CA Welf & Inst Code Section 14011


(a)

Each applicant who is not a recipient of aid under the provisions of Chapter 2 (commencing with Section 11200) or Chapter 3 (commencing with Section 12000) shall be required to file an affirmation setting forth such facts about his annual income and other resources and qualifications for eligibility as may be required by the department. Such statements shall be on forms prescribed by the department.

(b)

To the extent permitted by federal law, eligibility for medical assistance for such applicants shall not be granted until the applicant or designated representative provides independent documentation verifying statements of gross income by type and source; income amounts withheld for taxes, health care benefits available through employment, retirement, military service, work related injuries or settlements from prior injuries, employee retirement contributions, and other employee benefit contributions, deductible expenses for maintenance or improvement of income-producing property and status and value of property owned, other than property exempt under Section 14006. The director may prescribe those items of exempt property which the director deems should be verified as to status and value in order to reasonably assure a correct designation of those items as exempt.

(c)

The verification requirements of subdivision (b) apply to income, income deductions and property both of applicants for medical assistance (other than applicants for public assistance) and to persons whose income, income deductions, expenses or property holdings must be considered in determining the applicant’s eligibility and share of cost.

(d)

A determination of eligibility and share of cost may be extended beyond otherwise prescribed time frames if, in the county department’s judgment, and subject to standards of the director, the applicant or designated representative has good cause for failure to provide the required verification and continues to make a good faith effort to provide such verification.

(e)

To the extent permitted by federal law, in addition to the other verification requirements of this section, a county department may require verification of any other applicant statements, or conduct a full and complete investigation of the statements, whenever a verification or investigation is warranted in the judgment of the county department.

(f)

If documentation is unavailable, as defined in regulations promulgated by the department, the applicant’s signed statement as to the value or amount shall be deemed to constitute verification.
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
14005.10
14005.11
14005.12
14005.13
14005.14
14005.15
14005.16
14005.17
14005.18
14005.19
14005.20
14005.21
14005.22
14005.23
14005.24
14005.25
14005.26
14005.27
14005.28
14005.29
14005.30
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
14009.7
14010
14011
14011.1
14011.2
14011.3
14011.4
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
14015.2
14015.5
14015.7
14015.8
14015.12
14016
14016.1
14016.2
14016.3
14016.4
14016.5
14016.6
14016.7
14016.8
14016.9
14016.10
14016.51
14016.55
14017
14017.1
14017.5
14017.6
14017.7
14017.8
14018
14018.1
14018.2
14018.4
14018.5
14018.7
14019
14019.3
14019.4
14019.5
14019.6
14019.7
14020
14021
14021.2
14021.3
14021.4
14021.5
14021.6
14021.7
14021.8
14021.9
14021.30
14021.31
14021.33
14021.35
14021.51
14021.52
14021.53
14022
14022.1
14022.3
14022.4
14022.5
14023
14023.7
14024
14025
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

§ 14011’s source at ca​.gov