Cal. Code Regs. Tit. 22, § 50763 - Beneficiary Responsibility - Other Health Care Coverage
(a) An applicant or beneficiary shall:
(1) Apply for, and/or retain any available
health care coverage when no cost is involved.
(2) Report to the county department any
entitlement to other health care coverage at the time of application,
reapplication, or redetermination; and report any change in entitlement no
later than 10 calendar days from the date the beneficiary was notified of the
change by the employer or insurer. The report shall include name of carrier,
policy and group numbers, and termination date, if available.
(3) Utilize other available health care
coverage prior to utilizing Medi-Cal coverage.
(4) Report to the county department services
received as the result of an accident or injury as specified in Section
50771(b), and
report the information specified in Section
50771(d)(2).
(5) Provide current other health care
coverage billing information to the provider at the time the service is
received. This information shall include the name of the other health care
coverage, policy and group numbers, and termination date, if
available.
(b) Compliance
with the other health care coverage requirements of subsection (a)(1) shall be
a condition of receiving Medi-Cal covered benefits to the party responsible for
the acquisition or continuance of such health care coverage, and shall not
interfere with Medi-Cal benefits provided to the remaining family
unit.
Notes
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