Cal. Code Regs. tit. 22 § 50258

Current through Register 2024 Notice Reg. No. 45, November 8, 2024

Section 50258 - Qualified Medicare Beneficiary Program

(a) Eligibility Criteria: To receive Medi-Cal benefits under the Qualified Medicare Beneficiary program an individual eligible for such benefits must:

(1) Be entitled to Part A Medicare hospital insurance benefits, and

(2) Meet the qualifying income level as defined in section 50570 (the share of cost process for incurred medical expenses under article 12 of this chapter is not applicable under this program), and

(3) Meet the qualifying property (resource) limit as defined in section 50421.

(b) Period of Eligibility: Notwithstanding sections 50193, 50195 and 50197, eligibility for the Qualified Medicare Beneficiary Program shall begin the first of the month following the month of approval.

(c) Benefits: The Department shall pay: Medicare premiums, coinsurance, and deductibles for qualified Medicare beneficiaries as defined in section 50079.7.

Cal. Code Regs. Tit. 22, § 50258

1. New section filed 8-13-90 as an emergency; operative 8-13-90 (Register 90, No. 40). A Certificate of Compliance must be transmitted to OAL by 12-11-90 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance transmitted to OAL 12-11-90 and filed 1-9-91 (Register 91, No. 8).
3. Amendment of subsection (c) filed 10-3-94 as an emergency; operative 10-3-94 (Register 94, No. 40). A Certificate of Compliance must be transmitted to OAL by 1-31-95 or emergency language will be repealed by operation of law on the following day.
4. Editorial correction of HISTORY NOTE 3 (Register 95, No. 9).
5. Reinstatement of subsection (c) as it existed prior to emergency amendment filed 3-2-95 by operation of Government Code section 11346.1(f) (Register 95, No. 9).
6. Amendment of subsection (c) refiled 3-3-95 as an emergency; operative 3-3-95 (Register 95, No. 9). A Certificate of Compliance must be transmitted to OAL by 7-1-95 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 3-3-95 order transmitted to OAL 2-22-95 and filed 4-5-95 (Register 95, No. 14).
8. Change without regulatory effect amending subsection (b) and NOTE filed 6-21-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 25).

Note: Authority cited: Section 20, Health and Safety Code; Sections 10725, 14005.11 and 14124.5, Welfare and Institutions Code; and Section 12, Chapter 1430, Statutes of 1989. Reference: Sections 1396 a(a)(10)(E) and (G), 1396a(m)(4) and 1396d(p)(1), Title 42, United States Code; and Section 14005.11, Welfare and Institutions Code.

1. New section filed 8-13-90 as an emergency; operative 8-13-90 (Register 90, No. 40). A Certificate of Compliance must be transmitted to OAL by 12-11-90 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance transmitted to OAL 12-11-90 and filed 1-9-91 (Register 91, No. 8).
3. Amendment of subsection (c) filed 10-3-94 as an emergency; operative 10-3-94 (Register 94, No. 40). A Certificate of Compliance must be transmitted to OAL by 1-31-95 or emergency language will be repealed by operation of law on the following day.
4. Editorial correction of History Note 3 (Register 95, No. 9).
5. Reinstatement of subsection (c) as it existed prior to emergency amendment filed 3-2-95 by operation of Government Code section 11346.1(f) (Register 95, No. 9).
6. Amendment of subsection (c) refiled 3-3-95 as an emergency; operative 3-3-95 (Register 95, No. 9). A Certificate of Compliance must be transmitted to OAL by 7-1-95 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 3-3-95 order transmitted to OAL 2-22-95 and filed 4-5-95 (Register 95, No. 14).
8. Change without regulatory effect amending subsection (b) and Note filed 6-21-2012 pursuant to section 100, title 1, California Code of Regulations (Register 2012, No. 25).