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Certified Enrollment Counselors Page
This page is intended for Certified Enrollment Counselors only.

CEC

This page is intended for Certified Enrollment Counselors only.  If you need enrollment assistance, please visit www.smcgov.org/healthcoverage

Main

FAQs

See http://www.smchealth.org/certifiedenrollmentcounselorsfaqs

ACE

Brochure (English)

Rights and Declarations

English

Spanish

Healthy Kids

Healthy Kids Quarterly Family Contribution (effective April 2016)

Rights and Declarations

English

Spanish

Eligibility

Children Program Eligibility Criteria

Health Coverage Eligibility Categories for Various Immigrants

Calculating Household Size

Medi-Cal 2016 Federal Poverty Level

Program eligibility by FPL

CC Income Guidelines

ACE-FW and R-MC Process for enrolling undoc mom and undoc chiild

Customer Cards

Anthem

Blue Shield

CCHP

Health Net

Kaiser

Appeals

ACE, ACE FW, SMMC Charity Care, DHC – Step 1

English

Spanish

ACE, ACE FW, SMMC Charity Care, DHC – Step 2 (EFRC)

English

Spanish

Medi-Cal 

Medi-Cal forms

Contact information for other counties

Denti-Cal

San Mateo County Denti-Cal providers

Medi-Cal Access Program (MCAP – formely called AIM)

San Mateo County HSA 

Hospital Presumptive Eligibility 

Pregnancy Medi-Cal

Changes to Pregnancy Coverage 9-1-15 Latest

Medi-Cal Pregnancy Expansion_091415

Pregnant Women Presumptive Eligibility 

Classic Medi-Cal and Disability Eligibilty Determination (DED) Medi-Cal

Required Forms

Required Verifications

English

Spanish

SAWS Application 

English

Spanish

Single Streamlined Application for Medi-Cal

English

Spanish

San Mateo Medical Center 

Charity Care Q & A

Charity Care Application

English

Spanish

DHC Application

English

Spanish

Immigration and Public Charge

Covered California Acceptable Immigration Documents

Covered California Immigration Information

Health Program Eligibility Chart for California Immigrants

Immigration Documents Used by Lawfully Present Immigrants Under ACA

LIBRE Sponsorship Issues Training

PRUCOL screening script from Legal Aid Society

Cancer Programs

Breast and Cervical Cancer Treatment Program

Colon Cancer 

Every Woman Counts

Prostate Cancer

Other links

CCS San Mateo County

CHDP 

Coast2Coast information | Free discount RX card for San Mateo County

Covered California Toolkit 

CC form for reporting a death

Family PACT

HICAP San Mateo County

Kaiser Child Health Program 

Legal Aid Society of San Mateo County

Provider Directories

Anthem

Providers (select the appropriate “Pathway X” plan)

Formulary 

Blue Shield

Providers (select the appropriate “Individual and Family Plans (including Covered California)“)

Formulary

CCHP

Providers

Formulary

Denti-Cal

San Mateo County Denti-Cal Providers

Health Net

Providers

Formulary

Kaiser

Providers

Formulary

Medi-Cal

Providers

Formulary

Healthy Kids

Providers

Formulary

ACE

Clinics – Daly City, NEMS, South San Francisco, San Mateo, Fair Oaks, Coastside, Ravenswood, Ravenswood Belle Haven

Formulary

ACE FW

ACE Fee Waiver (ACE FW) eligibility and enrollment transition to Restricted Scope Medi-Cal (implementation date tbd)

Draft brochure

English

Spanish

Draft payment options brochure

Temporary ACE FW Rx card (fillable pdf)

Eligibility and Enrollment Process (to be updated with opt-out language)

Attachment A – Aid Codes

Attachment B – Data Elements

Attachment C - Process if Applicant Is SMMC Patient and CEC is HCU staff

CalHEERS process for enrolling in Restricted Medi-Cal

Rights and Declarations (to be updated with opt-out language)

English

Spanish

5/12/2016 Coalition Meeting

ACE FW Slides

Temp Rx Slides 

Quiz

SB75 MC Expansion

SB75 Medi-Cal Expansion – transition of eligible HK members to Full Scope Medi-Cal 

Overview (04/14/2016 Coalition meeting)

DHCS SB75 Webpage

DHCS SB75 FAQ

DHCS Letter to All Welfare Directors re SB75

DHCS Outreach Letter to SB 75 Eligible Restricted Medi-Cal Members – mailed by DHCS on 4/15/16

English

Spanish

Health4All Kids

Tools for organizations

Health4All Kids brochure

English

Spanish

LIBRE Medi-Cal for All Children Flyer

Healthy Kids

Healthy Kids Transition Flyer

Health Kids Disenrollment letter

English

Spanish

Coalition Mtgs

Health Coverage Coalition meetings

Next meeting: 09/08/2016

Future meetings:

Tbd

Past Coalition Meetings

07/14/2016     Agenda     Links to handouts

06/09/2016     Agenda     Links to handouts

05/12/2016     Agenda     Links to handouts

04/14/2016     Agenda     Handouts

03/10/2016     Agenda     Handouts

01/14/2016     Agenda     Handouts

Commands