reglab/statecodes huggingface dataset:
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 5 - MEDI-CAL PROGRAMS › Section 50237 - Other Public Assistance Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Other Public Assistance Program
					 consists of categories of Medi-Cal beneficiaries defined in Sections
					 50243 through
					 50247. Except as specified in
					 Sections 50243 through
					 50247, individuals applying for
					 Medi-Cal under any of the Other Public Assistance Program categories shall meet
					 all of the requirements of AFDC or SSI/SSP.
1.
						Amendment filed 8-7-78; effective thirtieth day thereafter (Register 78, No.
						32).
2. Amendment filed 7-31-81 as an emergency; effective upon
						filing (Register 81, No. 33). A Certificate of Compliance must be transmitted
						to OAL within 120 days or emergency language will be repealed on
						11-28-81.
3. Certificate of Compliance transmitted to OAL 11-6-81
						and filed 1-27-82 (Register 82, No. 5).
4. Amendment filed 4-2-82 as
						an emergency; effective upon filing (Register 82, No. 14). A Certificate of
						Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 7-31-82.
5. Certificate of Compliance
						transmitted to OAL within 120 days and filed 8-10-82 (Register 82, No.
						33).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14005.1,
						  14005.7,
						  and
						  14050.1,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50241 - Children Not in School or Training. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Repealer filed 4-2-82 as an emergency; effective upon filing (Register 82, No.
						14). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 7-31-82.
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14005.1,
						  14005.7
						  and
						  14050.1,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50243 - Four Month Continuing Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Four Month Continuing category
					 includes persons who were:
(1) Discontinued
					 from AFDC due solely to increased earnings from employment or increased hours
					 of employment of a child in or added to the AFDC unit or a parent of a child or
					 added to the filing unit, and were members of a family receiving an AFDC cash
					 grant or eligible under Section
					 50227(c)(1) in at
					 least three of the six months immediately prior to the month they became
					 ineligible for AFDC.
This Four Month Continuing category does not include
						persons who were discontinued from AFDC due to any of the following:
(A) A stepparent contribution.
(B) An increase in a stepparent
					 contribution.
(C) The return of an
					 absent parent to the home which ends deprivation.
(D) The stepparent's ability to meet the
					 needs of the parent.
(E) The
					 expiration of the $30 plus 1/3 or $30 earned income
					 disregard.
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 5 - MEDI-CAL PROGRAMS › Section 50244 - Nine Month Continuing Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Nine Month Continuing category
					 includes persons who were discontinued from AFDC due solely to the expiration
					 of the $30 plus 1/3 or $30 earned income disregard specified under that
					 program.
(b) Eligibility under this
					 category shall continue for a period of nine consecutive months following the
					 most recent month in which the family became ineligible for AFDC, regardless of
					 whether the other conditions of eligibility are met.
(c) The provisions of this regulation also
					 apply to eligibility determinations or redeterminations made retroactively to
					 October 1, 1984.
1. New
						section filed 4-15-85 as an emergency; effective upon filing (Register 85, No.
						16). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 8-13-85.
2. Certificate of
						Compliance including amendment of subsection (a) transmitted to OAL 8-13-85 and
						filed 9-18-85 (Register 85, No. 38).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code; Section
						  14, AB 1557, Chapter 1447,
						  Statutes of 1984. Reference: Section
						  14005.8,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50245 - In-Home Supportive Services (IHSS). [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 8-7-78; effective thirtieth day thereafter (Register 78, No.
						32).
2. Amendment filed 10-31-78 as an emergency; designated
						effective 11-1-78 (Register 78, No. 44).
3. Certificate of
						Compliance filed 2-6-79 (Register 79, No. 6).
4. Amendment filed
						5-17-79 as an emergency; effective upon filing (Register 79, No.
						20).
5. Certificate of Compliance filed 9-12-79 (Register 79, No.
						37).
6. Repealer filed 7-21-2011; operative 8-20-2011 (Register
						2011, No. 29).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  12305,
						  12305.5,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50247 - Twenty Percent Social Security Increase

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Twenty Percent Social Security
					 Increase category includes persons or families who were all of the following:
(1) Eligible for or receiving a cash grant in
					 August 1972.
