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If the MRMIB determines that sufficient funds are not available to cover the estimated cost of program expenditures and it is necessary to limit enrollment, MRMIB will place children on a waiting list until adequate funding becomes available to resume enrollment. This determination will be made in a public meeting, pursuant to State law. The MRMIB will notify the Center for Medicare and Medicaid Services prior to implementation of a waiting list in writing (by email, fax, letter or other appropriate means). The public will be notified of a potential waiting list through the MRMIB’s Board meetings. MRMIB will hold a Board meeting to facilitate public discussion of the insufficient funds for the estimated program expenditures. The Board will also notify the public of insufficient funds and institute a waiting list. MRMIB Board meeting dates and agenda items are posted on the MRMIB website and made available to the public ten (10) days in advance, to comply with California public meeting law requirements. In addition, the MRMIB website is updated to reflect any program changes and newsletter articles are updated for our community partners. Each new applicant family affected by the waiting list will receive notification in writing. a. When a waiting list is implemented, the program will continue to receive new applications; however, no eligibility determinations will be made until adequate funding is available. Placement on the waiting list is only for new applications to the HFP. New applications will be screened at the Single Point of Entry (SPE) for Medi-Cal, California’s Title XIX Medicaid program and the State’s SPE will forward these applications to the applicant’s local county welfare department for a Medi-Cal eligibility determination. Siblings and newborns of current enrollees and children formerly eligible for No-Cost Medi-Cal who apply for the HFP are considered new applicants and are subject to the waiting list. Each new applicant family whose child is placed on the waiting list will be notified by letter. In addition, the notification letter will contain information about where the family may apply for other potential coverage (e.g., Medi-Cal). b. If the State is using a waiting list, children will be placed on the waiting list in the order in which their applications were received based on the date the application was received. If MRMIB determines that sufficient funds are available to cover some or all children on the waiting list, the Healthy Families Program will review the applications for children on the waiting list in the order their application was received. c. When children are removed from the waiting list, each family will receive a notification letter, informing them that sufficient funding is now available for the enrollment of their child and requesting that the family complete a pre-printed application, 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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