California Administrative Code

File means delivery of a paper to, and the date stamped by Administrative Hearings and Appeals or the Office of Legal Services of the Department, or the Office of Administrative Hearings, as appropriate.

(a) Applicants in this classification shall present a document which establishes their identify, such as a driver's license, and an original document which serves as evidence that an applicant is a citizen or national of the United States. (1) If the applicant declares a birthpla…

Any right of judicial review shall be communicated in writing to the local agency in the event that the Department renders an appeal decision which is adverse to the local agency.

(a) Persons living in the home means all of the following: (1) Persons physically present in the home; (2) Persons temporarily absent from the home because of hospitalization, visiting, vacation, trips in connection with work, or because of similar reasons as limited by (d). (3) …

Personal property means possessions or interests, exclusive of real property, that may be easily transported or stored; including but not limited to cash on hand, bank accounts, notes, mortgages, deeds of trust, cash surrender value of life insurance, motor vehicles, uncollected …

Each application shall include objectives that, when accomplished, would fulfill the specific needs of the service area. These objectives shall be expressed in terms which can be measured; which relate to the alleviation of the need as stated in Section 40122, and which will allo…

Relative means a mother, father, grandfather, grandmother, son, daughter, brother, sister, stepfather, stepmother, stepbrother, stepsister, uncle, aunt, first cousin, nephew, niece, half-brother, half-sister, any such person of a preceding or succeeding generation denoted by a pr…

(a) “Satisfactory immigration status” for Medi-Cal purposes means lawful admission for permanent residence in the United States, status as an alien permanently residing in the U.S. under color of law, or status as an amnesty alien. (b) The authenticity of all INS-issued documents…

(a) Adverse action means an action taken by a county department which discontinues Medi-Cal eligibility or increases an MFBU's share of cost. The following shall not be considered to be adverse actions: (1) Discontinuance due to any of the following reasons: (A) Death, for a one-…

(a) The county of responsibility for persons with a county public guardian shall be the county in which the public guardian is located except that if the person is physically present in another county and the new county will accept a transfer of guardianship, the new county shall…

(a) In order for a claim to be eligible for reimbursement, the responsible public agency shall: (1) Record in the case file that the adoption took place in compliance with applicable state and local laws. (2) Record in the case file that the child for whose adoptive costs the par…

(a) In a change of county of responsibility for persons or families who have an application pending for either the SSI/SSP or MN programs on the basis of blindness or disability, the responsibility shall be transferred to the new county in accordance with the following: (1) If th…

Diagnostic services shall be readily available to all handicapped children in the county.

“Employment-related group health insurance” means private group health insurance coverage provided through employment or membership in a union, trade association, or other organization.

(a) The responsible public agency shall provide the county responsible for payment with information necessary to allow the county to issue AAP payments and authorize the issuance of Medi-Cal cards. (1) AAP payments shall not begin before the Adoptive Placement Agreement (AD 907) …

“Director” means the Director of the Department of Health Services or his/her designee.

“Health Services Development Project” means any project receiving funds from the Department for purposes of demonstrating or testing effective ways of providing health care services in underserved rural areas.

“Primary health care operations” means those operating expenses necessary to provide medical, dental, podiatric or optometric primary care service, including personnel, rent, supplies, utilities, communications and travel; operations which include equipment purchases, facility re…

For purposes of computing the tax required to be deducted and withheld pursuant to Section 13020 of the code, an employer may compute such tax as provided by Section 13023 of the code.

(a) The agency shall attempt to ascertain the following background information: (1) Name, address, date, place of birth, and tribal affiliation of the child and of any parent, grandparent, or great-grandparent with Indian heritage. (2) Names and addresses of extended family membe…

“Health insurance coverage at a reasonable cost” means employment-related group health insurance or other group health insurance, regardless of the service delivery mechanism.

“Provider” means an individual: (a) Who is a direct provider of health care (including a physician, dentist, nurse, podiatrist or physician's assistant) in that the individual's primary current activity is the provision of health care to individuals or the administration of healt…

(a) The beginning date of eligibility for Medi-Cal for persons who apply under any public assistance program shall be the first day of the month of application, providing the person meets the citizenship, residency, linkage and financial eligibility criteria of the appropriate pr…

“National Directory of New Hires” means a national database containing new hire and quarterly wage data from every state and federal agency and unemployment insurance data from state employment security agencies. Data contained is first reported to each state's State Directory of…

(a) County departments shall notify applicants and beneficiaries in writing of their Medi-Cal-only eligibility or ineligibility, and of any changes made in their eligibility status or share of cost. This notification shall be called the “Notice of Action.” (b) Except for notices …

Panel approval for “new hire training” as defined in Unemployment Insurance Code Section 10201(g) is subject to the following: (a) Training must be in job-related skills for a specific occupation in a given industry or for specialized occupations across an industry spectrum. In e…

Vendor store means a retail business at a specific physical location.

