No Changes to California’s State Administered PCIP Program
(Posted on 05/11/12)
Center For Medicare & Medicaid Services (CMS) announced changes to the federally administered PCIPs. Changes to the federally administered PCIP programs do not apply to the CA PCIP. The CA PCIP is a state administered PCIP and is not impacted by the changes below.
CMS announced that effective May 1, 2012, for all federally administered PCIPs:
- The PCIP Agent/Broker Referral Payment Program ends; and
- The Provider Letter/Form from a doctor, physician assistant, or nurse practitioner for applicants age 19 or older is no longer acceptable as proof of a pre-existing condition (except for Massachusetts and Vermont where the letter/form still are acceptable for all ages).
The following 23 states and the District of Columbia have their PCIP program administered by the federal government and are impacted by the two changes above: Alabama, Arizona, Delaware, Florida, Georgia, Hawaii, Idaho, Indiana, Kentucky, Louisianan, Massachusetts, Minnesota, Mississippi, Nebraska, Nevada, North Dakota, South Carolina, Tennessee, Texas Vermont, Virginia, West Virginia, and Wyoming.



