California Welfare and Institutions Code ARTICLE 4 - Enrollment and Disenrollment

• Section 14400.
  Every prepaid health plan shall have an open enrollment period at least once every year. During the open enrollment period the plan shall accept up...
• Section 14401.
  No Medi-Cal beneficiary shall be enrolled in a prepaid health plan prior to the time a contract under this chapter is signed by the department...
• Section 14402.
  The prepaid health plan shall enroll only those Medi-Cal beneficiaries who reside within the contract service area. Prepaid health plans shall use a standard application...
• Section 14403.
  No Medi-Cal beneficiary shall be enrolled in more than one prepaid health plan at any time.(Added by Stats. 1974, Ch. 983.)
• Section 14406.
  (a) Within seven days after the effective date of enrollment, the prepaid health plan shall provide in writing the following information to a new enrollee or...
• Section 14407.
  Enrollment in a prepaid health plan shall be voluntary and a prepaid health plan shall not use false advertising or false statements to induce enrollment....
• Section 14407.1.
  (a) A contractor that has entered into a contract with the department under this chapter, or under another Medi-Cal managed care contracting authority, may offer nonmonetary...
• Section 14407.6.
  (a) Notwithstanding Section 14407.5, the department shall, to the extent permitted by federal law or under federal waivers which the department may obtain, establish a minimum...
• Section 14408.
  (a) Except as otherwise prohibited by law, a contractor that has entered into a contract with the department pursuant to this chapter may make the benefits...
• Section 14408.5.
  A prepaid health plan that contracts with Medi-Cal managed care or contracts with the Healthy Families Program may provide application assistance pursuant to Section 12693.325...
• Section 14409.
  (a) No prepaid health plan, marketing representative, or marketing organization shall in any manner misrepresent itself, the plans it represents, or the Medi-Cal program or the...
• Section 14410.
  No prepaid health plan or marketing representative shall adopt or utilize any procedure to identify prospective enrollees with medical or psychiatric problems in order to...
• Section 14411.
  (a) No prepaid health plan or marketing organization shall solicit prospective enrollees on county premises for benefits or services available pursuant to this chapter except under...
• Section 14412.
  (a) The enrollment of a Medi-Cal beneficiary in the prepaid health plan shall not be terminated except for loss of eligibility, for good cause as determined...
• Section 14413.
  (a) Requests for disenrollment shall be made to an authorized representative of the prepaid health plan or to the department. All requests for disenrollment, except those...

Last modified: October 22, 2018