(2) Entitled to
					 monthly Social Security benefits in August 1972.
(3) Discontinued from cash grant eligibility
					 solely because of the 20 percent increase in Social Security benefits under
					 Public Law
					 92-336.
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 5 - MEDI-CAL PROGRAMS › Section 50249 - Medically Needy Program. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment of subsection (a) filed 12-15-77; effective thirtieth day thereafter
						(Register 77, No. 51).
2. Amendment of subsection (a)(1)(A) and
						(a)(2)(B) filed 8-7-78; effective thirtieth day thereafter (Register 78, No.
						32).
3. Repealer filed 3-7-80 as an emergency; effective upon filing
						(Register 80, No. 9). A Certificate of Compliance must be transmitted to OAH
						within 120 days or emergency language will be repealed on 7-6-80.
4.
						Certificate of Compliance filed 6-6-80 (Register 80, No.
						23).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14005.3,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50251 - Medically Indigent Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A person under 21 years of age shall have
					 eligibility determined under the Medically Indigent program if that person is
					 any of the following:
(1) A person who cannot
					 meet the eligibility requirements as a PA or Other PA recipient, an MN person,
					 or an MN family member.
(2) A
					 person who is not an MN family member because of the exclusion of a child from
					 the MFBU.
(3) A child who is not
					 living with a parent or relative and for whom a public agency is assuming
					 financial responsibility in whole or in part.
(4) A child receiving assistance under Aid
					 for Adoption of Children.
(5) A
					 child who is not eligible as an AFDC MN person because the child is not living
					 with a relative.
(6) A person under
					 21 years of age who can qualify as an MN blind or disabled person but chooses
					 to apply as an MI person. The choice may be made by a person acting on behalf
					 of the person under 21 years of age.
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 5 - MEDI-CAL PROGRAMS › Section 50253 - Miscellaneous Special Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Miscellaneous Special Programs are those specified in
						Sections 50255 through
						50263.
1.
						Amendment filed 7-19-82; effective thirtieth day thereafter (Register 82, No.
						30).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14142
						  and
						  14145,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50255 - Repatriate Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Persons eligible for cash payments and other assistance
						under the Repatriate program shall not be eligible for Medi-Cal. Medi-Cal
						eligibility may be established upon discontinuance from the
						program.
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 5 - MEDI-CAL PROGRAMS › Section 50256 - Qualified Disabled and Working Individual Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Eligibility Criteria: To receive Medi-Cal
					 benefits under the Qualified Disabled and Working Individual Program an
					 eligible individual must:
(1) Be entitled to
					 enroll in Part A Medicare hospital insurance benefits for the disabled and
					 working, and
(2) Not have net
					 nonexempt income that exceeds 200 percent of the federal poverty level as
					 defined by Section
					 50041.5. The qualifying income
					 level as defined in Section
					 50571 (the share of cost process
					 for incurred medical expenses under Article 12 of this chapter) is not
					 applicable under this program, and
(3) Not have property that exceeds twice the
					 resource limit as defined by Section
					 50421.5.
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 5 - MEDI-CAL PROGRAMS › Section 50257 - Refugee Medical Assistance (RMA) and Entrant Medical Assistance (EMA)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Refugees and
					 entrants who are not otherwise eligible for Medi-Cal under federally-funded
					 AFDC, SSI/SSP, MN or Medically Indigent Child programs may be eligible for
					 Medi-Cal through the special federal programs of Refugee Medical Assistance
					 (RMA) or Entrant Medical Assistance (EMA).
(b) Refugees and entrants who apply for
					 Medi-Cal under the RMA or EMA programs shall:
(1) Meet the definition contained in the
					 Department of Social Services (DSS) Manual of Policy and Procedures (MPP) of
					 "refugee" (MPP sections
					 69.203.1 and
					 69.203.2), "children of refugees"
					 (MPP section
					 69-203.3), or "entrant" (MPP
					 sections 69-301 through
					 69-305).
