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California Department of Health Care Services Medi-Cal Eligibility Division 1501 Capitol Avenue | Sacramento, CA | 95899-7413 MS 4607 | Phone (916) 552-9200 | www.dhcs.ca.gov State of California Gavin Newsom, Governor California Health and Human Services Agency DATE: TO: January 21, 2025 ALL COUNTY WELFARE DIRECTORS Letter No.:25-01 ALL COUNTY WELFARE ADMINISTRATIVE OFFICERS ALL COUNTY MEDI-CAL PROGRAM SPECIALISTS/LIAISONS ALL COUNTY HEALTH EXECUTIVES ALL COUNTY MENTAL HEALTH DIRECTORS ALL COUNTY MEDS LIAISONS SUBJECT: 2025 FEDERAL POVERTY LEVELS The enclosed charts provide the 2025 poverty level ceilings for Medi-Cal, Medi-Cal Access Program (MCAP), MCAP-Linked Infants, and County Children’s Health Initiative Program (C-CHIP). C-CHIP is available in San Francisco, Santa Clara, and San Mateo counties only. These ceilings are derived from the annual Federal Poverty Level (FPL) figures updated annually in the Federal Register by the U.S. Department of Health and Human Services. In this All County Welfare Directors Letter (ACWDL), the Department of Health Care Services (DHCS) is providing 2025 monthly FPL values (Enclosure 1) as well as 2025 annual FPL values (Enclosure 2), Program Descriptions by FPL (Enclosure 3) and the annual mailer sent to Medi-Cal members who are potentially impacted by 2025 FPL figures (Enclosure 4). Counties must review all denials and discontinuances for the following groups back to the date specified for each group and re-evaluate eligibility based on the revised FPL figures (see attached enclosures). • For applicants and recipients of the Medicare Savings Programs (MSP), Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary, and Qualified Individual who do not receive Title II Retirement Survivors and Disability Insurance (RSDI) income, the counties must apply the new FPL figures retroactively to January 1, 2025. • For MSP applicants or recipients who are receiving Title II RSDI income, the effective date for the new FPLs is March 1, 2025. • For individuals who are eligible for the Aged, Blind and Disabled (ABD) FPL programs and the 250% Working Disabled Program (WDP), the effective date of the revised FPL figures is April 1, 2025. • For applicants and recipients whose Medi-Cal is determined based upon Modified Adjusted Gross Income (MAGI) methodologies, the new FPL figures are effective January 1, 2025.