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§ 50188. Reporting Updated Beneficiary Contact Information.

22 CA ADC § 50188Barclays 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 § 50188
§ 50188. Reporting Updated Beneficiary Contact Information.
(a) When a Medi-Cal managed care plan receives updated beneficiary contact information from a beneficiary, or their authorized representative, the Medi-Cal managed care plan shall seek consent from the beneficiary before providing this updated beneficiary contact information to the county department. The beneficiary may provide consent to the Medi-Cal managed care plan through mail, telephone, Internet or other commonly available electronic means, if those means are available to the Medi-Cal managed care plan.
(b) When a Medi-Cal managed care plan receives updated beneficiary contact information described in subsection (c) from a beneficiary, the Medi-Cal managed care plan shall provide that updated beneficiary contact information to the county department, along with the beneficiary's Client Identification Number, date of birth, former address, and, if reporting a name change, the beneficiary's former name. If a beneficiary has not provided the Medi-Cal managed care plan with consent to provide updated beneficiary contact information to the county department, the Medi-Cal managed care plan shall inform the county department that consent was not given when it provides the information.
(c) A Medi-Cal managed care plan shall provide only the following updated beneficiary contact information to the county department:
(1) Name;
(2) Address; and
(3) Telephone number.
(d) If a Medi-Cal managed care plan informs the county department that the beneficiary did not consent to providing the updated beneficiary contact information, the county department shall attempt to verify that the updated beneficiary contact information is correct before updating the beneficiary's case file.
(1) The county department shall review information available to the county department, including, but not limited to, the CalWORKs and CalFresh case files of the beneficiary, or his or her immediate family members, which are open, or were closed within the last 90 days, and other sources of relevant information reasonably available to the county department to attempt to verify the updated beneficiary contact information.
(2) (A) If the county department is unable to verify the updated beneficiary contact information pursuant to subsection (d)(1) above, the county department shall attempt to contact the beneficiary to verify the updated beneficiary contact information using the method of contact identified by the beneficiary as the preferred method of contact, if identified.
(B) If the county department is unable to verify the updated beneficiary contact information pursuant to paragraph (2)(A), the county department shall not include the information reported by the Medi-Cal Managed Care plan in the beneficiary's case file.
(e) If a county department acquires updated beneficiary contact information from a source other than a Medi-Cal managed care plan or directly from a beneficiary, the county department shall contact the beneficiary to attempt to verify that the updated beneficiary contact information is accurate, prior to updating the information in the beneficiary's case file.

Credits

Note: Authority cited: Section 20, Health and Safety Code; Sections 10725 and 14005.36, Welfare and Institutions Code. Reference: Section 14005.36, Welfare and Institutions Code.
History
1. New section filed 6-24-2015 as an emergency; operative 6-24-2015 (Register 2015, No. 26). A Certificate of Compliance must be transmitted to OAL by 12-21-2015 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 12-14-2015 as an emergency; operative 12-21-2015 (Register 2015, No. 51). This filing is deemed an emergency and is exempt from review by OAL pursuant to Welfare and Institutions Code section 14005.36(e). A Certificate of Compliance must be transmitted to OAL by 3-21-2016 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 12-14-2015 order, including amendment of subsections (a)-(c) and (d)(1), redesignation and amendment of former subsection (d)(2) as new subsection (d)(2)(A), new subsection (d)(2)(B) and redesignation of former subsection (d)(3) as subsection (e), transmitted to OAL 3-14-2016 and filed 4-21-2016; amendments operative 4-21-2016 pursuant to Government Code section 11343.4(b)(3) (Register 2016, No. 17).
This database is current through 6/14/24 Register 2024, No. 24.
Cal. Admin. Code tit. 22, § 50188, 22 CA ADC § 50188
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