Cal. Code Regs. tit. 22 § 50731

Current through Register 2024 Notice Reg. No. 50, December 13, 2024

Section 50731 - Medi-Cal Card Use

(a) Persons certified for Medi-Cal shall receive a Medi-Cal card or either a PHP identification card, or a PCCM plan restricted card and shall show proof of eligibility for Medi-Cal services by one of the following:

(1) Presenting a valid Medi-Cal card to the Medi-Cal provider of their choice.

(2) Presenting their valid PHP identification card to a provider in the PHP in which the beneficiary is enrolled. PHP enrollees may obtain their services under emergency circumstances from non-PHP providers by presenting their valid PHP identification card to the provider for purposes of billing the PHP. PHP enrollees also may be entitled to a restricted Medi-Cal card if they are enrolled in a noncomprehensive PHP.

(3) Presenting a valid PCCM plan restricted card to a provider in the PCCM plan in which the beneficiary is enrolled. PCCM plan enrollees may obtain services under emergency circumstances from nonplan providers by presenting a valid PCCM plan restricted card to the provider for purposes of billing the PCCM plan.

(b) Children who are receiving both SSI/SSP and an AFDC/BHI supplemental payment shall receive a Medi-Cal card under the SSI/SSP program only.

Cal. Code Regs. Tit. 22, § 50731

1. Amendment filed 8-8-80; effective thirtieth day thereafter (Register 80, No. 32).
2. Amendment of subsection (a) filed 3-9-90 as an emergency; operative 3-9-90 (Register 90, No. 12). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-9-90.
3. Amendment refiled 7-9-90 as an emergency; operative 7-9-90 (Register 90, No. 35). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 11-6-90.
4. Request to readopt amendment on an emergency basis pursuant to Government Code section 11346.1 granted and filed 11-6-90 as an emergency; operative 11-6-90 (Register 91, No. 6). A Certificate of Compliance must be transmitted to OAL by 3-6-91 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 11-6-90 order transmitted to OAL 2-22-91; disapproved by OAL on 3-25-91 (Register 91, No. 18).
6. Amendment of subsection (a) filed 3-25-91 as an emergency; operative 3-25-91 (Register 91, No. 18). A Certificate of Compliance must be transmitted to OAL by 7-23-91 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 3-25-91 order including amendment of subsection (a)(3) transmitted to OAL 7-19-91 and filed 8-19-91 (Register 92, No. 1).

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Sections 14017, 14018 and 14088.16, Welfare and Institutions Code.