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New Aid Code L1 Transitions From LIHP/MCE to Medi-Cal

November 5, 2013

The Low Income Health Program (LIHP) was implemented pursuant to California’s “Bridge to Reform” Section 1115 Medicaid Demonstration Waiver. The waiver provides expanded health coverage to low-income adults who would become eligible under the Patient Protection and Affordable Care Act (ACA) Medicaid adult expansion group effective January 1, 2014, without a new application.

As of January 1, 2014, eligible LIHP/Medicaid Covered Expansion (MCE) enrollees, including eligible state and county inmates receiving services off correctional facility grounds, will transition from LIHP to Medi-Cal eligibility under ACA.

Effective for dates of service on or after January 1, 2014, aid code L1 is a new benefit. Policy for aid code L1 is listed below:

Aid Code L1 – Non-Inmates
LIHP/MCE transition to Medi-Cal (Title XIX):

  • Eligible recipients ages 19 to 64 enrolled in the LIHP/MCE program on December 31, 2013, whose family’s income is at or below 138 percent of the Federal Poverty Level (FPL)
  • Recipients will receive full scope Medi-Cal benefits without a Share of Cost (SOC).

Manual replacement pages reflecting these changes will be released in a future Medi-Cal Update.