(2) Have their eligibility for Medi-Cal under
					 the RMA or EMA programs determined in accordance with articles 4 through 13
					 (commencing with section
					 50141) of this chapter; however,
					 in-kind services and/or shelter provided to refugees by a sponsor or
					 resettlement agency are not to be considered as income.
(3) Provide the name of the resettlement
					 agency to the county welfare department.
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 5 - MEDI-CAL PROGRAMS › Section 50258 - Qualified Medicare Beneficiary Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Eligibility Criteria: To receive Medi-Cal
					 benefits under the Qualified Medicare Beneficiary program an individual
					 eligible for such benefits must:
(1) Be
					 entitled to Part A Medicare hospital insurance benefits, and
(2) Meet the qualifying income level as
					 defined in section
					 50570 (the share of cost process
					 for incurred medical expenses under article 12 of this chapter is not
					 applicable under this program), and
(3) Meet the qualifying property (resource)
					 limit as defined in section
					 50421.
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 5 - MEDI-CAL PROGRAMS › Section 50258.1 - Specified Low-Income Medicare Beneficiary Program (SLMB)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Eligibility Criteria: A SLMB is
					 ineligible as a QMB solely due to excess income. To receive Medi-Cal benefits
					 under the SLMB program an individual eligible for such benefits must:
(1) Be entitled to Part A Medicare hospital
					 insurance benefits, and
(2) Meet
					 the qualifying income level as defined in Section
					 50570(b) (the
					 share of cost process for incurred medical expenses under Article 12 of this
					 chapter is not applicable under this program), and
(3) Meet the qualifying property (resource)
					 limit as defined in Section
					 50421.
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 5 - MEDI-CAL PROGRAMS › Section 50259 - Indochinese Refugee Status. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 7-20-78 as an emergency; effective upon filing (Register 78,
						No. 29).
2. Certificate of Compliance transmitted to OAH 11-16-78
						and filed 11-17-78 (Register 78, No. 46).
3. Repealer filed 12-31-82
						as an emergency; effective upon filing (Register 83, No. 2). A Certificate of
						Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 4-30-83.
4. Certificate of Compliance
						transmitted to OAL 4-13-83 and filed 5-16-83 (Register 83, No.
						21).
Note: Authority cited: Sections
						  10554.1
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14005,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50260 - 60-Day Postpartum Services Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A pregnant woman who was eligible for and received
						Medi-Cal during the last month of pregnancy, shall continue to be eligible for
						all pregnancy related and postpartum services, for a 60-day period beginning on
						the last day of pregnancy, regardless of whether the other conditions of
						eligibility are met. Eligibility for this program ends on the last day of the
						month in which the 60th day occurs.
1. New
						section filed 1-4-88 as an emergency; operative 1-4-88 (Register 88, No. 3). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 5-4-88.
2. Certificate of
						Compliance transmitted to OAL 4-28-88 and filed 5-31-88 (Register 88, No.
						23).
3. Change without regulatory effect amending NOTE filed
						12-16-2013 pursuant to section
						100, title 1, California Code of
						Regulations (Register
						2013,
						No. 51).
Note: Authority cited: Section
						  20, Health and Safety Code; and
						  Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14005.3,
						  14021,
						  14021.51,
						  14053,
						  14100.1,
						  14124.24,
						  14131,
						  14132.21
						  and
						  14132.905,
						  Welfare and Institutions Code; and Title 42, United States Code, Section
						  1396
						  a(e)(5).
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 5 - MEDI-CAL PROGRAMS › Section 50261 - Special Medi-Cal Dialysis Programs. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 5-16-80 as an emergency; effective upon filing (Register 80,
						No. 20). A Certificate of Compliance must be transmitted to OAH within 120 days
						or emergency language will be repealed on 9-14-80.
2. Certificate of
						Compliance filed 8-22-80 (Register 80, No. 34).
3. Repealer filed
						3-25-81 as an emergency; effective upon filing (Register 81, No. 13). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 7-23-81 (Register 81, No.
						13).
4. Reinstatement of section as it existed prior to emergency
						repealer filed 3-25-81 by operation of Government Code Section
						11346.1(f)
						(Register 82, No. 30).
