California Welfare and Institutions Code ARTICLE 2 - Definitions

• Section 14250.
  Unless the context otherwise requires, the definitions set forth in this article govern the construction of this chapter.(Added by Stats. 1972, Ch. 1366.)
• Section 14251.
  (a) (1) “Prepaid health plan” means a plan that meets all of the following criteria:(A)  Is licensed as a health care service plan by the Director of...
• Section 14252.
  “Medi-Cal beneficiary” means a person who is eligible to receive benefits under Chapter 7 (commencing with Section 14000) of this part.(Added by Stats. 1972, Ch.
• Section 14253.
  “Subcontract” means an agreement entered into by the prepaid health plan with any of the following:(a) A provider of health care services who agrees to furnish...
• Section 14254.
  (a) “Primary care physician” is a physician who has the responsibility for providing initial and primary care to patients, for maintaining the continuity of patient care,...
• Section 14255.
  “Specialist” means a physician who is board certified or board eligible in the specialty of medical care provided.(Amended by Stats. 1974, Ch. 983.)
• Section 14256.
  The “basic scope of health care benefits” means:(a) Physician’s services;(b) Hospital outpatient services;(c) Laboratory and X-ray;(d) Prescription drugs;(e) Hospital inpatient care;(f) Skilled nursing facility care.(Amended by Stats. 1974, Ch. 1240.)
• Section 14257.
  Nothing in this act shall preclude the director from contracting with licensed specialized health care service plans which provide only dental, pharmaceutical, optometric, or psychological...
• Section 14258.
  “Service area” means a geographical area designated by the department within which a prepaid health plan shall provide health care services and within which the...
• Section 14259.
  “Director” means the State Director of Health Services.(Amended by Stats. 1977, Ch. 1252.)
• Section 14260.
  “Department” means the State Department of Health Services.(Amended by Stats. 1977, Ch. 1252.)
• Section 14261.
  “Vendor” means any person who provides services or supplies to a prepaid health plan or a subcontractor of a prepaid health plan and who does...
• Section 14263.
  “Marketing” means any activity conducted by or on behalf of a prepaid health plan where information regarding the services offered by a prepaid health plan...
• Section 14264.
  “Marketing organization” means any subcontractor who agrees to provide marketing services for a prepaid health plan.(Amended by Stats. 1977, Ch. 1036.)
• Section 14265.
  “Marketing representative” means any person who engages in marketing activities on behalf of a marketing organization or the prepaid health plan.(Added by Stats. 1974, Ch.

Last modified: October 22, 2018