DPSS ePolicy

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LIS is a Medicare program that provides financial assistance to those with limited income and assets. This program helps eliminate or significantly reduce Medicare Part D premiums, deductibles, and co-payments.  The Social Security Administration (SSA) refers LIS applicants to the county via Medi-Cal Eligibility Data System (MEDS) alerts.

Counties are required to evaluate all LIS applicants for Medi-Cal and/or Medicare Savings Program (MSP).

An evaluation for Medi-Cal and/or MSP must be completed unless the LIS applicant informs the department that they do not want to be evaluated for these benefits.

The information/referral received from SSA via the LIS Alerts must be treated as an application for Medi-Cal and/or MSP.  Under no circumstances shall a LIS applicant be required to submit another Medi-Cal and/or MSP application.

On July 15, 2008, Congress enacted the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).  Under MIPPA, SSA is required to refer Medicare LIS - Part D Extra Help applicants to the Department of Health Care Services (DHCS) for MSP eligibility determinations.  In addition to MSP eligibility determinations, DHCS has instructed counties to conduct Medi-Cal eligibility determinations for these applicants.

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Income and Property, if applicable.

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