CalWORKs Policy - Department of Public Social Services

CW 44-205 -
Processing Medi-Cal
for Newborns
CW 44-200 - AU COMPOSITION AND NEED
When is a newborn added to Medi-Cal?
Newborns of women who are Medi-Cal eligible in a
CalWORKs case, must be aided immediately upon
notification of the birth.
See OPS 23-110.21 for more information.
What effective date is used to aid the newborn?
After being notified of the date of birth, name, gender
and it has been established that the newborn is
residing with the mother, staff is to authorize aid on
LEADER for the newborn effective the date of birth.
Can aid for a newborn be authorized without
verification?
Yes. Aid can be authorized without verification of the
newborn’s birth (birth certificate, SSN, CW8 –
Statement of facts to add a child under age 16, [out of
drawer]). Staff may obtain the date of birth, name
and gender of the newborn via telephone.
Staff is to enter the information of the newborn on
LEADER, but indicate the missing documents (birth
certificate, Social Security Card, etc.) as “Not
received.” Then run SFU/EDBC. This will allow
LEADER to aid the newborn for Medi-Cal from the
month of birth without aiding him/her on CalWORKs.
LEADER will generate the Verification Check List
(VCL) and mail it to the participant requesting the
missing documents. If the participant fails to return
the verification by the end of the quarter, LEADER
will take the appropriate action on the CalWORKs
portion of the case.
See CW 44-317.1 – Beginning Date of Aid (BDA)
for more information.
CW 44-205.6 - Father
of Unborn
When is the father of an unborn added to the
Assistance Unit (AU)?
If deprivation exists, the first of the month following
the report of the birth of the newborn, if adding the
person results in increased benefits. The father’s
eligibility may be delayed until he completes the
necessary procedures such as applying for UIB/DIB
in order to provide required documentation.