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§ 50168. Verification--Within 60 Days.

22 CA ADC § 50168Barclays 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 § 50168
§ 50168. Verification--Within 60 Days.
Currentness
(a) With regard to information on the Statement of Facts, the county department shall obtain verification of the following items in the manner specified below, within 60 days of the date of initial application, but not necessarily prior to approval of eligibility:
(1) Social Security Numbers (SSNs) shall be submitted through the IEVS to the Social Security Administration for verification in accordance with procedures established by the Department.
(A) SSN(s) shall be confirmed by viewing Social Security cards, Social Security Administration form series OA-702. Any one of the following shall be acceptable if the Social Security card is not available:
1. An award letter, Medicare card or a check from the Social Security Administration showing the applicant's name and SSN with letters A, HA, J, T or M following the SSN.
2. Other documentation from the Social Security Administration upon approval by the Department.
(B) Application for an SSN or evidence of an SSN shall be confirmed by viewing Social Security Administration district office notification that application for an SSN or evidence of an SSN has been made.
(b) Medicare eligibility shall be verified by viewing a Health Insurance Card, form SSA-1966, an award letter showing the individual's Health Insurance Claim number (HIC), an Explanation of Medicare Benefits (EOMB) issued by the Medicare fiscal intermediary, or a bill for Premium Part A or Part B, form SSA 1545 or 1545A.
(c) If a person or family receives a Medi-Cal card prior to verification of an HIC number, SSN, application for an SSN or evidence of an SSN, and that verification is not completed within the time limit for reasons within the beneficiary's control:
(1) Eligibility no longer exists and the person shall be discontinued. In family situations only the person or persons whose number is not verified shall be discontinued.
(2) Eligibility shall not be reapproved until the required evidence is submitted.

Credits

Note: Authority cited: Sections 10725, 10740 and 14124.5, Welfare and Institutions Code; and Section 57, Chapter 328, Statutes of 1982. Reference: Sections 11004, 14001 and 14011, Welfare and Institutions Code; and 42 Code of Federal Regulations 435.910(g).
History
1. Amendment of subsections (a) and (b) filed 12-15-77; effective thirtieth day thereafter (Register 77, No. 51).
2. Amendment of subsections (a) and (c) and new subsection (d) filed 4-9-80; effective thirtieth day thereafter (Register 80, No. 15).
3. Amendment filed 1-8-81; effective thirtieth day thereafter (Register 81, No. 2).
4. Amendment filed8-18-82 as an emergency; effective upon filing (Register 82, No. 34). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 12-16-82.
5. Certificate of Compliance transmitted to OAL 12-14-82 and filed 1-21-83 (Register 83, No. 4).
6. Editorial correction of subsection (a)(1)(C) filed 7-7-83 (Register 83, No. 29).
7. Amendment filed 7-16-87; operative 7-16-87 pursuant to Government Code Section 11346.2(d) (Register 87, No. 30).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50168, 22 CA ADC § 50168
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