California Welfare and Institutions Code ARTICLE 6.3 - Medi-Cal Managed Care Plans

• Section 14197.
  (a) It is the intent of the Legislature that the department implement and monitor compliance with the time and distance requirements set forth in Sections 438.68,...
• Section 14197.05.
  (a) As part of the federally required external quality review organization (EQRO) review of Medi-Cal managed care plans in the annual detailed technical report required by...
• Section 14197.1.
  (a) The department shall ensure that all covered mental health benefits and substance use disorder benefits, as those terms are defined in Section 438.900 of Title...
• Section 14197.2.
  (a) This section implements the state option in subdivision (j) of Section 438.8 of Title 42 of the Code of Federal Regulations.(b) Commencing July 1, 2019, a...
• Section 14197.3.
  (a) A Medi-Cal managed care plan shall give a beneficiary timely and adequate notice of an adverse benefit determination in writing consistent with the requirements in...
• Section 14197.4.
  (a) The Legislature finds and declares all of the following:(1) Designated public hospital systems play an essential role in the Medi-Cal program, providing high-quality care to a...

Last modified: October 22, 2018