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LINKING FACTORS OF PUBLIC ASSISTANCE ELIGIBILITY Regulations DEPRIVATION OF PARENTAL SUPPORT OR CARE 41-440 (Cont.)

41-430 PHYSICAL OR MENTAL INCAPACITY OF A PARENT (Continued) 41-430

.22 Form CA 341 (Medical Report) or other written statement from a physician licensed or certified psychologist, or by an authorized member of his or her staff with access to the patient's medical records that provides information sufficient to substantiate the determination of incapacity and includes the following:

.221 A diagnosis of the parent's condition and explanation of the extent to which it prevents him or her from engaging in employment or why it reduces substantially, or eliminates the parent's ability to support or care for the child.

.222 The expected duration of the condition, and date of the next scheduled examination or appointment.

.223 The doctor's name, address and phone number.

.23 Where a written statement cannot be obtained without delay, for reasons beyond control of the applicant, a verbal statement from the physician, licensed or certified psychologist or an authorized staff member with access to the applicant's medical records verifying incapacity as specified above may be accepted pending written verification up to a maximum of 60 days.

If obtained verbally, documentation must include the date verification was obtained, the name of the person who supplied the verification, and the name of the county person who obtained verification.

.3 Review

If the individual's condition is expected to last more than one year it is to be reviewed at the annual reinvestigation. If the condition is not expected to last more than one year, review is to be completed at the time the condition is expected to end or earlier if there is reason to believe there has been a change in the condition.

41-440 UNEMPLOYED PARENT PROGRAM 41-440

The requirements of Section 41-440 apply to all principal earners who establish deprivation based on unemployment whether the individual is included or excluded from the assistance unit.

.1 Definitions

(a) Unemployed Parent:

(1) An unemployed parent is one of the natural or adoptive parents with whom a child is living, who is the principal earner [see Section 41-440.1(b)], and who:

CALIFORNIA-DSS-MANUAL-EAS MANUAL LETTER NO. EAS-04-07 Effective 7/1/04

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