California Code of Regulations (Last Updated: August 6, 2014) |
Title 22. Social Security |
Division 3. Health Care Services |
Subdivision 1. California Medical Assistance Program |
Chapter 2. Determination of Medi-Cal Eligibility and Share of Cost |
Article 16. Overpayments, Fraud and Improper Utilization |
§ 50791. Medi-Cal Overpayments Fraud - Afdc Cash Grant.
Latest version.
- (a) When an AFDC overpayment occurs, the county department shall:(1) Investigate any potential Medi-Cal fraud which is incidental to AFDC cash grant fraud and take appropriate action.(2) Determine whether there was ineligibility for Medi-Cal as an AFDC recipient. If so, the county shall determine whether:(A) Medi-Cal eligibility existed under any other program.(B) There was a potential Medi-Cal overpayment.(C) Report potential Medi-Cal overpayments to the county unit designated to collect Medi-Cal overpayments caused by AFDC recipients.HISTORY1. Amendment filed 12-30-81 as an emergency; effective upon filing (Register 82, No. 1). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-29-82.2. Certificate of Compliance transmitted to OAL 4-23-82 and filed 5-12-82 (Register 82, No. 20).3. Amendment of subsection (a)(2)(C) filed 5-12-82; effective thirtieth day thereafter (Register 82, No. 20).
Note
Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code; Section 133.5, Chapter 102, Statutes of 1981. Reference: Sections 11004, 14009 and 14016., Welfare and Institutions Code.