Cal. Code Regs. Tit. 22, § 50263 - MC 800 Program

(a) The MC 800 program is an eligibility process that a county department may choose to utilize to determine eligibility for persons receiving health care services at either a county medical facility or a county contract hospital. This process shall not be utilized unless the county department executes a waiver agreeing to abide by payment adjustments made pursuant to post-audits conducted by the Department, in accordance with procedures established by the Director.

(b) If the county department chooses to utilize the MC 800 program, persons who meet the requirements set forth in (c) shall be allowed to select one of the following methods of having their eligibility determined:

(1) The Medi-Cal application process, as specified in Article 4.

(2) The MC 800 process, in accordance with Department procedures.

(c) Persons who may have their eligibility determined in accordance with the MC 800 program are those who meet the requirements of the MI program and are all of the following:

(1) At least 21 years of age.

(2) Not eligible under any PA, Other PA, MN or special program.

(3) Not currently certified as a Medi-Cal beneficiary.

(4) Not applying for coverage for any health care services received prior to admission to or receipt of services at the county medical facility or county contract hospital.

(5) Not being transferred to a long-term care or private medical facility.

(6) Not eligible under another public program that must bill Medi-Cal for health care services provided to that program's beneficiaries.

Notes

Cal. Code Regs. Tit. 22, § 50263

1. Amendment of subsection (a) filed 8-7-78; effective thirtieth day thereafter (Register 78, No. 26).