Cal. Code Regs. tit. 22 § 50149

Current through Register 2024 Notice Reg. No. 45, November 8, 2024

Section 50149 - Application Form

(a) An application for Public Social Services shall be used as the application form for all Medi-Cal applications.

(b) The original of the completed form shall be placed in the case file.

(c) A copy of the completed form shall be given to the applicant at the time of application.

(d) Only one person's signature shall be required on the application or any other forms necessary to complete the eligibility determination.

(e) A new application form shall not be required for:

(1) Requests for restoration of aid.

(2) Interprogram transfers.

(3) Interprogram status changes.

(4) Request to add a family member to the Medi-Cal case.

(5) Redeterminations.

(6) Infants meeting the criteria under the Continued Eligibility Program as described in Section 50262.3.

Cal. Code Regs. Tit. 22, § 50149

1. Editorial correction filed 7-7-83 (Register 83, No. 29).
2. New subsection (e)(6) and amendment of 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 A Certificate of Compliance must be transmitted to OAL by 8-25-94 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 4-27-94 order transmitted to OAL 8-24-94 and filed 9-29-94 (Register 94, No. 39).

Note: Authority cited: Sections 10725, 14016.10 and 14124.5, Welfare and Institutions Code. Reference: Sections 11050, 11053 and 14001, Welfare and Institutions Code.

1. Editorial correction filed 7-7-83 (Register 83, No. 29).
2. New subsection (e)(6) and amendment of 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 A Certificate of Compliance must be transmitted to OAL by 8-25-94 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 4-27-94 order transmitted to OAL 8-24-94 and filed 9-29-94 (Register 94, No. 39).