original signed by - dhcs.ca.gov · woc sister ceiu) brother r i rt gmdparent > great aunt - 1)...
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Original signed by
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Medi-Cal Section 1'93 1 (b)
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MEDI-CAL ELIGIBILITY PROCEDURES MANUAL
APPENDIX A '
H A N D B W K BEGINS HERE
CHART FOR DETERMINING RELATEDNESS OF CARETAKER RELATIVES
An: All pyurar listed q ttQ dart am r h 1~ thCu relat~mbip to Lbe AW- child. lor u ~ l p l e penpa b t g d u ' f ln t cuasiy''ue hnt amsm Co the Amc child.
Stepther Stcpfatber
1 i
Aunt Pamt I uncle
I I
1st Cousi3 Lt Comin
I
1st Cousin Once-rmved
I I
WOC Sister CEIU) Brother
r I r t
Gmdparent
>
Great Aunt -
1) The caretiiker relative also includes the spouse or folxrr spouse of Lbe n l a t i y listed above.
- Cmt b l e
2) The caretaker relative also inclcdes the adoptire parentrr and their n lat ivu u listed above.
-=---=--_ HANDBOOK ENDS HERE -
CALIFORNIA-DSS-MANUAL-EAS MANUAL LEITER NO.EAS9&03 Effective 7/1/98
Page 919
SECTION NO : 50226 MANUAL LETTER NO.: 231 DATE: 10/30/00 ..-..A< 2.-