ARTICLE 4. Enrollment and Disenrollment
Article 4 added by Stats. 1974, Ch. 983.
§§ 14400–14413 · 15 sections
- § 14400 Every prepaid health plan shall have an open enrollment period at least once every year. During the open enrollment period the plan shall accept up to the…
- § 14401 No Medi-Cal beneficiary shall be enrolled in a prepaid health plan prior to the time a contract under this chapter is signed by the department and such prepaid…
- § 14402 The prepaid health plan shall enroll only those Medi-Cal beneficiaries who reside within the contract service area. Prepaid health plans shall use a standard…
- § 14403 No Medi-Cal beneficiary shall be enrolled in more than one prepaid health plan at any time.
- § 14406 (a) Within seven days after the effective date of enrollment, the prepaid health plan shall provide in writing the following information to a new enrollee or…
- § 14407 Enrollment in a prepaid health plan shall be voluntary and a prepaid health plan shall not use false advertising or false statements to induce enrollment. No…
- § 14407.1 (a) A contractor that has entered into a contract with the department under this chapter, or under another Medi-Cal managed care contracting authority, may…
- § 14407.6 (a) Notwithstanding Section 14407.5, the department shall, to the extent permitted by federal law or under federal waivers which the department may obtain,…
- § 14408 (a) Except as otherwise prohibited by law, a contractor that has entered into a contract with the department pursuant to this chapter may make the benefits…
- § 14408.5 A prepaid health plan that contracts with Medi-Cal managed care or contracts with the Healthy Families Program may provide application assistance pursuant to…
- § 14409 (a) No prepaid health plan, marketing representative, or marketing organization shall in any manner misrepresent itself, the plans it represents, or the…
- § 14410 No prepaid health plan or marketing representative shall adopt or utilize any procedure to identify prospective enrollees with medical or psychiatric problems…
- § 14411 (a) No prepaid health plan or marketing organization shall solicit prospective enrollees on county premises for benefits or services available pursuant to this…
- § 14412 (a) The enrollment of a Medi-Cal beneficiary in the prepaid health plan shall not be terminated except for loss of eligibility, for good cause as determined by…
- § 14413 (a) Requests for disenrollment shall be made to an authorized representative of the prepaid health plan or to the department. All requests for disenrollment,…