California Welfare and Institutions Code ARTICLE 2.985 - Whole Child Model Program

• Section 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 by the CCS...
• Section 14094.5.
  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...
• Section 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...
• Section 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) program, subject to...
• Section 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 in...
• Section 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 include, but not...
• Section 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...
• Section 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 child or youth...
• Section 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 each regional...
• Section 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...
• Section 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 caregiver...
• Section 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 regulations, CCS numbered...
• Section 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 children and...
• Section 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 managed care...
• Section 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 assess Medi-Cal managed care...
• Section 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.(Added by Stats....
• Section 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 regulatory...

Last modified: October 22, 2018