1. (a) A person or family applying for retroactive Medi-Cal shall:

   1. (1) Submit a completed application form to the county department, if the application is for retroactive coverage only.

   2. (2) Request retroactive coverage in one of the following ways if the request for retroactive Medi-Cal is made in conjunction with, or after, an application for public assistance or Medi-Cal:

      1. (A) On the application form.
      2. (B) On the Statement of Facts.
      3. (C) By submitting a written request.
2. (b) An application for retroactive coverage pursuant to (a)(2) must be submitted within one year of the month for which retroactive coverage is requested.

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Sections 11050, 14001, 14019 and 14019.6, Welfare and Institutions Code.

History

1. Editorial correction adding Note filed 7-7-83 (Register 83, No. 29).

2. New subsection (b) filed 7-9-87; operative 8-8-87 (Register 87, No. 30).