Notice Of Action NA 791

The revised Notice of Action form NA 791, with the NA Back 9, is used for communication with the prospective or adoptive parents regarding actions on the child’s AAP case.

The FC EW must:

Send the NA 791 to the adoptive parent(s) for granting, denying, restoring and changing rates on the case AND provide a copy of the NA 791 to the post-adoption unit and the RDSS.
Send NA 791 for any non-Administrative overpayments AND provide a copy to the post-adoption unit and RDSS.
Send a timely NA 791 for discontinuances and decreases AND provide a copy to the post-adoption unit and RDSS.
Send a NA 791 between sixty (60) to ninety (90) days prior to the ending date of payment AND provide a copy to the post-adoption unit and the RDSS.
Send a NA 791 prior to discontinuing the child from Medi-Cal.

The NA 791 is subject to State Hearing requests. FC EWs must print and retain a copy of any altered NA 791 in the imaged case file AND provide a copy to the post-adoption unit and RDSS.

Notice Of Action NA 791

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