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DPSS ePolicy

MEDI-CAL

Public Assistance Reporting Information System

Release Date
11/06/2017

Section Heading

Purpose

To convert existing policy to new webpage  – No content changes


Policy

The Public Assistance Reporting Information System (PARIS) is an information-sharing data match system, operated by the U.S. Department of Health and Human Services.  PARIS allows State and federal agencies to verify a beneficiary’s receipt of other public assistance and/or military benefits.  PARIS includes the Interstate and Federal Match data results.  


PARIS-Interstate Match

The PARIS-Interstate Match identifies individuals who are receiving public assistance in another State.  As a result, Medi-Cal assistance in California is terminated for each individual listed on the report.  The report is generated quarterly by the Department of Health Care Services (DHCS) in January, April, July, and October.


PARIS-Federal Match

The Federal Match allows States to compare income reported by beneficiaries to income verified by the U. S. Department of Defense (DoD) and the U. S. Office of Personnel Management (OPM) for military reservists, retired military veterans, and retired military civilians.  The income reported in the Federal Match is reconciled with the beneficiary’s case for accuracy. The report is generated quarterly by DHCS in February, May, August, and November.


Background

PARIS was implemented statewide by DHCS effective May 1, 2011.  The Interstate Match allows States to compare beneficiary information with other States to identify duplication of aid.  The Federal Match allows States to identify reported income discrepancies.  


Definitions

Federal Income Types

The codes and types of income included on the Federal Match Report are listed below:

  1. CD – Civilian Department of Defense
  2. CR – Civilian Retired
  3. CV – Compensated Veteran
  4. MA – Active Duty Military
  5. MR – Military Retired
  6. MV – Military Reservists
  7. SR – Survivor Beneficiary

Note:  It is possible that some of the amounts listed could be lump-sum payments or Year-to-Date (YTD) income.


Requirements

Beneficiary Reporting Requirements

Medi-Cal beneficiaries are responsible for reporting:

  1. All income at the time of application and Annual Renewal (RE), and
  2. Any changes in income within ten days of the change.

Confirmation of California Residency Notice (Interstate Match)

  1. Recipients of the residency notice  sent by DHCS are granted ten days to confirm California residency with DHCS. 
  2. Failure to respond to the notice within the allotted timeframe will result in DHCS terminating the individual’s benefits in MEDS.
  3. DHCS will send a Discontinuance Notice of Action (NOA) to individuals who:
    • Confirm Out-of-State residency
    • Fail to respond to the DHCS residency notice.
  4. Staff is responsible for terminating the individual in LRS within 30 days of receiving the report.

Reinstatement of Benefits (Interstate Match)

  1. Verification of residency must be provided before terminated benefits can be reinstated.
  2. Discontinued beneficiaries are allowed 90 days to confirm California residency.
  3. Medi-Cal benefits are reinstated without a new application for individuals who confirm California residency within the 90-day period. 

Treatment of Income

  1. Beneficiary reported income must be compared to the PARIS Federal Match reported income.
  2. The income reported by the federal agencies is considered verified income. Unless the beneficiary provides current verification of a different amount, the income reported by the federal agency will be used to determine Medi-Cal eligibility.
  3. Income for retired civilians and retired military veterans is treated as unearned income.
  4. Income reported for military reservists is considered as earned income.

Verification Docs

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Attachments

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Index

Glossary

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VA
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VL
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WIOA
Workforce Innovation & Opportunity Act

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