to millions of Californians.  You can learn more about Medi-Cal at www.dhcs.ca.gov.

3. Is HFP still open for enrollment?
Yes.  HFP will continue to enroll babies who are on the Access for Infants and Mothers (AIM) Program into HFP.  Beginning no sooner than January 1, 2013, HFP will stop enrolling all other children, who are not on AIM.  Health-e-App, the on-line HFP Application will continue to accept new AIM applications.  The Health-e-App website is www.healtheapp.net. To request a paper application or to start an application by phone, call: 1-800-880-5305.  HFP will continue to process plan transfer requests, monthly premium payments, Annual Eligibility Reviews, and enrollment of infants whose mothers are enrolled in AIM.

4. When will HFP stop accepting applications?
HFP will stop accepting applications once the transition to Medi-Cal begins which will be no sooner than January 1, 2013, except applications for babies, who are on AIM.

5. When will my child transition from HFP to Medi-Cal?
It depends on where you live and what your child’s health plan is.  Children in HFP will not move to Medi-Cal before January 1, 2013.  Children will move from HFP to Medi-Cal in four phases over the course of the year.

6. What do I need to do for my child?
You will receive information from the State about when the move to Medi-Cal will happen for your child and what you may need to do.

7. Does my child need to reapply for HFP under Medi-Cal for coverage?
No, your child does not need to reapply, if he/she is already enrolled in HFP.

8. What if I do not want to move my child from HFP to Medi-Cal?
Due to a change in state law, all children enrolled in HFP must move to Medi-Cal to continue to receive medical, dental, mental health, alcohol and drug use treatment, and vision care benefits.

9. What happens if I move after my child transitions to Medi-Cal?
If you move, you need to tell your county eligibility worker within ten days so your child’s case information can be updated.  If you are moving to another county, your child may be enrolled into a Medi-Cal managed care health plan. To report changes online, register at www.benefitscal.com.

10. Will I have to pay co-payments for my child in Medi-Cal?
No, children in Medi-Cal do not pay co-payments for any service covered under Medi-Cal.

While the answers to these questions may be modified, CHI OC will continue to provide updates regarding the Healthy Families transition to Medi-Cal, as well as any other developments associated with the Affordable Care Act that affect Orange County.

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