California Welfare and Institutions Code CHAPTER 2 - Medi-Cal Access Program

• Section 15810.
  (a) This chapter, formerly known as the AIM-Linked Infants Program, shall be known, and may be cited, as the Medi-Cal Access Program.(b) This section shall become operative...
• Section 15811.
  (a) The definitions contained in this section govern the construction of this chapter, unless the context requires otherwise.(b) “Access-linked infant” means any infant born to a woman...
• Section 15814.
  (a) The department, in coordination with the California Tobacco Control Program of the State Department of Public Health, shall develop protocols relating to health education for...
• Section 15818.
  (a) Each participating health plan contracting with the department pursuant to this chapter shall provide health education services related to tobacco use to all program participants...
• Section 15822.
  Health care services under the program shall include, but are not limited to, all of the following:(a) Preventive, screening, diagnostic, and treatment services furnished directly by...
• Section 15824.
  To the extent permitted by federal law, services for individuals eligible under this chapter shall be provided, at the department’s discretion and to the extent...
• Section 15826.
  (a) The department shall administer the program and may do all of the following:(1) Determine eligibility criteria for the program. These criteria shall include the requirements set...
• Section 15827.
  (a) The department shall administer the program in a manner that ensures that program expenditures do not exceed amounts available in the fund.(b) This section shall be...
• Section 15828.
  The department shall coordinate with other state agencies, as appropriate, to help ensure continuity of health care services.(Added by Stats. 2013, Ch. 23, Sec. 68....
• Section 15830.
  (a) The department may contract with a variety of health plans and types of health care service delivery systems in order to offer subscribers a choice...
• Section 15832.
  (a) To be eligible to participate in the program, a person shall meet all of the requirements in either paragraph (1) or (2):(1) (A) Be a woman who...
• Section 15833.
  (a) A person eligible pursuant to paragraph (1) of subdivision (a) of Section 15832 shall not be eligible to participate in the program if, at the...
• Section 15834.
  A person shall not be eligible for covered services under the program if those services are covered through private health care coverage arrangements at the...
• Section 15835.
  (a) Subscribers enrolled pursuant to paragraph (1) of subdivision (a) of Section 15832 shall not be disenrolled for failure to pay subscriber contributions. The department may...
• Section 15836.
  (a) If a subscriber is dissatisfied with any action, or failure to act, that has occurred in connection with eligibility or covered services under this chapter,...
• Section 15838.
  (a) A provider who is furnished documentation of a subscriber’s enrollment in the program shall not seek reimbursement or attempt to obtain payment for any covered...
• Section 15839.
  (a) Services that would be covered under the program that are provided to pregnant women who, after receiving those services, are subsequently determined to be eligible...
• Section 15840.
  (a) At a minimum, coverage provided pursuant to this chapter shall be provided to subscribers during one pregnancy, and until the end of the month in...
• Section 15841.
  (a) Through its courts, statutes, and under its Constitution, California protects a woman’s right to reproductive privacy. California reaffirms these protections and specifically its Supreme Court...
• Section 15842.
  Notwithstanding any other law, for a subscriber who is determined by the California Children’s Services Program to be eligible for benefits under the program pursuant...
• Section 15844.
  A child enrolled in the program under this chapter who has a medical condition that is eligible for services pursuant to the California Children’s Services...
• Section 15846.
  The department shall encourage all providers who provide services under the program to have viable protocols for screening and referring children needing supplemental services outside...
• Section 15847.
  (a) It shall constitute unfair competition for purposes of Chapter 5 (commencing with Section 17200) of Part 2 of Division 7 of the Business and Professions...
• Section 15847.3.
  (a) It shall constitute an unfair labor practice contrary to public policy, and enforceable under Section 95 of the Labor Code, for any employer to refer...
• Section 15847.5.
  (a) It shall constitute an unfair labor practice contrary to public policy and enforceable under Section 95 of the Labor Code for any employer to change...
• Section 15847.7.
  (a) For purposes of Sections 15847, 15847.3, and 15847.5, “group health coverage” includes any health care service plan, self-insured employee welfare benefit plan, or disability insurance...
• Section 15848.
  (a) The Perinatal Insurance Fund is continued in existence in the State Treasury under the administration of the department.(b) Amounts deposited in the fund shall only be...
• Section 15848.5.
  (a) The department shall authorize the expenditure of money in the fund to cover program expenses, including program expenses that exceed subscriber contributions.(b) From money appropriated by...

Last modified: October 22, 2018