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§ 50155. Withdrawal of Application--Request for Discontinuance.

22 CA ADC § 50155Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 22. Social Security
Division 3. Health Care Services
Subdivision 1. California Medical Assistance Program (Refs & Annos)
Chapter 2. Determination of Medi-Cal Eligibility and Share of Cost
Article 4. Beneficiary Application Process
22 CCR § 50155
§ 50155. Withdrawal of Application--Request for Discontinuance.
(a) An applicant or beneficiary may withdraw an application for or request discontinuance from Medi-Cal by any of the following methods:
(1) Completion of a Request for Withdrawal of Application or Discontinuance of Eligibility form.
(A) The original shall be placed in the case file.
(B) A copy shall be given to the applicant.
(2) Submission of a signed request for withdrawal or discontinuance. The request for withdrawal or discontinuance shall be placed in the case file.
(3) Failing to respond to a Notice of Action which requests that the beneficiary contact the county to indicate a desire to continue eligibility.

Credits

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Sections 11050 and 14001, Welfare and Institutions Code.
History
1. Editorial correction filed 7-7-83 (Register 83, No. 29).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50155, 22 CA ADC § 50155
End of Document