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updating any changes and information to determine eligibility for enrollment into the Healthy Families Program. When the pre-printed application and other updated documentation is received, the State’s Single Point of Entry will screen the application based upon income eligibility to either the Healthy Families Program or the state’s Medi- Cal program. If the family does not reply within seventeen (17) calendar days, as noted on the pre-printed application, the application will be denied for being incomplete. If the family submits the information after the requested due date the child may be placed back onto the waiting list, in the order in which the new application is received. If the MRMIB further determines that establishing a waiting list is insufficient to ensure operation within allotted expenditures, the MRMIB will make this determination at a public meeting and will announce that it is necessary to disenroll subscribers from the Healthy Families Program at the end of the month of their anniversary date, following their Annual Eligibility Review (AER). 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 family affected by AER disenrollments will receive notification in writing thirty (30) days prior to disenrollment. These subscribers will also be placed on the waiting list until sufficient funding is available to cover program expenditures. The subscriber child’s effective date on the waiting list will be the date of his or her disenrollment from the HFP. However, children with chronic conditions through California Children’s Services (CCS) who are CCS eligible solely by virtue of their HFP eligibility are exempt from AER disenrollment and will continue their enrollment in the HFP. If MRMIB later determines sufficient funds are available to cover some or all eligible subscriber children, the Healthy Families Program will stop disenrolling children during the AER process and begin enrolling subscriber children back into the program in the following manner: The Healthy Families Program will first reassess eligibility of the applications of children who were disenrolled at their AER, in the order of their effective dates on the waiting list, starting with those who have the earliest effective date. When all children who were disenrolled at their AER have been removed from the waiting list, eligibility will then be assessed for the additional waitlisted children, in the order of their effective dates on the waiting list. If only a waiting list is implemented, children who have current enrollment in the Healthy Families Program will remain enrolled, so long as they continue to meet all eligibility criteria and remain current with premium payments. 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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