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New Blue Shield Billing and Online Payment System

Blue Shield of California will be implementing a new online payment system for their individual and family plan members in 2018. Consumers with off-exchange health plans, those bought directly from Blue Shield and not from Covered California will be transitioned to the new billing system in March … [Read More...]

Proposed Work Requirement For Medi-Cal Beneficiaries

CMS announces new policy guidance for states to test community engagement for able-bodied adults Will support states helping Medicaid beneficiaries improve well-being and achieve self-sufficiency CMS today announced new guidance that will support state efforts to improve Medicaid enrollee … [Read More...]

Labor Department Proposed Rules For Small Group Association Health Insurance

U.S. Department of Labor Announces Proposal to Expand Access to Healthcare Through Small Business Health Plans WASHINGTON, DC – The U.S. Department of Labor today announced a Notice of Proposed Rulemaking to expand the opportunity to offer employment-based health insurance to small businesses … [Read More...]

Individual Mandate Penalty Update Covered California

Covered California Health Coverage Remains You may have questions about the federal tax law that was just passed this week. We want to assure you that the benefits related to consumer's Covered California coverage, including financial help to reduce monthly premiums, has NOT changed for 2018. The … [Read More...]

IRS Extends Due Date for Employers and Providers to Issue Health Coverage Forms to Individuals in 2018

WASHINGTON ― The IRS announced today that it has extended the 2018 due date for certain entities to provide 2017 health coverage information forms to individuals.   Insurers, self-insuring employers, other coverage providers, and applicable large employers now have until March 2, 2018, to provide … [Read More...]

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  • Medi-Cal Asset Test Back for 2026
    The 2026 asset test will be $130,000 and $65,000 for each additional household member. In other words, a single adult with assets over $130,000 will not qualify for Non-MAGI Medi-Cal. A married couple with assets over $195,000 will be ineligible for Non-MAGI Medi-Cal for either individual. The post Medi-Cal Asset Test Back for 2026 appeared […]
  • Dr. Oz Injecting Artificial Intelligence into Medicare Health Care
    Under the leadership of Dr. Oz, Medicare is rushing to implement Artificial Intelligence (AI) to review, authorize, or deny health care services received by Original Medicare beneficiaries. The primary goal is to save money not necessarily improve patient outcomes. CMS calls the new AI health care initiative “Wasteful and Inappropriate Service Reduction (WISeR) Model. The […]
  • New Trump Rules for Covered California
    The underlying rational for the new rules is that CMS perceives consumers to be cheating the system. With no evidence presented, CMS believes that consumers are receiving subsidies and health insurance they are not entitled to. They accuse individuals, families, and agents of committing fraud. Again, they present no evidence to support their supposition. The […]
  • Covered California Account Access and Documentation Changes
    The Covered California application has been updated to better recognize and process documents related to confirming the identity of the applicant. With just the information on the application (name, address, date of birth, and social security number) the system can now quickly verify the applicant. Covered California has done away with the identity proofing questions. […]
  • ICE May Have Medi-Cal Enrollment Information
    Upon learning that CMS or the federal Department of Health and Human Services (HHS) may have shared personally identifying information with the Department of Homeland Security, the California Department of Health Care Services asked CMS if any individual Medi-Cal member information has been shared. As of June 13, 2025, there has been no response to […]

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