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§ 50653.5. Changes Which Increase the Share of Cost.

22 CA ADC § 50653.5Barclays 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 12. Share of Cost
22 CCR § 50653.5
§ 50653.5. Changes Which Increase the Share of Cost.
Currentness
(a) Except as described in Section 50262.3, in situations where a change in income or other circumstances, which result in an increase in the share of cost, is reported by the beneficiary in a timely manner, as specified in Section 50185, the county department shall make necessary changes effective:
(1) Immediately, if the increase is due to the voluntary inclusion of a family member who has income. The share of cost to be met shall be either of the following:
(A) The total increased share of cost shall be met by all members of the MFBU providing Medi-Cal cards have not been issued to the MFBU for the share-of-cost month and form MC 177S has not been submitted to the Department in accordance with Section 50658(c).
(B) The difference between the increased share of cost and the former share of cost shall be met by the newly included family member(s) when Medi-Cal cards have been issued to the MFBU for the share-of-cost month or form MC 177S has been submitted to the Department in accordance with Section 50658(c).
(2) In accordance with the following, in all other instances:
(A) The first of the month following the month in which the change was reported, if a 10 day notice can be given.
(B) The first of the second month following the month in which the change was reported, if the change cannot be made in accordance with (A).
(b) In situations where a change in income or other circumstances, which results in an increase in the share of cost determination, is not reported by the beneficiary in a timely manner, as specified in Section 50185, the county department shall:
(1) Make the changes to the ongoing share of cost in accordance with (a).
(2) Determine what the share of cost should have been for the months in which the beneficiary should have had a share of cost or an increased share of cost.
(3) Report a potential overpayment in accordance with Section 50783 which incorporates 50781, if the beneficiary:
(A) Received a Medi-Cal card and should have had a share of cost.
(B) Met a share of cost which was less than the corrected share of cost.

Credits

Note: Authority cited: Sections 10725, 14016.10 and 14124.5, Welfare and Institutions Code. Reference: Sections 14005.9 and 14009, Welfare and Institutions Code.
History
1. New section filed 11-30-81 as an emergency; effective upon filing (Register 81, No. 49). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-30-82.
2. Certificate of Compliance filed 3-30-82 (Register 82, No. 14).
3. Amendment filed 10-1-82 as an emergency; effective upon filing (Register 82, No. 40). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 1-29-83.
4. Certificate of Compliance transmitted to OAL 12-30-82 and filed 2-2-83 (Register 83, No. 6).
5. Amendment of subsection (a)(1) filed 7-9-87; operative 8-8-87 (Register 87, No. 30).
6. Amendment of subsections (b)(2) and (b)(3) and Note filed 4-13-93; operative 5-13-93 (Register 93, No. 16).
7. Amendment of subsection (a) and Note filed 4-27-94 as an emergency; operative 4-27-94 (Register 94, No. 17). A Certificate of Compliance must be transmitted to OAL by 8-25-94 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-27-94 order transmitted to OAL 8-24-94 and filed 9-29-94 (Register 94, No. 39).
9. Editorial correction of Note (Register 94, No. 39).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50653.5, 22 CA ADC § 50653.5
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