Each grantee shall participate in the Department's effort to evaluate the impact of grant awards. Evaluation shall consist of: (a) A determination of he impact of grant funds. (b) An identification of the effect grants have had on health care services. (c) Any additional requirem…

(a) The Twenty Percent Social Security Increase category includes persons or families who were all of the following: (1) Eligible for or receiving a cash grant in August 1972. (2) Entitled to monthly Social Security benefits in August 1972. (3) Discontinued from cash grant eligib…

(a) No person shall, on the grounds of race, color, national origin, age, sex, or handicap, be excluded from participation in, be denied benefits of, or be otherwise subjected to discrimination under the Program. (b) Where a significant number or proportion of the population elig…

(a) Eligibility Criteria: A SLMB is ineligible as a QMB solely due to excess income. To receive Medi-Cal benefits under the SLMB program an individual eligible for such benefits must: (1) Be entitled to Part A Medicare hospital insurance benefits, and (2) Meet the qualifying inco…

(a) Local agencies shall make nutrition education available to all adult participants and to parents, guardians, caretakers or other representatives of infant and child participants. Nutrition education shall be designed to meet the cultural and language needs of the participant,…

(a) Within 15 business days of determining that a non-requesting party's location is unknown, the local child support agency shall access all appropriate locate tools, as set forth in 22 California Code of Regulations, Section 113100, for a period of 30 business days. (b) If the …

Vendor authorization number means a unique number assigned by the Program to a vendor at the time of initial authorization to participate in the Program.

(a) Treatment plans within the program shall be developed for: (1) Children whose parents or legal guardians cannot finance any part of the costs of the necessary care; (2) Children whose parents or guardians are able to finance a part of the costs of the necessary care. (b) Sinc…

(a) Anyone may make a referral to CCS including the patient or family. (b) The parents, legal guardian of a minor child, or applicant 18 years of age or older shall submit a written application to the county. (c) The county shall, upon receipt of a referral, within five calendar …

If an obligor requests a hearing concerning an income withholding order served upon his/her employer, the local child support agency shall file a copy of the income withholding order with the court and be present at the hearing. If, at the hearing, the court: (a) Quashes service …

Date of mailing means the date postmarked on the envelope if postage was prepaid and the envelope was properly addressed. If the date cannot be determined, it shall be two days before the document was stamped received by the Department of Health Services. If the date cannot be de…

(a) (Reserved) (b) In addition to the filing options described in Section 35141, the Statement of Understanding shall contain statements which summarize the following: (1) For a mother or a presumed father of the child who is not detained, a juvenile court dependent in out-of-hom…

The property reserve is the net market value of the nonexempt property of those persons whose property is considered in determining the eligibility of the MFBU.

(a) When the relinquishment is revoked by the parent of a child who is either the subject of a juvenile court petition or a dependent of the juvenile court, the agency shall notify the supervising county welfare department. (1) If the agency has provided written notice of the rel…

(a) The agency shall complete a criminal record check of all applicants and any other adults residing in the home to obtain the full state and federal criminal record history from the Department of Justice (DOJ) pursuant to Family Code Section 8712. An investigation of the facts …

(a) The items of property to be considered in determining eligibility are described in Sections 50425 through 50489. Each of these sections indicates: (1) Whether all or a portion of the item of property is exempt. (2) The method for determining the net market value of the specif…

“Qualified Medicare Beneficiary” means an individual who meets the eligibility criteria for the Qualified Medicare Beneficiary program specified in Section 50258.

(a) “Notice of Action” is a written notice of the action taken by a CCS agency, which notice is to be sent pursuant to section 42132. (b) The CCS Notice of Action shall include: (1) A description of the action proposed. (2) The basis of the action. (3) The date of the notice of a…

(a) When selecting new agencies, the Department shall consider the following priority system, which is based upon the relative availability of health and administrative services: (1) First consideration shall be given to a public or a private nonprofit health agency that will pro…

Restoration means the approval of Medi-Cal-only eligibility for a person or family in the same county as that in which they were previously eligible for Medi-Cal-only, if the effective date of the approval occurs within 12 months of the end of the previous period of eligibility.

(a) A vendor that has been determined by the Department to be in violation of this Chapter identified during monitoring, as specified in Section 40743, shall be subject to a vendor claim and shall reimburse the Program for any Program funds so received. The Program shall notify t…

(a) The value of the income in kind for the items specified in Section 50509 (a) shall be the lesser of the following: (1) The actual cost or net market value of the item, or (2) The income in kind amounts effective July 1, 1981 for housing, utilities (including telephone), food …

All items used to furnish and equip a home shall be exempt.