5. Repealer filed 7-19-82; effective
						thirtieth day thereafter (Register 82, No. 30).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14140,
						  14141,
						  14142,
						  14143
						  and
						  14145,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50262 - Special Zero Share of Cost Programs for Pregnant Women and Infants

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The following eligibility criteria shall apply to
						pregnant women, and infants under one year old with a share of cost. As used in
						this section the terms "woman" and "women" mean any female regardless of age.
						Counties shall determine eligibility for applicants and beneficiaries under
						either of the programs described in subsections (a)(1) and (a)(2). Eligibility
						shall first be determined under subsection (a)(1).
(a) Eligibility criteria:
(1) 185 Percent Program. The net nonexempt
					 Medi-Cal Family Budget Unit (MFBU) income of an otherwise eligible pregnant
					 woman, or infant under one year old, shall be above the maintenance income need
					 level but shall not exceed 185 percent of the federal poverty level, as revised
					 annually in accordance with section
					 673(2) of the
					 Omnibus Budget Reconciliation Act of 1981 (Public Law 97-35).
(2) 200 Percent Program. The net nonexempt
					 Medi-Cal Family Budget Unit (MFBU) income of an otherwise eligible pregnant
					 woman, or infant under one year old, shall exceed 185 percent of the federal
					 poverty level as specified in (a)(1) but shall not exceed 200 percent of the
					 federal poverty level, as revised annually in accordance with section
					 673(2) of the
					 Omnibus Budget Reconciliation Act of 1981 (Public Law 97-35).
(3) In determining net nonexempt income of
					 the MFBU, all deductions and exemptions applicable solely to AFDC-MN persons or
					 families, as provided in article 10, shall be allowed except health insurance
					 premiums.
(4) A pregnant woman or
					 infant may not reduce MFBU income to the 185 or 200 percent level by meeting a
					 share of cost.
(5) If the pregnant
					 woman and/or infant meet the requirements of the 200 Percent Program, but have
					 assets which exceed the resource limit, the assets shall be waived for those
					 applicants or beneficiaries in accordance with Section
					 50401(b).
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 5 - MEDI-CAL PROGRAMS › Section 50262.3 - Continued Eligibility Program for Pregnant/Postpartum Women and Infants

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A pregnant
					 woman who has applied for, been determined eligible for and is receiving
					 Medi-Cal, shall continue to remain eligible for pregnancy-related services
					 throughout the pregnancy and the 60-day postpartum period beginning on the last
					 day of pregnancy, regardless of any increases in her family's income.
(b) Infants born to women who are eligible
					 for and receiving Medi-Cal at the time of birth are automatically deemed
					 eligible for one year without a separate Medi-Cal application and social
					 security identification number. In addition, these infants shall remain
					 eligible, regardless of any increases in the family's income, as long as the
					 following conditions continue to apply:
(1)
					 the infant continues to live with his/her mother; and
(2) the mother remains eligible for Medi-Cal
					 or would have remained eligible if she were still pregnant.
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 5 - MEDI-CAL PROGRAMS › Section 50262.5 - Special Zero Share of Cost Program for Children of Age One Up to Age Six (133 Percent Program)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Children who have attained one year of age but have not attained six years of
					 age are eligible to receive Medi-Cal benefits under the 133 Percent program if
					 the following conditions are satisfied:
(1)
					 The net nonexempt Medi-Cal Family Budget Unit (MFBU) income of otherwise
					 eligible children shall not exceed 133 percent of the federal income official
					 poverty line as defined by the Office of Management and Budget, and revised
					 annually in accordance with section
					 673(2) of the
					 Omnibus Budget Reconciliation Act of 1981 (Public Law 97-35).
(2) In determining net nonexempt income of
					 the MFBU, all deductions and exemptions applicable solely to AFDC-MN persons or
					 families, as provided in article 10, shall be allowed except health insurance
					 premiums.
(3) A child may not
					 reduce MFBU income to the 133 percent level by meeting a share of
					 cost.
(4) When determining
					 eligibility for the 133 Percent Program, property shall be disregarded in
					 accordance with Section
					 50401(c).
