Cal. Code Regs. tit. 22, § 50745 – Medi-Cal Card Issuance by the County Department--Share of Cost.

(a) The county department may issue current or past month Medi-Cal cards, as limited by Section 50746, to persons who are in long-term care and have a share of cost which is less than or equal to the monthly cost of care at the Medi-Cal reimbursement rate for the long-term care facility unless the person in long-term care also has a spenddown of property.
(b) The county department shall issue current month Medi-Cal cards with MEDI or POE labels to persons with a share of cost met by use of form MC 177S, if the person who requests the card signs a form MC 110 which indicates a need for medical services prior to normal anticipated receipt of a Department issued Medi-Cal card. In this case the county department shall process form MC 177S in accordance with Section 50658.
(c) The county department may issue current or past month Medi-Cal cards with POE labels only, as limited by Section 50746, to persons with a share of cost if certification by the county department or BRU has occurred.
(d) The Director may order the suspension of county issuance of Medi-Cal cards for persons with a share of cost, if the Director determines that the cost of the procedure is exceeding allowable costs under the Department's program for control of county department Medi-Cal administrative costs.
1. (1) The Director shall inform a county department of the suspension in that county, in writing, 30 days prior to the effective date of the suspension.
2. (2) The Director may reinstate the county issuance of Medi-Cal cards for persons with a share of cost, if it is determined that sufficient funds are available. Notification of the reinstatement shall be in writing.