(a) A person under 21 years of age shall have eligibility determined under the Medically Indigent program if that person is any of the following:
(1) A person who cannot meet the eligibility requirements as a PA or Other PA recipient, an MN person, or an MN family member.
(2) A person who is not an MN family member because of the exclusion of a child from the MFBU.
(3) A child who is not living with a parent or relative and for whom a public agency is assuming financial responsibility in whole or in part.
(4) A child receiving assistance under Aid for Adoption of Children.
(5) A child who is not eligible as an AFDC MN person because the child is not living with a relative.
(6) A person under 21 years of age who can qualify as an MN blind or disabled person but chooses to apply as an MI person. The choice may be made by a person acting on behalf of the person under 21 years of age.
(b) A person age 21 years or older shall have eligibility determined under the Medically Indigent program if that person is all of the following:
(1) Under age 65.
(2) Unable to meet the eligibility requirements as PA or Other PA recipient, an MN person, or an MN family member.
(3) Either pregnant or residing in a skilled nursing or an intermediate care facility.
(c) In order to be eligible under this program, the persons listed in (a)(1), (2), (5), (6) and (b) shall meet the property, citizenship, residence, institutional status and cooperation requirements specified in these regulations.
(d) In order to be certified and receive a Medi-Cal card under this program the persons listed in (a)(1), (2), (5), (6) and (b) shall be determined eligible and meet the income and share of cost requirements specified in these regulations.
(e) Children specified in (a)(3) shall be eligible and certified for Medi-Cal:
(1) On the basis of the information provided by the public agency on form MC 250.
(2) Without considering the property or income of the child or the child's parents.
(f) The children specified in (a)(4) above shall be eligible and certified for Medi-Cal without any additional determinations by the county department.
(g) For purposes of this section:
(1) Persons are considered 21 years of age on the first day of the month following the month in which they reach age 21.
(2) Persons are considered 18 years of age on the first day of the month in which they reach age 18.
Credits
Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code; Section 57(c), AB 799, Chapter 328, Statutes of 1982; and Section 87(c), SB 2012, Chapter 1594, Statutes of 1982. Reference: Sections 14005.4 and 14052, Welfare and Institutions Code.
History
1. Amendment of subsections (a)(2), (a)(3), (a)(5), and adoption of subsection (f) filed 8-7-78; effective thirtieth day thereafter (Register 78, No. 32).
2. Amendment filed 2-5-80 as an emergency; effective upon filing (Register 80, No. 6). A Certificate of Compliance must be transmitted to OAH within 120 days or emergency language will be repealed on 6-5-80.
3. Certificate of Compliance transmitted to OAH 6-4-80 and filed 6-6-80 (Register 80, No. 23).
4. Amendment of subsection (a)(4) filed 8-8-80; effective thirtieth day thereafter (Register 80, No. 32).
6. Amendment of subsections (a)-(c) filed 3-24-82; effective thirtieth day thereafter (Register 82, No. 13).
7. Amendment filed 12-31-82 as an emergency; effective upon filing (Register 83, No. 2). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-30-83.
8. Certificate of Compliance transmitted to OAL 4-13-83 and filed 5-16-83 (Register 83, No. 21).
This database is current through 6/21/24 Register 2024, No. 25.
