ARTICLE 2.985. Whole Child Model Program
Article 2.985 added by Stats. 2016, Ch. 625, Sec. 7.
§§ 14094.4–14094.20 · 17 sections
- § 14094.4 For the purposes of this article, the following definitions shall apply: (a) “CCS provider” means any of the following: (1) A medical provider that is paneled…
- § 14094.5 (a) No sooner than July 1, 2017, the department may establish a Whole Child Model program for Medi-Cal eligible CCS children and youth enrolled in a managed…
- § 14094.6 The goals for the Whole Child Model program for children and youth under 21 years of age who meet the eligibility requirements of Section 123805 of the Health…
- § 14094.65 This article shall not be construed to exclude or restrict the specialty of neonatology from reimbursement under the California Children’s Services (CCS)…
- § 14094.7 (a) No sooner than July 1, 2017, the department may implement the Whole Child Model program established under this section, pursuant to the criteria described…
- § 14094.9 (a) The department shall develop a memorandum of understanding template, which shall be utilized by participating counties and health plans, and which shall…
- § 14094.10 (a) Each Medi-Cal managed care plan participating in the Whole Child Model program shall establish an assessment process that, at a minimum, does all of the…
- § 14094.11 A Medi-Cal managed care plan participating in the Whole Child Model program shall meet all of the following requirements: (a) Ensure that each CCS-eligible…
- § 14094.12 A Medi-Cal managed care plan serving children and youth with CCS-eligible conditions under the CCS program shall do all of the following: (a) Coordinate with…
- § 14094.13 (a) Each Medi-Cal managed care plan shall establish and maintain a process by which a CCS-eligible child or youth may maintain access to CCS providers that the…
- § 14094.14 (a) Each Medi-Cal managed care plan participating in the Whole Child Model program shall provide a mechanism for a CCS-eligible child’s and youth’s parent or…
- § 14094.15 A Medi-Cal managed care plan shall meet all of the following requirements: (a) Use all current and applicable CCS program guidelines, including CCS program…
- § 14094.16 (a) The department shall pay any managed care plan participating in the Whole Child Model program a separate, actuarially sound rate specifically for CCS…
- § 14094.17 (a) A Medi-Cal managed care plan participating in the Whole Child Model program shall create and maintain a clinical advisory committee, composed of the…
- § 14094.18 (a) (1) The department shall contract with an independent entity that has experience in performing robust program evaluations to conduct an evaluation to…
- § 14094.19 This article is not intended, and shall not be interpreted, to permit any reduction in benefits or eligibility levels under the CCS program.
- § 14094.20 (a) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department, without taking…