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§ 50169. Additional Verification Requirements.

22 CA ADC § 50169Barclays 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 § 50169
§ 50169. Additional Verification Requirements.
Currentness
(a) The county department shall not require verification of information, other than the verification specified in these regulations, unless the county department considers the verification necessary to ensure a correct eligibility determination in the specific case.
(b) The need for in-home supportive services as determined under the IHSS program pursuant to the standards and procedures established for that program, DSS Manual of Policies and Procedures, division 30, sections 30-700 through 30-775, shall be verified prior to the application of the deduction specified in section 50551.6. Such determination and verification shall be limited to the type and amount of services needed. The payment for IHSS services shall be verified by viewing cancelled checks, or receipts signed by the provider of service.
(c) The county department shall document in the case file the type of verification obtained when verification is required under (a) or (b) or under sections 50167 and 50168.
(d) The following items shall be verified at each redetermination, restoration or reapplication.
(1) Incapacity.
(2) Legal responsibility for a child applying alone.
(3) Refusal of the parent to apply for an 18 to 21 year old child.
(4) Income, except income received from the United States government which has previously been verified in accordance with the provisions of sections 50167(a)(7)(A)1. through 5. or for which verification has been obtained from the appropriate government agency.
(5) Status and value of nonexempt property.
(6) The continuing need for IHSS services.
(7) Immigration status; provided, however, that the county department shall not require or request an applicant for or a beneficiary of restricted Medi-cal benefits to disclose their citizenship or immigration status, birthplace, country of citizenship, alien registration number and/or alien admission number, date of first entry into the United States, or name upon first entry into the United States.
(e) County departments shall verify the immigration status of all alien applicants for full Medi-Cal benefits and of persons applying for restricted Medi-Cal benefits who indicate they are amnesty aliens.
(f) The following items shall be verified whenever there is a change:
(1) Blindness.
(2) Disability.
(3) Immigration status; provided, however, that the county department shall not require or request an applicant for or a beneficiary of restricted Medi-cal benefits to disclose their citizenship or immigration status, birthplace, country of citizenship, alien registration number and/or alien admission number, date of first entry into the United States, or name upon first entry into the United States.
(4) SSN; provided, however, that the county department shall not require or request an applicant for or a beneficiary of restricted Medi-cal benefits to disclose whether they have a Social Security Number or what that number is.
(5) HIC number.
(6) A change in residency shall be verified whenever one of the following conditions exists:
(A) The applicant or beneficiary is absent from the state for less than 60 days and claims to be a resident of California, and the county has evidence to the contrary pursuant to Section 50321(a).
(B) The applicant or beneficiary is absent from the state for more than 60 days and claims to meet the conditions of Section 50323 for maintaining California residency.
(g) The following procedures shall apply, for persons who were determined eligible prior to the effective date of this subsection and who have not submitted an SSN, at the time of the next redetermination, restoration or reapplication:
(1) Section 50168(a)(1) shall apply when a face-to-face interview is required.
(2) Persons for whom a face-to-face interview is not required shall submit an SSN, or evidence of application for an SSN, within 60 days.
(h) Certification for Medi-Cal shall not be delayed or discontinued pending receipt of verification from a person who is currently eligible unless the beneficiary refuses to cooperate.

Credits

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code; Section 2, Chapter 364, Statutes of 1984; and Section 9, Chapter 1441, Statutes of 1988. Reference: Sections 14005.14, 14007.5 and 14011, Welfare and Institutions Code; and the Crespin v. Kizer court order (Alameda County Superior Court, December 16, 1992).
History
1. Amendment of subsections (d) and (e), and relettering of subsections (e), (f) and (g) filed 11-14-89 as an emergency pursuant to section 9 of chapter 1441 of the Statutes of 1988; operative 11-14-89 (Register 89, No. 48). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-14-90. For prior history, see Register 85, No. 43.
2. Amendment of subsections (d) and (e), and relettering of subsections (e), (f) and (g) refiled 3-8-90 as an emergency pursuant to section 9 of chapter 1441 of the Statutes of 1988; operative 3-13-90 (Register 90, No. 12). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-11-90.
3. Certificate of Compliance as to 3-8-90 order transmitted to OAL 7-05-90 and disapproved 8-6-90 (Register 90, No. 42).
4. Amendment filed 8-23-90 as an emergency pursuant to section 9 of chapter 441 of the Statutes of 1988; operative 8-23-90 (Register 90, No. 42). A Certificate of Compliance must be transmitted to OAL by 12-21-90 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 8-23-90 order transmitted to OAL 11-20-90 and filed 12-17-90 (Register 91, No. 5).
6. New subsections (f)(6)-(f)(6)(B) and amendment of subsections (d)(7), (f)(3), (f)(4) and Note filed 5-17-93 as an emergency with Secretary of State by the Department of Health Services; operative 5-17-93. Submitted to OAL for printing only pursuant to 1992 Senate Bill 485 (Register 93, No. 21).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50169, 22 CA ADC § 50169
End of Document