§ 30307. Request for Voluntary Contributions.
22 CA ADC § 30307Barclays Official California Code of Regulations
Barclays California Code of Regulations
Title 22. Social Security
Division 2. Department of Social Services--Department of Health Services
Part 2. Health and Welfare Agency--Department of Health Services Regulations
Subdivision 4. Institutions and Boarding Homes for Persons Aged 16 and Above
Chapter 2.5. Maternity Home Care Program: Pregnancy Freedom of Choice Act
22 CCR § 30307
§ 30307. Request for Voluntary Contributions.
(1) Enter the current Federal Poverty Limits 200 Percent By Family Size chart published by the Department of Finance Data Center (see Handbook Section 30307(c)(a)(1) example for the chart effective August 1991), with the figures for Total Dependents, and Adjusted Gross Income, on the Form 1040 to determine whether or not annual income is in excess of 200 percent of the federal poverty level, adjusted for family size. If the annual income of the family is larger than the amount (Gross Annual Income) displayed in Table 1 for a matching Family Size, the family's annual income exceeds 200 percent of the federal poverty level and the parent(s) shall be requested to voluntarily contribute financial support for the care and services the applicant receives under this program. If the family's annual income is less than or identical to the amount shown in Table 1 for an equally sized family, financial contribution shall not be requested.
(B) If the family's annual income is in excess of 200 percent of the federal poverty level, adjusted for family size, convert the annual income amount in a monthly amount (annual income/12 OR 30.4 X (Annual Income/365)). Enter Table 2, (See Section 30314) Resident Fee Schedule, Maternity Home Care, with the Monthly Adjusted Gross Income and the total number of dependents (from the Form 1040) to determine the amount the parent(s) shall be requested to voluntarily contribute for each month the applicant remains in this program.
(e) The amounts of any financial contributions collected from parents of recipients receiving services shall be recorded in the Other Funding Source And Amount column on the Claim for Reimbursement - Pregnancy Freedom of Choice AB 1069, Form SOC 331 (Rev. 3/82), and shall be deducted from the Allowable Expenditures for the purpose of offsetting costs of care and services provided to those recipients receiving services during that month.
Credits
Note: Authority cited: Section 10553, Welfare and Institutions Code. Reference: Section 16147, Welfare and Institutions Code.
History
1. New section filed 12-30-92; operative 1-29-93 (Register 93, No. 1).
This database is current through 6/7/24 Register 2024, No. 23.
Cal. Admin. Code tit. 22, § 30307, 22 CA ADC § 30307
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