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 5 - MEDI-CAL PROGRAMS › Section 50262.6 - Special Zero Share of Cost Program for Children of Age Six Up to Age Nineteen (100 Percent Program)

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Children who have attained six years of age but have not attained nineteen
					 years of age are eligible to receive Medi-Cal benefits under the 100 Percent
					 program if the following conditions are satisfied:
(1) The net nonexempt Medi-Cal Family Budget
					 Unit (MFBU) income of otherwise eligible children shall not exceed 100 percent
					 of the federal poverty level as defined in Section
					 50041.5.
(2) In determining net nonexempt income of
					 the MFBU, all deductions and exemptions applicable solely to AFDC-MN persons or
					 families, as provided in Article 10 of this chapter, shall be allowed except
					 health insurance premiums.
(3) A
					 child may not reduce MFBU income to the 100 percent level by meeting a share of
					 cost.
(4) When determining
					 eligibility for the 100 Percent Program, property shall be disregarded in
					 accordance with Section
					 50401(c).
(5) Notwithstanding Section
					 50014, children are defined for
					 this program as persons under 19 years of age.
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 5 - MEDI-CAL PROGRAMS › Section 50262.7 - Targeted Case Management Services Program. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 7-1-96; operative 7-1-96. Submitted to OAL for printing only
						pursuant to Section
						6, Chapter 305, Statutes of 1995
						(Register 96, No. 27).
2. New section refiled 10-29-96 as an
						emergency; operative 10-29-96 (Register 96, No. 44). Submitted to OAL for
						printing only pursuant to Section
						6, Chapter 305, Statutes of 1995.
						A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency
						language will be repealed by operation of law on the following
						day.
3. Editorial correction of HISTORY 2 (Register 97, No.
						15).
4. Repealed by operation of Government Code section
						11346.1(g)
						(Register 97, No. 15).
5. New section filed 4-10-97; operative
						4-10-97 pursuant to Government Code section
						11343.4(d)
						(Register 97, No. 15).
6. Change without regulatory effect
						renumbering former section
						50262.7 to new section
						51365 filed 6-9-97 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 97, No. 24).
Note: Authority cited: Sections
						  10725,
						  14105,
						  14124.5
						  and
						  14132.44,
						  Welfare and Institutions Code. Reference: Section
						  14132.44,
						  Welfare and Institutions Code.
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 5 - MEDI-CAL PROGRAMS › Section 50263 - MC 800 Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 MC 800 program is an eligibility process that a county department may choose to
					 utilize to determine eligibility for persons receiving health care services at
					 either a county medical facility or a county contract hospital. This process
					 shall not be utilized unless the county department executes a waiver agreeing
					 to abide by payment adjustments made pursuant to post-audits conducted by the
					 Department, in accordance with procedures established by the
					 Director.
(b) If the county
					 department chooses to utilize the MC 800 program, persons who meet the
					 requirements set forth in (c) shall be allowed to select one of the following
					 methods of having their eligibility determined:
(1) The Medi-Cal application process, as
					 specified in Article 4.
(2) The MC
					 800 process, in accordance with Department procedures.
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 5 - MEDI-CAL PROGRAMS › Section 50264 - Medi-Cal Special Treatment Programs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medi-Cal Special Treatment Programs
					 consist of:
(1) The Medi-Cal Special
					 Treatment Programs--Only:
(A) The Medi-Cal
					 Dialysis Only program which covers persons who are eligible under provisions of
					 Article 17, only for dialysis and related services.
(B) The Medi-Cal Parenteral Hyperalimentation
					 Only program which covers persons who are eligible under provisions of Article
					 17, only for parenteral hyperalimentation and related
					 services.
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 5 - MEDI-CAL PROGRAMS › Section 50265 - Medi-Cal Aid Codes

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Aid
					 codes shall be used in the classification and reporting of Medi-Cal
					 beneficiaries as required by the Department's written procedures.
1.
						Amendment filed 8-7-78; effective thirtieth day thereafter (Register 78, No.
						32).
