Cal. Code Regs. Tit. 22, § 50817 - Eligibility Requirements - Medi-Cal Special Treatment Programs

(a) Applicants for Medi-Cal Special Treatment programs shall meet cooperation, citizenship, residence, institutional status and transfer of property requirements in Article 4, 6 and 9.

(b) Applicants shall be eligible for Medi-Cal Special Treatment Programs--Only coverage if they are all of the following:

(1) In need of dialysis or parenteral hyperalimentation and related services.

(2) Otherwise eligible for Medi-Cal under Section 50203 as Medically Needy or Section 50251 as Medically Indigent except for property which exceeds the limits set forth in Article 9.

(3) Not eligible for renal dialysis Medicare if under 65 years of age. Medicare eligibility shall not affect Medi-Cal Special Treatment Programs--Only eligibility for persons age 65 or for persons applying for parenteral hyperalimentation coverage.

(c) Applicants shall be eligible for the Medi-Cal Special Treatment Programs--Supplement coverage if they are all of the following:

(1) Eligible under Section 50203 as Medically Needy or Section 50251 as Medically Indigent. Medicare eligibility shall not affect Medi-Cal Special Treatment Programs--Supplement eligibility.

(2) In need of dialysis or parenteral hyperalimentation and related services.

(3) Employed or self-employed.

(4) Earning an individual gross income that exceeds the minimum maintenance need for one person.

(d) Applicants for the Medi-Cal Special Treatment Programs shall apply for Medicare as follows:

(1) Applicants for dialysis coverage shall apply for Medicare within ten days of making application for a Medi-Cal Special Treatment Program. Applicants who fail to apply for Medicare within the prescribed time period, except for good cause as exemplified under Section 50175(c), shall have the application denied under that specific Medi-Cal Special Treatment Program.

(2) Applicants for or beneficiaries of parenteral hyperalimentation coverage shall apply for Medicare in accordance with Section 50777.

Notes

Cal. Code Regs. Tit. 22, § 50817

1. Amendment filed 5-16-80 as an emergency; effective upon filing (Register 80, No. 20). A Certificate of Compliance must be transmitted to OAH within 120 days or emergency language will be repealed on 9-14-80.
2. Certificate of Compliance filed 8-22-80 (Register 80, No. 34).
3. Amendment filed 3-25-81 as an emergency; effective upon filing (Register 81, No. 13). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-23-81.
4. Order of Repeal of 3-25-81 emergency order filed 4-3-81 by OAL pursuant to Government Code Section 11349.6 (Register 81, No. 14).
5. Amendment filed 7-19-82; effective thirtieth day thereafter (Register 82, No. 30).
6. Editorial correction of NOTE filed 11-10-83 (Register 83, No. 46).
7. Amendment of subsections (b)(2) and (b)(3) filed 6-3-87; operative 7-3-87 (Register 87, No. 24).

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Sections 14005.4, 14005.7, 14015, 14141, 14142, 14143, 14144 and 14144.5, Welfare and Institutions Code.

1. Amendment filed 5-16-80 as an emergency; effective upon filing (Register 80, No. 20). A Certificate of Compliance must be transmitted to OAH within 120 days or emergency language will be repealed on 9-14-80.
2. Certificate of Compliance filed 8-22-80 (Register 80, No. 34).
3. Amendment filed 3-25-81 as an emergency; effective upon filing (Register 81, No. 13). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-23-81.
4. Order of Repeal of 3-25-81 emergency order filed 4-3-81 by OAL pursuant to Government Code Section 11349.6 (Register 81, No. 14).
5. Amendment filed 7-19-82; effective thirtieth day thereafter (Register 82, No. 30).
6. Editorial correction of NOTE filed 11-10-83 (Register 83, No. 46).
7. Amendment of subsections (b)(2) and (b)(3) filed 6-3-87; operative 7-3-87 (Register 87, No. 24).