ARTICLE 2.91. Geographic Managed Care Pilot Project
Heading of Article 2.91 amended by Stats. 1991, Ch. 95, Sec. 7.
§§ 14089–14089.8 · 13 sections
- § 14089 (a) The purpose of this article is to provide a comprehensive program of managed health care plan services to Medi-Cal recipients residing in clearly defined…
- § 14089.05 (a) (1) The department may implement a multiplan project in the County of San Diego, upon approval of the Board of Supervisors of the County of San Diego, for…
- § 14089.07 (a) The Sacramento County Department of Health and Human Services may establish a stakeholder advisory committee to provide input on the delivery of health…
- § 14089.08 (a) Sacramento County may establish a stakeholder advisory committee to provide input on the delivery of oral health and dental care services, including…
- § 14089.09 (a) It is the intent of the Legislature to improve access to oral health and dental care services provided to Medi-Cal beneficiaries enrolled in dental health…
- § 14089.1 In accordance with procedures required by Section 14408, all marketing activities shall require prior approval of the department.
- § 14089.2 In accordance with procedures required by Chapter 8 (commencing with Section 14200), each contract with a capitated health system shall provide for a grievance…
- § 14089.3 The department shall not contract with insurance carriers, organized health systems, or provider organizations, that employ or subcontract with plans that…
- § 14089.4 The department may consult with the Department of Insurance or the Department of Managed Health Care, and shall consult with the Division of Medi-Cal Fraud and…
- § 14089.5 (a) The department or its authorized agents shall conduct periodic audits or review, including onsite audits or review, to monitor compliance with Article 4…
- § 14089.6 Current prepaid health plan and primary care case management contracts entered into by the department pursuant to Chapter 7 (commencing with Section 14088) and…
- § 14089.7 (a) The department may adopt emergency regulations to implement this article in accordance with the rulemaking provisions of the Administrative Procedure Act…
- § 14089.8 (a) In order to achieve maximum cost savings, the Legislature finds and declares that an expedited contract process for contracts under this article is…