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 5 - MEDI-CAL PROGRAMS › Section 50268 - Tuberculosis (TB) Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Eligibility Criteria: To be eligible under the Tuberculosis (TB) Program an
					 individual shall:
(1) Be diagnosed by a
					 Medi-Cal provider as infected with TB as defined in Section
					 51187.
(2) Have net nonexempt income as determined
					 pursuant to Article 10 which does not exceed the maximum amount for a disabled
					 individual as provided in 42
					 United States Code Section
					 1396a(a)(10)(A)(i).
(3) Have net nonexempt resources as
					 determined pursuant to Article 9 which do not exceed the maximum amount for
					 property reserve for a disabled individual as under
					 42 United States Code
					 Section 1396a(a)(10)(A)(i).
					 These amounts are specified in Section
					 50420.
(4) Meet the citizenship, immigration status,
					 and documentation requirements for full Medi-Cal benefits as specified in
					 Article 7.
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 6 - INSTITUTIONAL STATUS › Section 50271 - Institutional Status -General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The status of being an inmate in public or private
						institutions shall be a factor in the determination of Medi-Cal eligibility as
						specified in Section
						50273. The eligibility of inmates
						whose institutional status does not cause ineligibility under Section
						50273 shall be contingent upon all
						other eligibility requirements being met.
1.
						Repealer and new section filed 4-2-83; effective thirtieth day thereafter
						(Register 83, No. 14).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  11014,
						  11016
						  and
						  14053,
						  Welfare and Institutions Code.
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 6 - INSTITUTIONAL STATUS › Section 50273 - Medi-Cal Ineligibility Due to Institutional Status

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Individuals who are inmates of public
					 institutions are not eligible for Medi-Cal: The following individuals are
					 considered inmates of a public institution:
(1) An individual in a prison, or a county,
					 city, or tribal jail.
(2) An
					 individual in a prison or jail: Prior to arraignment, prior to conviction, or
					 prior to sentencing.
(3) An
					 individual who is incarcerated, but can leave prison or jail on work release or
					 work furlough and must return at specific intervals.
(4) Individuals released from prison or jail
					 due to a medical emergency who would otherwise be incarcerated but for the
					 medical emergency. Institutional status of such persons is not affected by
					 transfer to a public or private medical facility.
(5) A minor in a juvenile detention center
					 prior to disposition (judgment) due to criminal activity of the
					 minor.
(6) A minor, after
					 disposition, placed in a detention or correctional facility, including a youth
					 ranch, forestry camp, or home which is part of the criminal justice
					 system.
(7) A minor placed on
					 probation by a juvenile court on juvenile intensive probation with specific
					 conditions of release, including residence in a juvenile detention
					 center.
(8) A minor placed on
					 probation by a juvenile court on juvenile intensive probation to a secure
					 treatment facility contracted with the juvenile detention center if the secure
					 treatment facility is part of the criminal justice system.
(9) Individuals between the ages of 21-65 who
					 are in an institution for mental diseases shall be considered inmates of a
					 public institution until they are unconditionally released.
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 6 - INSTITUTIONAL STATUS › Section 50275 - Voluntary Inmates. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Repealer filed 4-1-83; effective thirtieth day thereafter (Register 83, No.
						14).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  11014,
						  11016
						  and
						  14053,
						  Welfare and Institutions Code.
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 6 - INSTITUTIONAL STATUS › Section 50279 - Limitations of Institutional Status. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Repealer filed 4-1-83; effective thirtieth day thereafter (Register 83, No.
						14).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  11014,
						  11016
						  and
						  14053,
						  Welfare and Institutions Code.
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 7 - ALIENAGE, CITIZENSHIP AND RESIDENCE › Section 50301 - Citizenship or Immigration Status for Full Medi-Cal Benefits

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Full Medi-Cal benefits" means all the
					 services ordinarily covered by the Medi-Cal program.
(b) To be eligible for full Medi-Cal
					 benefits, an applicant or beneficiary shall be a California resident who is one
					 of the following:
(1) A citizen of the United
					 States.
(2) A national of the
					 United States from American Samoa or Swain's Island.
