ARTICLE 2. Definitions
Article 2 added by Stats. 1972, Ch. 1366.
§§ 14250–14265 · 15 sections
- § 14250 Unless the context otherwise requires, the definitions set forth in this article govern the construction of this chapter.
- § 14251 (a) (1) “Prepaid health plan” means a plan that meets all of the following criteria: (A) Is licensed as a health care service plan by the Director of the…
- § 14252 “Medi-Cal beneficiary” means a person who is eligible to receive benefits under Chapter 7 (commencing with Section 14000) of this part.
- § 14253 “Subcontract” means an agreement entered into by the prepaid health plan with any of the following: (a) A provider of health care services who agrees to…
- § 14254 (a) “Primary care physician” is a physician who has the responsibility for providing initial and primary care to patients, for maintaining the continuity of…
- § 14255 “Specialist” means a physician who is board certified or board eligible in the specialty of medical care provided.
- § 14256 The “basic scope of health care benefits” means: (a) Physician’s services; (b) Hospital outpatient services; (c) Laboratory and X-ray; (d) Prescription drugs;…
- § 14257 Nothing in this act shall preclude the director from contracting with licensed specialized health care service plans which provide only dental, pharmaceutical,…
- § 14258 “Service area” means a geographical area designated by the department within which a prepaid health plan shall provide health care services and within which…
- § 14259 “Director” means the State Director of Health Services.
- § 14260 “Department” means the State Department of Health Services.
- § 14261 “Vendor” means any person who provides services or supplies to a prepaid health plan or a subcontractor of a prepaid health plan and who does not have a…
- § 14263 “Marketing” means any activity conducted by or on behalf of a prepaid health plan where information regarding the services offered by a prepaid health plan is…
- § 14264 “Marketing organization” means any subcontractor who agrees to provide marketing services for a prepaid health plan.
- § 14265 “Marketing representative” means any person who engages in marketing activities on behalf of a marketing organization or the prepaid health plan.