I got a notice my Medi-Cal benefits are stopping or my “share of cost” is increasing.
During the COVID-19 pandemic, the county will not stop your Medi-Cal benefits even if your income goes up until March 31, 2023. It is unlikely that the County will take action on your case until after your next redetermination. We do not expect to see terminations until July 1, 2023.
You have the right to appeal the county’s action and have a hearing before an independent hearing officer. If you appeal the notice before the date of the change in your Medi-Cal, the county must not make he change until the hearing officer decides on your appeal. Even if you did not request a hearing before your benefits changed, you still have 90 days from the date of the notice to appeal.
Once you appeal, there will be a hearing scheduled to give you a chance to explain why your Medi-Cal should not stop or change and for the judge to decide if the county is right or wrong. If the hearing officer decides you are right, he can order the county to continue your Medi-Cal or to recalculate your share of cost.
You can find out more information about your Medi-Cal rights and the hearing process at the Department of Health Care Services.
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