(3) An alien who has been lawfully admitted
					 to the United States for permanent residence. This category includes
					 "conditional permanent resident" who have been granted a two-year period lawful
					 admission for of permanent residence in accordance with section
					 216 of the Immigration and
					 Nationality Act (8 USC
					 1186a).
(4) An alien permanently residing in the
					 United States under color of law. (PRUCOL).
(5) An amnesty alien (lawful temporary
					 resident or lawful permanent resident) whose status has been adjusted in
					 accordance with section
					 210,
					 210 A or 245A of the Immigration
					 and Nationality Act (8 USC
					 sections 1160,
					 1161 or
					 1255a) if the alien meets one of
					 the following conditions:
(A) The alien is
					 aged, blind, disabled, or under 18 years of age, or
(B) More than five years has elapsed since
					 the date the alien was granted lawful temporary resident status. The date of
					 granting is the date the alien filed his or her application for lawful
					 temporary resident status.
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 7 - ALIENAGE, CITIZENSHIP AND RESIDENCE › Section 50301.1 - Documentation of Status as a Citizen or National of the United States

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Applicants in
					 this classification shall present a document which establishes their identify,
					 such as a driver's license, and an original document which serves as evidence
					 that an applicant is a citizen or national of the United States.
(1) If the applicant declares a birthplace
					 outside of the United States or its outlying possessions, or
(2) If evidence exists which suggests that
					 the applicant may be falsely claiming to be a citizen or national of the United
					 States.
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 7 - ALIENAGE, CITIZENSHIP AND RESIDENCE › Section 50301.2 - Documentation of Status as an Alien Lawfully Admitted for Permanent Residence

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Applicants in this classification shall present a
						document, such as a driver's license, which establishes their identity and one
						or more of the following documents:
(a) An Alien Registration Receipt Card (INS
					 Form I-551 or earlier Forms I-151 of AR-3a).
(b) An Arrival-Departure Record (INS Form
					 I-94) or foreign passport with a special stamp showing that an Alien
					 Registration Receipt Card (INS Form I-551) will be issued.
(c) An INS Form I-181b notification letter
					 issued in connection with an INS Form I-181, Memorandum of Creation of Record
					 of Lawful Permanent Residence, which shows that an Alien Registration Receipt
					 Card (INS Form I-551) will be issued.
(d) A Permit to Re-enter the United States
					 (INS Form I-327).
(e) A letter from
					 the Canadian Department of Indian Affairs, a birth or baptismal record issued
					 on a Canadian Indian reservation or tribal or school records which establish
					 that an American Indian born in Canada is of at least one half American Indian
					 ancestry.
(f) An Individual Fee
					 Register Receipt (INS Form G-711) for replacement of a lost stolen or
					 unreadable alien registration or alien admission document listed in this
					 section.
1. New
						section filed 11-14-89 as an emergency pursuant to section
						9 of chapter 1441 of the Statutes
						of 1988; operative 11-14-89 (Register 89, No. 48). A Certificate of Compliance
						must be transmitted to OAL within 120 days or emergency language will be
						repealed on 3-14-90.
2. New section refiled 3-8-90 as an emergency
						pursuant to section
						9 of chapter 1441 of the Statutes
						of 1988; operative 3-13-90 (Register 90, No. 12). A Certificate of Compliance
						must be transmitted to OAL within 120 days or emergency language will be
						repealed on 7-11-90.
3. Certificate of Compliance as to 3-8-90 order
						transmitted to OAL 7-5-90 and disapproved 8-6-90 (Register 90, No.
						42).
4. Repealer and new section filed 8-23-90 as an emergency
						pursuant to section
						9 of chapter 1441 of the Statutes
						of 1988; operative 8-23-90 (Register 90, No. 42). A Certificate of Compliance
						must be transmitted to OAL by 12-21-90 or emergency language will be repealed
						by operation of law on the following day.
5. Certificate of
						Compliance as to 8-23-90 order transmitted to OAL 11-20-90 and filed 12-17-90
						(Register 91, No. 5).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  9, Chapter 1441, Statutes of 1988.
