California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 2 - Determination of Medi-Cal Eligibility and Share of Cost › Article 8 - RESPONSIBLE RELATIVES AND UNIT DETERMINATION › Section 50373 - Medi-Cal Family Budget Unit Determination, No Family Member in LTC or Board and Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 MFBU for a family with no family member in LTC or board and care shall be
					 determined in accordance with the following:
(1) Family members who are PA or Other PA
					 recipients, except for persons eligible for four month or nine month continuing
					 eligibility, shall not be included in the MFBU.
(2) All family members living in the home,
					 other than those specified in (1), shall be included in the MFBU in accordance
					 with (5) whether or not they are eligible for, or wish to receive, Medi-Cal.
					 Potential members of the MFBU may be excluded in accordance with Section
					 50381.
(3) All family members living in the home,
					 except those children excluded from the MFBU in accordance with 50381 and
					 children who are ineligible for Medi-Cal, shall be considered in determining
					 whether linkage to AFDC exists. Family members also include persons who are PA
					 or other PA recipients.
(4) A
					 person who is 18 years of age or older, but under age 21, is claimed as a
					 dependent in order to receive a tax credit or deduction for state or federal
					 income tax purposes shall be included in his/her parent's MFBU.
(5) Once the potential members of the MFBU
					 have been identified, the MFBU shall be determined in accordance with the
					 following as modified by Section
					 50374:
(A) Family members living in the home.
(B) MFBU
1. Individual adult.
1. Individual
								adult.
2. Individual, spouse.
2. Individual,
								spouse.
3. Parent, children.
3. Parent,
								children.
4. Both unmarried parents, mutual
								children.
4. Both unmarried parents, mutual children.
5. Both unmarried parents, mutual children,
								separate children of either or both parents.
5. Both unmarried
								parents, mutual children, separate children, except that when all the mutual
								children are excluded in accordance with Section
								50381, each unmarried parent and
								that parent's separate children shall be in a separate MFBU.
6. Parent, spouse, mutual children.
6.
								Parent, spouse, mutual children.
7. Parent, spouse, mutual children and/or separate
								child of either or both parents.
7. Parent, spouse, mutual children,
								separate children or the parent and the separate children of that parent if the
								conditions of 50375 are met.
8. Minor parent, minor parent's children, the
								minor parent's parent and that person's spouse and/or children.
8. Two
								MFBU's:
a. Minor parent as an ineligible member, minor
								parent's children.
b. Minor parent, the minor parent's parent and
								that person's spouse and/or children (MFBU is determined in accordance with (3)
								through (7)).
9. Unmarried minor parent, second unmarried
								parent, their mutual children, separate children of either or both, unmarried
								minor parent's parent and that person's spouse and/or children.
9. Two
								MFBU's:
a. Unmarried minor parent as an ineligible member,
								second unmarried parent, separate children of either unmarried parents, mutual
								children.
b. Unmarried minor parent, the unmarried minor
								parent's, parent(s) and his/her spouse and/or children (MFBU is determined in
								accordance with (3) through (7)).
10. Married minor parent, minor parent's spouse,
								their mutual children, separate children of either or both, minor parent's
								parent and that person's spouse and/or children.
10. Three
								MFBU's:
a. Married minor parent; married minor parent's
								spouse and children as ineligible members, and married minor parent's parent
								and that person's spouse as ineligible member(s).
b. Married minor parent as an ineligible member,
								married child's spouse and children.
c. Married minor parent as an ineligible member,
								married minor's parent and that person's spouse and/or children.
11. Child living with the child's parents
								requesting Medi-Cal for minor consent services, whose application is being
								processed in accordance with Section
								50147.1(d) (3)
								(D), the child's children.
11. Child
								and the child's children.
12. Sibling children if all other family members
								are PA or Other PA.
12. Sibling children.
13. Parent, spouse if all children are PA or other
								PA.
13. Parent, spouse.
14. Sibling children, caretaker relative.
14. Sibling children and caretaker relative, when the caretaker relative
								chooses to be included.
15. Caretaker relative if all children are PA or
								other PA.
15. Caretaker relative.
16. Sibling children, caretaker relative,
								caretaker relative's spouse and/or children.
16. Two MFBU's:
a. Sibling children.
b. Caretaker relative and his/her spouse and/or
								children (MFBU is determined in accordance with (3) through (7)).
17. Caretaker; sibling children; caretaker's
								spouse. (Spouse does not want Medi-Cal or is not eligible).
17.
								Caretaker; sibling children.
18. Caretaker; sibling children; caretaker's
								spouse; their own children. (Spouse has no linkage. Caretaker has linkage only
								as a caretaker relative.
18. Two MFBU's:
a. Caretaker; sibling children.
b. Caretaker and caretaker's spouse as ineligible;
								their own children.
19. Caretaker; sibling children; other related
								sibling children.
19. Two MFBU's:
a. Sibling children.
(Caretaker has linkage only as a caretaker
								relative).
b. Other sibling children; Caretaker
or
c. Sibling children; caretaker.
d. Other sibling children.
20. Caretaker; sibling children; caretaker's
								spouse is PA. (Caretaker has linkage only as a caretaker relative).
20. Caretaker; sibling children.
21. Caretaker; sibling children are PA;
								caretaker's spouse; their own children. (Caretaker has linkage only as a
								caretaker relative or chooses to be linked to related children other than
								his/her own).
21. Two MFBU's:
a. Caretaker.
b. Caretaker as ineligible; spouse; his/her own
								children.
22. Caretaker; sibling children; caretaker's
								spouse is PA; their own children. (Caretaker has linkage only as a caretaker
								relative or chooses to be linked to related children other that his/her
								own).
22. Two MFBU's:
a. Caretaker; sibling children.
b. Caretaker as ineligible member; his/her own
								children.
(C) Family members, not living in the
								home.
(D) MFBU
1. Person 18 to 21 when the person is claimed by
								his/her parent(s) as a dependent in order to receive a tax credit or deduction
								for state or federal income taxation.
1. Person and parents in
								accordance with (A).
2. Person 18 to 21, person's spouse and children,
								and person's parent(s) when the person is claimed by his/her parent(s) as a
								dependent in order to receive a tax credit or deduction for state or federal
								income taxation.
2. Three MFBU's.
a. Person claimed as a tax dependent; person's
								spouse and children as ineligible members, and person's parent(s) as ineligible
								members(s).
b. Person claimed as a tax dependent as an
								ineligible member, person's spouse and children.
c. Person claimed as a tax dependent as an
								ineligible member, person's parent(s).
3. Child in foster care.
3. Child.
4. Sibling children in foster care.
4.
								Each sibling child is in his/her own MFBU even if placed in the same foster
								home.
5. Child detained or place by a court or court
								designated agency under Welfare and Institutions Code Sections
								300
								or
								601.
5. Child.
6. Child not living with a parent or relative for
								whom a public agency is assuming financial responsibility in whole or in
								part.
6. Child.
7. Child not living with a parent or caretaker
								relative when parents or public agencies have been contacted to determine
								whether they will accept legal responsibility for the child.
7.
								Child.