Cal. Code Regs. tit. 22 § 50733

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

Section 50733 - Medi-Cal Card - Authorization for Services

(a) The Medi-Cal card shall be authorization for the person named on the card to receive those Medi-Cal covered services for which the person is eligible.

(b) The Medi-Cal card shall be authorization for payment of claims only for the cost of Medi-Cal covered services which are all of the following:

(1) Incurred during the month in which the Medi-Cal card is valid.

(2) Not paid or obligated by the beneficiary to meet the share of cost requirement.

(3) Not provided by the PHP or PCCM plan of which the beneficiary is a member.

(4) Not payable by a third party under a contractual or other legal entitlement.

(5) Not prohibited due to the limited service status of the beneficiary.

(c) A mother's Medi-Cal card shall be authorization for services for her newborn child, if the conditions of (b) are met, during the month of birth and the month following the month of birth.

(d) It shall be a misdemeanor for a beneficiary to sell, furnish, give or lend the beneficiary's Medi-Cal card to any other person or persons for their use.

Cal. Code Regs. Tit. 22, § 50733

1. Amendment of subsection (d) filed 12-15-77; effective thirtieth day thereafter (Register 77, No. 51).
2. Amendment of subsections (a), (b) and (d) filed 8-8-80; effective thirtieth day thereafter (Register 80, No. 32).
3. Amendment of subsection (b)(3) 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 A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-9-90.
4. 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 A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 11-6-90.
5. 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 A Certificate of Compliance must be transmitted to OAL by 3-6-91 or emergency language will be repealed by operation of law on the following day.
6. 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).
7. Amendment of subsection (b) 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.
8. Certificate of Compliance as to 3-25-91 order transmitted to OAL 7-19-91 and filed 8-19-91 (Register 92, No. 1).

Note: Authority cited: Sections 10725, 14124.5 and 14312, Welfare and Institutions Code. Reference: Sections 14010, 14017, 14018 and 14088.16, Welfare and Institutions Code.