California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 7 - California Children's Services › Chapter 3 - Client Application and Eligibility Requirements › Article 4 - Financial Eligibility › Section 41672 - CCS Legal Agreement Outline

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The county shall notify the parent, legal
						guardian or applicant/client 18 years of age or older of the following
						information on the legal agreement part of the eligibility worksheet.
(1) Residential and financial eligibility
						determination including the reason for ineligibility if so
						determined.
(2) The amount of the
						annual enrollment fee.
(3) The
						beginning effective and termination effective dates of the annual enrollment
						fee for applicants shall be determined as follows:
(A) The beginning effective date is the
						application date as set forth in Section
						41514(e)(3).
(B) The termination effective date is not
						later than one year after the beginning effective date of CCS coverage approved
						by the county.
(4) The
						effective beginning and termination dates of the enrollment fee for clients
						shall be determined as follows:
(A) Upon
						redetermination the effective beginning date is one day after the previous
						year's effective termination date.
(B) The effective termination date is one
						year after the effective beginning date.
(5) If the period of approved coverage is
						less than one year, and if the client reapplies for CCS within one year of the
						initial effective date, the county shall ask whether there have been any
						changes in the information on which the financial, residential, or enrollment
						fee determination was based.
(A) If there have
						been no changes the prior determination shall be reinstated and the next
						required annual redetermination shall be scheduled based on the prior
						determination.
(B) If there have
						been changes, a redetermination shall be done at the time of reinstatement and
						the next required annual redetermination shall be based on the reinstated
						date.
(6) The due date of
						enrollment fee is the date the parent, guardian or applicant/client is
						initially informed of the amount of the enrollment fee.
(7) A statement that there is a right to
						appeal the county's decision(s) using the appeals process under the provisions
						of Sections
						42131-42700.
(8) Agreement to fully utilize any health
						insurance, and assign insurance rights.
(9) Agreement to repay CCS costs if found not
						eligible.
(10) Prompt notification
						of any change.
(11) The parent,
						legal guardian of a minor applicant/client or the applicant/client 18 years of
						age or older shall sign and date the worksheet's legal agreement as agreement
						to the conditions.
(12) A county
						representative shall sign and date the legal agreement part of the
						worksheet.
(13) The county shall
						submit a copy of the eligibility form and legal agreement to the parent, legal
						guardian or applicant/client 18 years of age or older.