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Asset Waiver for Children. Resources will not be counted in determining the Medi-Cal eligibility for children eligible under the various Percentage Program limits. The estimated average cost per child under 15 years of age is $48, and 15through 18 years of age is $89. There were 592 eligible children in February 1999. It is assumed that this population will continue to grow at a rate of 250 per month. One Month Bridge from Medi-Cal to Healthy Families. A federally acceptable One Month Bridge Program of Title XXI funded health care for children becoming ineligible for free Medi-Cal was established by AB 2780, Chapter 310 Statutes of 1998. This program (which covers one month only) was implemented on November 1, 1998. To be eligible, families’ income must be between 100 percent and 200 percent of the federal poverty level. The estimated average cost per child is $43 per month and the estimated number of eligible children, once the program is fully implemented is 8,036 per month. In February 1999 there were 471 children eligible. It is assumed that the caseload will grow at a rate of 250 per month to the total 8,036. MRMIB Payments to Administrative Vendor. MRMIB payment to the HFP administrative vendor for eligibility determination and enrollment services are classified as administrative costs in accordance with Health Care Financing Administration (HCFA) guidelines for claiming Title XXI funds. The administrative vendor contract (contract) with Electronic Data Systems (EDS) includes final negotiated per child per month (PCPM) costs of $52.00 for the first 10,000 subscribers and $3.85 thereafter. Also included are minimal costs for the state share of transactions fees for families’ cash and credit card payments, and bad check fees from the families’ first month premium payments. Statewide Outreach Campaign. The State has implemented various activities to provide information to families regarding both Medi-Cal and HFP, and to encourage and increase enrollment of children in both programs. Full year outreach activities are estimated at $12 million annually. Note: The Outreach budget includes the one-time application assistance fees and annual eligibility review fees. Mental Health County Administration. This is the administrative cost portion of the Healthy Families Program county mental health funding. Effective Date: Approval Date: November 1, 2009 HFP Family Contribution Increase November 1, 2009 HFP Co-Payment Increase November 1, 2009 HFP Limited Dental Plan Choice for New Subscribers

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