Article 4. Beneficiary Application Process | Midpage

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California Code of Regulations

Division 3. Health Care Services

Subdivision 1. California Medical Assistance Program

Chapter 2. Determination of Medi-Cal Eligibility and Share of Cost

Article 4. Beneficiary Application Process

Article 4. Beneficiary Application Process

State of California

50141Application Process--General.50142Screening.50143Persons Who May File an Application for Medi-Cal.50145Medi-Cal Application for Persons Applying for a Cash Grant.50146Medi-Cal Application for Persons Applying for In-Home Supportive Services. [Repealed]50147Application for Medi-Cal Only.50147.1Child Applying for Medi-Cal.50148Application for Retroactive Medi-Cal.50149Application Form.50151Date of the Application.50153Medi-Cal Application--Process for All Programs.50155Withdrawal of Application--Request for Discontinuance.50157Face-to-Face Interview.50159Statement of Facts.50161Statement of Facts Form.50163Persons Who May Complete and Sign the Statement of Facts.50165Filing the Statement of Facts.50166Obtaining Information for the Completion of the Statement of Facts.50167Verification--Prior to Approval.50167.2Verification of Income--IEVS Requirements.50167.5Verification of Unearned Income Information from Internal Revenue Service (IRS) or Franchise Tax Board (FTB)--IEVS Requirements.50168Verification--Within 60 Days.50169Additional Verification Requirements.50171Clarification of Statement of Facts.50172Verification by Signature.50173Eligibility Determination.50175Denial or Discontinuance Due to Lack of Information, Noncooperation or Loss of Contact.50176Discontinuance Due to Death.50177Promptness Requirement.50179Notice of Action -- Medi-Cal-Only Determinations or Redeterminations.50179.5Notice of Action--County Cash Assistance Determinations or Redeterminations Which Affect County Cash-Based Medi-Cal Eligibility.50179.7Notice of Action--Medi-Cal Eligibility of SSI/SSP Recipients.50180Action Prior to Denial of Application.50181Action Following Denial of an SSI/SSP Application.50182Corrective Action on Denied Applications.50183Transfer Between Programs.50183.5Action Following Medi-Cal Discontinuance by the Department.50184Referral for Social Services.50185Applicants' and Beneficiaries' General Responsibilities.50185.5Medi-Cal Managed Care Plan Assigned Enrollment Prior to Two-Plan Model Implementation or for Geographic Areas Not Designated for Two-Plan Model Implementation.50186Unconditionally Available Income.50187Social Security Numbers and Health Insurance Claim Numbers.50188Reporting Updated Beneficiary Contact Information.50189Redetermination--Frequency and Process.50191Status Reports.50192Testing Techniques for Redeterminations, Status Reporting and Verification.50193Beginning Date of Eligibility.50195Period of Eligibility.50197Retroactive Eligibility.50199Certification for Medi-Cal--Completion.