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CalWORKs Eligibility Handbook - Human Services Agency of San ...

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<strong>CalWORKs</strong> <strong>Handbook</strong><br />

Relatives residing out <strong>of</strong> <strong>San</strong> Francisco: <strong>CalWORKs</strong> will make monthly payments<br />

based on the current <strong>CalWORKs</strong> rate in the provider’s county until an ICT is<br />

initiated.<br />

<strong>CalWORKs</strong> <strong>Eligibility</strong> <strong>Handbook</strong> Temporary Medi-Cal Cards 50-29<br />

Effective 7-15-05<br />

50-29 Temporary Medi-Cal Card<br />

Temporary Medi-Cal cards are issued by Distribution.<br />

The format <strong>of</strong> the temporary Medi-Cal card is an 8 1/2 by 11 inch authorization<br />

printed on Medi-Cal Connections letterhead. The client may use this temporary<br />

authorization to receive Medi-Cal services.<br />

Staff may authorize a temporary Medi-Cal card by completing Form 1023<br />

(Request for Medi-Cal Cards), and submitting it to Distribution. Make sure to put<br />

the client's CIN in the upper left corner <strong>of</strong> Form 1023 before submitting it to<br />

Distribution.<br />

Participants will receive their permanent Medi-Cal cards in the mail.<br />

<strong>CalWORKs</strong> <strong>Eligibility</strong> <strong>Handbook</strong> DV References 50-30.1<br />

Effective 9-15-04<br />

50-30.1 DV References<br />

I. References from the Law and Regulations<br />

41

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