						  Reference: Sections
						  14011
						  and
						  14007.5,
						  Welfare and Institutions Code.
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 7 - ALIENAGE, CITIZENSHIP AND RESIDENCE › Section 50301.4 - Documentation of Status as an Amnesty Alien

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Aliens whose status has been adjusted in
					 accordance with Immigration and Nationality Act sections
					 210,
					 210 A or 254A (8 USC sections
					 1160,
					 1161 or
					 1255a) who are applying for full
					 Medi-Cal benefits shall present one of the following INS documents:
(1) Aliens granted lawful temporary resident
					 status: Temporary Resident Card, INS Form I-688.
(2) Aliens granted lawful permanent resident
					 status: Alien Registration Receipt Card, INS Form I-551 or an INS Form I-688
					 with a sticker on the back which reads "Temporary evidence of lawful admission
					 for permanent residence and employment authorization. Valid for 1 year from the
					 expiration date on the reverse of this I-688.....Form I-688 Ext."
(3) Aliens whose INS documents have been lost
					 or stolen or are unreadable: An individual Fee Register Receipt (INS Form
					 G-711) which shows the person has applied for replacement of a lost, stolen or
					 unreadable I-688 or I-551.
(4)
					 Aliens who were issued an I-688 extension sticker which subsequently was lost
					 or stolen or which became unreadable: an I-94 (Arrival-Departure Record) with
					 the stamp: "PROCESSED FOR I-551. TEMPORARY EVIDENCE OF LAWFUL ADMISSION FOR
					 PERMANENT RESIDENCE. VALID UNTIL ______________." (The expiration date is one
					 year from the date lawful permanent residence status was
					 granted.)
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 7 - ALIENAGE, CITIZENSHIP AND RESIDENCE › Section 50301.6 - Verification of Satisfactory Immigration Status

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Satisfactory immigration status" for
					 Medi-Cal purposes means lawful admission for permanent residence in the United
					 States, status as an alien permanently residing in the U.S. under color of law,
					 or status as an amnesty alien.
(b)
					 The authenticity of all INS-issued documents presented as reasonable evidence
					 of such status shall be verified through the Systematic Alien Verification of
					 Entitlements (SAVE) system operated by INS or by direct contact with INS
					 officials.
(c) Applicants for full
					 Medi-Cal benefits who have declared themselves to be aliens, must also declare
					 in writing whether, to the best of their knowledge and belief, they have a
					 satisfactory immigration status. Such aliens shall present INS-issued documents
					 which indicate their status. At least one of these documents should contain an
					 alien registration or alien admission number.
(d) A primary SAVE system verification shall
					 be used to access the biographical/immigration status computer record contained
					 in the Alien Status Verification Index maintained by INS. This procedure shall
					 be used to verify the status of all aliens claiming satisfactory immigration
					 status who present an INS-issued document which contains an alien registration
					 or alien admission number.
(e) The
					 secondary SAVE system verification procedure shall be used to forward copies of
					 original INS documents in cases where:
(1) A
					 primary check of the Alien Status Verification Index instructs the county
					 department to "Institute secondary verification."
(2) The document presented indicates
					 immigration status but does not include an alien registration or alien
					 admission number.
(3) The Alien
					 Status Verification Index record includes the alien registration or admission
					 number on the document presented by the alien but does not match other
					 information contained in the document.
(4) The document is suspected to be
					 counterfeit or to have been altered.
(5) The document includes an alien
					 registration number in the A60 000 000 (not yet issued) or A80 000 000 (illegal
					 border crossing) series.
(6) The
					 document is a fee receipt from INS for replacement of a lost, stolen or
					 unreadable INS document.
(7) The
					 document is one of the following: an INS Form I-181b notification letter issued
					 in connection with an INS Form I-181 Memorandum of Creation of Record of
					 Permanent Residence, an Arrival-Departure Record (INS Form I-94) or a foreign
					 passport stamped "PROCESSED FOR I-551, TEMPORARY EVIDENCE OF LAWFUL PERMANENT
					 RESIDENCE" that INS issued more than one year before the date of application
					 for Medi-Cal.