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§ 50737. Format of Medi-Cal Card.

22 CA ADC § 50737Barclays 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 14. Medi-Cal Card Use and Issuance
22 CCR § 50737
§ 50737. Format of Medi-Cal Card.
Currentness
(a) A Medi-Cal card issued by the Department or by the county department in accordance with these regulations shall be used to authorize services.
(b) The Medi-Cal card for persons with no share of cost shall contain:
(1) Complete and accurate information identifying the beneficiary, the program under which eligibility has been established and other health care coverage entitlement.
(2) Valid month and year and whether it is a past month Medi-Cal card.
(3) Information on limited service or PHP status, if applicable.
(4) Two MEDI labels, if the card is a full complement card.
(5) Proof of eligibility (POE) labels.
(c) The Medi-Cal card for persons who have met their share of cost and are required to complete form MC 177S, shall contain:
(1) The items listed in (b).
(2) The date of certification for claims clearance.
(d) The Medi-Cal card for persons in long-term care, with a share of cost less than or equal to the monthly cost of care at the Medi-Cal reimbursement rate for the long-term care facility, shall contain:
(1) The items listed in (b).
(2) The amount of the share of cost.

Credits

Note: Authority cited: Sections 10725, 14005.9(c), 14124.5 and 14312, Welfare and Institutions Code; Section 133.5, AB 251, Chapter 102, Statutes of 1981. Reference: Sections 14005.9, 14010 and 14017, Welfare and Institutions Code.
History
1. Amendment filed 8-8-80; effective thirtieth day thereafter (Register 80, No. 32).
2. Amendment of subsection (c) 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 A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-30-82.
3. Certificate of Compliance filed 3-30-82 (Register 82, No. 14).
4. Amendment of subsection (c) 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 A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 1-29-83.
5. Certificate of Compliance transmitted to OAL 12-30-82 and filed 2-2-83 (Register 83, No. 6).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50737, 22 CA ADC § 50737
End of Document