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will provide appropriate services to meet the needs of seriously emotionally disturbed children. Both programs will reimburse providers for these specialized services. Children receiving such services will continue to have their primary health needs served through the insurance program. Allowing those specialized services to be provided as a complement to, but outside of, the managed care setting is consistent with recent actions in the Federal budget reconciliation act which prohibit mandatory enrollment of children with special medical needs in managed care. To promote a smooth interface between Healthy Families and Medi-Cal, Medi-Cal will be enhanced through a resource disregard for children in the federal poverty level program, accelerated coverage for all children under 100 percent of the federal poverty level, and an additional one month of continued eligibility to allow children whose families become ineligible for Medi-Cal time to become enrolled in the insurance program. In addition to program integration, these features will promote greater coverage of children who are already eligible for, though not enrolled in, Medi-Cal. Under this Medicaid expansion, children without health insurance will receive their coverage under Title XXI funding. Children with health insurance will receive their coverage under Title XIX funding with the applicant’s other health coverage requirements being applied. The Healthy Families Program (HFP) grants Accelerated Enrollment (AE) into Medi- Cal when children are income screened below the HFP guidelines at initial application. These children’s applications are forwarded to the local County Welfare Department (CWD), and these children are provided with temporary no cost Medi-Cal coverage while the CWD makes a final eligibility determination. AE Medi-Cal is funded under Title XIX. The Healthy Families Program (HFP) grants Presumptive Eligibility (PE) Medi-Cal for children when a family’s income is determined below the HFP guidelines at Annual Eligibility Review. PE provides the family with temporary no cost Medi-Cal, while their application is under review by their local County Welfare Department (CWD), for a final Medi-Cal eligibility determination. PE Medi-Cal is funded under Title XIX. Targeted low income children under age 1whose mothers are enrolled in AIM prior to July 1, 2004 and whose families have incomes between 200-250% of federal poverty level will be served through the AIM Program, under a purchasing pool arrangement similar to the Healthy Families purchasing pool. In addition, children under the age of 2 whose mothers are enrolled in AIM on or after July 1, 2004 and whose families have 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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