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4.1.9. Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 is made. Medi-Cal will establish one month bridging eligibility for children whose family income increases beyond Medi-Cal’s eligibility threshold for no-cost Medi-Cal coverage, but does not exceed Healthy Families limits. Infants aged 0-1 in the AIM Program are determined eligible at the time their pregnant mother enrolls and will be redetermined prior to the child’s first birthday for continued eligibility. C-CHIP eligibility is for twelve months, at which time an annual eligibility determination will occur. For individuals who declare on the joint application that they are United States (U.S.) Citizens/Nationals or Lawfully Residing children are granted two (2) months of presumptive eligibility at the time of application to provide documentation of status for continued enrollment in the HFP. If valid documentation is provided within two (2) months of enrollment into the HFP, the eligibility period continues for the full 12 months. If the documentation is invalid, these children will be disenrolled from the HFP at the end of two (2) months. Other standards (identify and describe): • Enrollment in the insurance program and AIM will be limited to the number of children that can be served within appropriated funds. Children may be subjected to placement on a wait list or disenrollment at the Annual Eligibility Review process, if the MRMIB Board determines that HFP is unable to operate within appropriated funding. • To be eligible for the insurance program, families must enroll all of their children, and to remain enrolled in the insurance program, families must make their premium payments. • Children are ineligible for the insurance program if they are eligible for any California Public Employees’ Retirement System Health Benefits Program(s) (CalPERS), unless the employer contribution for dependent coverage is less than $10 per family per month. If a paystub indicating CalPERS Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers

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