ICAMA Incoming Transferring from Another California County to Santa Clara County

This process only applies when the ICAMA is being transferred from another California county to Santa Clara County.

1. ICAMA Initiator/AAP Parents
   1. Notifies SCC that AAP parents have moved to Santa Clara County from another California county.
2. FC Coordinator
   1. Receives the ICAMA 7.5 with change of address.
   2. Forwards documents to FC clerical.
3. FC Clerical
   1. Receives the ICAMA 7.5.
   2. Completes ID.
   3. Refers document to Triage.
4. Triage
   1. Receives and reviews documents:
      1. ICAMA 7.5.
      2. Fed/State Eligibility Determination.
      3. AAP Agreement.
      4. MC 250 when provided.
      5. “Notification of Medi-Cal Intercounty Transfer” form (MC 360).
      6. “Medi-Cal Intercounty Transfer Packet Receipt” form (MC 360R).
   2. Forwards documents to designated FC Clerical for app. reg. and case assignment.
5. FC Clerical
   1. Completes application registration.
   2. Assigns case.
   3. Forwards documents to assigned Intake EW.
6. FC Intake EW
   1. Follows Intake Benefits Processing.

Related Topics

Triage/Intake