Cal. Code Regs. Tit. 22, § 53906 - Eligible Beneficiaries

(a) Enrollment in GMC plans shall be mandatory for eligible beneficiaries who meet all of the following criteria:

(1) Are eligible to received Medi-Cal services that are not limited in scope;

(2) Have been determined to have a share of cost equal to zero;

(3) Do not meet the criteria for selecting an alternative to GMC plan enrollment, specified in Section 53923.5;

(4) Are eligible for any of the following:

(A) Programs linked to the Aid to Families with Dependent Children (AFDC) program, as defined in Section 50019;

(B) The Medically Indigent program for children under age 21, as defined in Section 50251(a); or

(C) Foster Children program.

(b) Enrollment in GMC plans shall be voluntary for eligible beneficiaries who meet all of the following criteria:

(1) Are eligible to receive Medi-Cal services that are not limited in scope;

(2) Have been determined to have a share of cost equal to zero; and

(3) Are eligible for either of the following:

(A) The federal Supplemental Security Income for the Aged, Blind, and Disabled program set forth commencing with Section 1382, Title 42, United States Code.

(B) The Medically Indigent program for pregnant women, as defined in Section 50251(b)(3).

Notes

Cal. Code Regs. Tit. 22, § 53906

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).

Note: Authority cited: Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Section 14089, Welfare and Institutions Code.

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).