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§ 50177. Promptness Requirement.

22 CA ADC § 50177Barclays 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 § 50177
§ 50177. Promptness Requirement.
(a) The county department shall complete the determination of eligibility and share of cost as quickly as possible but not later than any of the following:
(1) Forty-five days following the date the application, reapplication or request for restoration is filed.
(2) Ninety days following the date the application, reapplication or request for restoration is filed when eligibility depends on establishing disability or blindness.
(b) The 45- and 90-day periods may be extended for any of the following reasons:
(1) The applicant, the applicant's guardian, or other person acting on the applicant's behalf, has for good cause, been unable to return the completed Statement of Facts, Supplement to Statement of Facts for Retroactive Coverage/Restoration, or necessary verification in time for the county department to meet the promptness requirement.
(2) There has been a delay in the receipt of reports and information necessary to determine eligibility and the delay is beyond the control of either the applicant or the county department.
(c) The determination of eligibility shall be considered complete on the date the Notice of Action is mailed to the applicant.

Credits

Note: Authority cited: Sections 10725, 14124.5 and 14154.2(b), Welfare and Institutions Code. Reference: Sections 11052, 11055, 14001, 14011, 14016, and 14154.2(b) Welfare and Institutions Code; and 42 Code of Federal Regulations 435.911.
History
1. Amendment of subsection (b)(1) filed 12-15-77; effective thirtieth day thereafter (Register 77, No. 51).
2. Amendment filed 8-7-78; effective thirtieth day thereafter (Register 78, No. 32).
3. Amendment of subsection (b) filed 3-7-80 as an emergency; effective upon filing (Register 80, No. 9). A Certificate of Compliance must be transmitted to OAH within 120 days or emergency language will be repealed on 7-6-80.
4. Certificate of Compliance filed 6-6-80 (Register 80, No. 23).
5. Editorial correction of Note filed 7-7-83 (Register 83, No. 29).
6. Change without regulatory effect filed 1-9-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 8).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50177, 22 CA ADC § 50177
End of Document