CA Welf & Inst Code Section 14009

(a)

Any applicant for, or beneficiary of Medi-Cal, or person acting on behalf of an applicant or beneficiary shall be informed as to the provisions of eligibility and, in writing, of his or her responsibility for reporting facts material to a correct determination of eligibility and share of cost.

(b)

Any applicant for, or beneficiary of Medi-Cal, or person acting on behalf of an applicant or beneficiary shall be responsible for reporting accurately and completely within his or her competence those facts required of him or her pursuant to subdivision (a) and to report promptly any changes in those facts.

(c)

If, because of a failure to report facts in accordance with subdivision (b), the beneficiary received health care to which he or she was not entitled, he or she shall be liable to repay any overpayment. The amount of overpayment shall be based on the amount of excess income or resources and computed in accordance with overpayment regulations promulgated by the director.

(d)

No liability for overpayment shall result from circumstances where there is a failure on the part of an applicant or beneficiary to perform an act constituting a condition of eligibility, if the failure is caused by an error made by the department or a county welfare department, or where the beneficiary reported facts in accordance with subdivision (b) but a county welfare department failed to act on those facts.

(e)

When the department determines that an overpayment has occurred, the department shall seek to recover the full amount of the overpayment by appropriate action under state law against the income or resources of the beneficiary or the income and resources of any person who is financially responsible for the cost of his or her health care pursuant to Section 14008.

(f)

The department shall advise the beneficiary of the overpayment, the amount he or she is liable to repay, and of his or her entitlement to a hearing on the propriety of the action pursuant to Chapter 7 (commencing with Section 10950) of Part 2.

(g)

No civil or criminal action may be commenced against any person based on alleged unlawful application for or receipt of health care services, where the case record of the person has been destroyed after the expiration of the retention period provided pursuant to Section 10851.

Source: Section 14009, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=WIC§ionNum=14009.­.

14000
 14000.1
 14000.2
 14000.03
 14000.3
 14000.4
 14000.05
 14000.5
 14000.7
 14001
 14001.1
 14001.11
 14002
 14002.5
 14003
 14004
 14005
 14005.1
 14005.2
 14005.3
 14005.4
 14005.5
 14005.6
 14005.7
 14005.8
 14005.9
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 14005.11
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 14005.28
 14005.29
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 14005.31
 14005.32
 14005.33
 14005.34
 14005.35
 14005.36
 14005.37
 14005.39
 14005.40
 14005.41
 14005.42
 14005.50
 14005.60
 14005.61
 14005.63
 14005.64
 14005.65
 14005.66
 14005.67
 14005.68
 14005.70
 14005.73
 14005.75
 14005.76
 14005.84
 14005.85
 14005.88
 14005.89
 14005.225
 14005.271
 14005.275
 14005.277
 14005.285
 14005.287
 14005.288
 14006
 14006.1
 14006.01
 14006.2
 14006.3
 14006.4
 14006.5
 14006.6
 14006.7
 14006.15
 14006.41
 14007
 14007.1
 14007.2
 14007.4
 14007.5
 14007.6
 14007.7
 14007.8
 14007.9
 14007.15
 14007.45
 14007.65
 14007.71
 14007.95
 14007.705
 14008
 14008.6
 14008.7
 14009
 14009.5
 14009.6
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 14010
 14011
 14011.1
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 14011.5
 14011.6
 14011.7
 14011.8
 14011.9
 14011.10
 14011.15
 14011.25
 14011.65
 14011.65a
 14011.65b
 14011.66
 14011.75
 14011.78
 14012.5
 14013
 14013.3
 14013.5
 14014
 14014.5
 14015
 14015.1
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 14015.5
 14015.7
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 14016
 14016.1
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 14016.8
 14016.9
 14016.10
 14016.51
 14016.55
 14017
 14017.1
 14017.5
 14017.6
 14017.7
 14017.8
 14018
 14018.1
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 14018.7
 14019
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 14019.7
 14020
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 14021.35
 14021.51
 14021.52
 14021.53
 14022
 14022.1
 14022.3
 14022.4
 14022.5
 14023
 14023.7
 14024
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 14026
 14026.5
 14027
 14029
 14029.5
 14029.8
 14029.91
 14040
 14040.1
 14040.5
 14041
 14041.1
 14041.5
 14042
Last Updated

Aug. 19, 2023

§ 14009’s source at ca​.gov