California Code of Regulations › Title 10 - Investment › Chapter 12 - California Health Benefit Exchange › Article 5 - Application, Eligibility, and Enrollment Process for the Individual Exchange › Section 6480 - Verification of Eligibility for MEC Other than Through an Eligible Employer-Sponsored Plan Related to Eligibility Determination for APTC and CSR

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Exchange
				shall verify whether an applicant is eligible for MEC other than through an
				eligible employer-sponsored plan, Medi-Cal, or CHIP, using information obtained
				by transmitting identifying information specified by HHS to HHS for
				verification purposes.
(b) The
				Exchange shall verify whether an applicant has already been determined eligible
				for coverage through Medi-Cal or CHIP, using information obtained from the
				DHCS.
1. New section
				  filed 9-30-2013 as a deemed emergency pursuant to Government Code section
				  100504(a)(6);
				  operative 9-30-2013 (Register 2013, No. 40). A Certificate of Compliance must
				  be transmitted to OAL by 4-1-2014 or emergency language will be repealed by
				  operation of law on the following day.
2. New section refiled
				  4-1-2014 as a deemed emergency pursuant to Government Code section
				  100504(a)(6);
				  operative 4-1-2014 (Register 2014, No. 14). A Certificate of Compliance must be
				  transmitted to OAL by 6-30-2014 or emergency language will be repealed by
				  operation of law on the following day.
3. New section refiled
				  6-30-2014 as a deemed emergency pursuant to Government Code section
				  100504(a)(6);
				  operative 6-30-2014 (Register 2014, No. 27). A Certificate of Compliance must
				  be transmitted to OAL by 9-29-2014 or emergency language will be repealed by
				  operation of law on the following day.
4. New section refiled
				  9-30-2014 as an emergency pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 9-30-2014
				  (Register 2014, No. 40). A Certificate of Compliance must be transmitted to OAL
				  by 9-30-2015 pursuant to Government Code section
				  100504 or
				  emergency language will be repealed by operation of law on the following
				  day.
5. Editorial correction of HISTORY 4 (Register 2014, No.
				  45).
6. Editorial correction of HISTORY 4 (Register 2014, No.
				  50).
7. New section refiled 12-12-2014 as an emergency pursuant to
				  Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 12-12-2014
				  (Register 2014, No. 50). A Certificate of Compliance must be transmitted to OAL
				  by 9-30-2015 pursuant to Government Code section
				  100504 or
				  emergency language will be repealed by operation of law on the following
				  day.
8. New section refiled 5-11-2015 as an emergency pursuant to
				  Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats. 2014, c. 31); operative 5-11-2015
				  (Register 2015, No. 20). A Certificate of Compliance must be transmitted to OAL
				  by 9-30-2015 pursuant to Government Code section
				  100504 or
				  emergency language will be repealed by operation of law on the following
				  day.
9. Senate Bill 75 (Stats. 2015, Ch. 18) modified Government
				  Code section
				  100504(a)(6)
				  to change the date upon which a Certificate of Compliance must be transmitted
				  to OAL. Pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 75 (Stats. 2015, Ch. 18), a Certificate of
				  Compliance must be transmitted to OAL by 9-30-2016 or the language in the
				  emergency order of 5-11-2015 will be repealed by operation of law on the
				  following day (Register 2015, No. 38).
10. New section refiled
				  9-17-2015 as an emergency pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats. 2014, c. 31) and Senate Bill 75 (Stats.
				  2015, Ch. 18); operative 9-17-2015 (Register 2015, No. 38). A Certificate of
				  Compliance must be transmitted to OAL by 9-30-2016 pursuant to Government Code
				  section
				  100504 or
				  the language in the emergency order of 9-17-2015 will be repealed by operation
				  of law on the following day.
11. New section refiled 12-14-2015 as
				  an emergency pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats. 2014, c. 31) and Senate Bill 75 (Stats.
				  2015, Ch. 18); operative 12-14-2015 (Register 2015, No. 51). A Certificate of
				  Compliance must be transmitted to OAL by 9-30-2016 pursuant to Government Code
				  section
				  100504 or
				  the language in the emergency order of 12-14-2015 will be repealed by operation
				  of law on the following day.
12. New section refiled 6-6-2016 as an
				  emergency pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 857 (Stats. 2014, c. 31) and Senate Bill 75 (Stats.
				  2015, Ch. 18); operative 6-6-2016 (Register 2016, No. 24). A Certificate of
				  Compliance must be transmitted to OAL by 9-30-2016 pursuant to Government Code
				  section
				  100504 or
				  the language in the emergency order of 6-6-2016 will be repealed by operation
				  of law on the following day.
13. Senate Bill 833 (Stats. 2016, c.
				  30) modified Government Code section
				  100504(a)(6)
				  to extend the date upon which a Certificate of Compliance must be transmitted
				  to OAL. Refiling of 6-6-2016 order on 9-30-2016 as a deemed emergency pursuant
				  to Government Code section
				  100504(a)(6);
				  operative 9-30-2016 (Register 2016, No. 40). A Certificate of Compliance must
				  be transmitted to OAL by 10-1-2018 pursuant to Government Code section
				  100504(a)(6)
				  or emergency language will be repealed by operation of law on the following
				  day.
14. New section refiled 2-16-2017 as an emergency pursuant to
				  Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 833 (Stats. 2016, c. 30), Senate Bill 75 (Stats.
				  2015, c. 18) and Senate Bill 857 (Stats. 2014, c. 31); operative 2-16-2017
				  (Register 2017, No. 7). A Certificate of Compliance must be transmitted to OAL
				  by 10-1-2018 pursuant to Government Code section
				  100504(a)(6)
				  or the language in the emergency order of 2-16-2017 will be repealed by
				  operation of law on the following day.
15. New section refiled
				  10-26-2017 as an emergency pursuant to Government Code section
				  100504(a)(6),
				  as modified by Senate Bill 833 (Stats. 2016, c. 30), Senate Bill 75 (Stats.
				  2015, c. 18) and Senate Bill 857 (Stats. 2014, c. 31); operative 10-26-2017
				  (Register 2017, No. 43). A Certificate of Compliance must be transmitted to OAL
				  by 10-1-2018 pursuant to Government Code section
				  100504(a)(6)
				  or the language in the emergency order of 10-26-2017 will be repealed by
				  operation of law on the following day.
16. Certificate of Compliance
				  as to 10-26-2017 order, including further amendment of section, transmitted to
				  OAL 8-10-2018 and filed 9-24-2018; amendments effective 9-24-2018 pursuant to
				  Government Code section
				  11343.4(b)(3)
				  (Register 2018, No. 39).
Note: Authority cited: Section
					 100504,
					 Government Code. Reference: Sections
					 100502,
					 100503 and
					 100504,
					 Government Code; and 45 CFR
					 Section
					 155.320.