ADAP understands the Pandemic Unemployment Compensation is temporary and may not be a true reflection of the client’s income. Therefore, if income shown on next year’s state or federal taxes exceeds 500% of the federal poverty level due to the Pandemic Unemployment Compensation, ADAP will ask clients to submit current income documentation from the ADAP Acceptable Supporting Documentation Checklist (pdf).

Please note that Medi-Cal must disregard the Pandemic Unemployment Compensation in determining income eligibility for Medi-Cal as it was specifically excluded in federal law (https://www.medicaid.gov/state-resource-center/downloads/covid-19-section-6008-CARES-faqs.pdf). Therefore, if a client dually qualifies for ADAP and Medi-Cal, then enroll the client in ADAP and refer the client to apply to Medi-Cal. Enrollment Workers should not place the client on a Temporary Access Period at this time, but track these clients that were reffered to Medi-Cal and follow up with the client at a later time to determine if they were enrolled. This will ensure the client has access to medication until they are covered by Medi-Cal. Note: as established in state and federal laws, ADAP must be the payer of last resort.