California Welfare and Institutions Code ARTICLE 2.91 - Geographic Managed Care Pilot Project

• Section 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 geographical...
• Section 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...
• Section 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 care...
• Section 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 prevention and education...
• Section 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...
• Section 14089.1.
  In accordance with procedures required by Section 14408, all marketing activities shall require prior approval of the department.(Added by Stats. 1984, Ch. 1509, Sec. 2.)
• Section 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 procedure...
• Section 14089.3.
  The department shall not contract with insurance carriers, organized health systems, or provider organizations, that employ or subcontract with plans that employ providers under suspension...
• Section 14089.4.
  The department may consult with the Department of Insurance or the Department of Managed Health Care and shall consult with the Department of Justice Medi-Cal...
• Section 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 (commencing...
• Section 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 Chapter...
• Section 14089.7.
  (a)  The department may adopt emergency regulations to implement this article in accordance with the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing...
• Section 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 necessary....

Last modified: October 22, 2018