California Code
DIVISION 9 - PUBLIC SOCIAL SERVICES
PART 3.3 - Health Care Coverage Assistance

CHAPTER 1 - General Provisions

Section 15800. - 15800. (a) (1) Commencing October 1, 2013, the State Department...

Section 15801. - 15801. (a) The terms of all regulations and orders adopted...

Section 15802. - 15802. (a) The State Department of Health Care Services may...

Section 15802.5. - 15802.5. Effective on July 1, 2014, all permanent or probationary...

Section 15803. - 15803. (a) To implement this part and clause (ii) of...

Section 15804. - 15804. On October 1, 2013, or when the State Department...

Section 15805. - 15805. (a) (1) The Managed Risk Medical Insurance Board shall...

Section 15806. - 15806. (a) A contract, lease, license, bond, or any other...

CHAPTER 2 - Medi-Cal Access Program

Section 15810. - 15810. (a) This chapter, formerly known as the AIM-Linked Infants...

Section 15811. - 15811. (a) The definitions contained in this section govern the...

Section 15814. - 15814. (a) The department, in coordination with the California Tobacco...

Section 15818. - 15818. (a) Each participating health plan contracting with the department...

Section 15822. - 15822. Health care services under the program shall include, but...

Section 15824. - 15824. To the extent permitted by federal law, services for...

Section 15826. - 15826. (a) The department shall administer the program and may...

Section 15827. - 15827. (a) The department shall administer the program in a...

Section 15828. - 15828. The department shall coordinate with other state agencies, as...

Section 15830. - 15830. (a) The department may contract with a variety of...

Section 15832. - 15832. (a) To be eligible to participate in the program,...

Section 15832. - 15832. (a) To be eligible to participate in the program,...

Section 15833. - 15833. (a) A person eligible pursuant to paragraph (1) of...

Section 15834. - 15834. A person shall not be eligible for covered services...

Section 15835. - 15835. (a) Subscribers enrolled pursuant to paragraph (1) of subdivision...

Section 15836. - 15836. (a) If a subscriber is dissatisfied with any action,...

Section 15838. - 15838. (a) A provider who is furnished documentation of a...

Section 15839. - 15839. (a) Services that would be covered under the program...

Section 15840. - 15840. (a) (1) At a minimum, coverage provided pursuant to...

Section 15840. - 15840. (a) (1) At a minimum, coverage provided pursuant to...

Section 15841. - 15841. (a) Through its courts, statutes, and under its Constitution,...

Section 15842. - 15842. Notwithstanding any other law, for a subscriber who is...

Section 15844. - 15844. A child enrolled in the program under this chapter...

Section 15846. - 15846. The department shall encourage all providers who provide services...

Section 15847. - 15847. (a) It shall constitute unfair competition for purposes of...

Section 15847.3. - 15847.3. (a) It shall constitute an unfair labor practice contrary...

Section 15847.5. - 15847.5. (a) It shall constitute an unfair labor practice contrary...

Section 15847.7. - 15847.7. (a) For purposes of Sections 15847, 15847.3, and 15847.5,...

Section 15848. - 15848. (a) The Perinatal Insurance Fund is continued in existence...

Section 15848.5. - 15848.5. (a) The department shall authorize the expenditure of money...

Section 15849. - 15849. (a) Effective July 1, 2022, to the extent allowable...

CHAPTER 3 - County Health Initiative Matching Fund

Section 15850. - 15850. This chapter shall be known and may be cited...

Section 15850.1. - 15850.1. For purposes of this chapter, the following definitions shall...

Section 15850.5. - 15850.5. (a) Notwithstanding any other law, except as provided in...

Section 15852. - 15852. (a) The County Health Initiative Matching Fund is hereby...

Section 15853. - 15853. (a) (1) An applicant that will provide an intergovernmental...

Section 15853. - 15853. (a) (1) An applicant that will provide an intergovernmental...

Section 15854. - 15854. (a) The department, in consultation with other appropriate parties,...

Section 15854.5. - 15854.5. (a) Effective July 1, 2022, to the extent allowable...

Section 15855. - 15855. The department shall review each funding proposal submitted by...

Section 15856. - 15856. (a) Upon its approval of a proposal that shall...

Section 15857. - 15857. Each health care service plan, specialized health care service...

Section 15858. - 15858. (a) The department shall administer the provisions of this...

Section 15859. - 15859. All expenses incurred by the department in administering this...

Section 15860. - 15860. Nothing in this chapter creates a right or an...

Section 15861. - 15861. To the extent necessary to obtain federal financial participation...

Section 15862. - 15862. (a) The provisions of this chapter shall be implemented...

Section 15863. - 15863. The state shall be held harmless for any federal...

Section 15864. - 15864. This chapter shall become operative on July 1, 2014....

CHAPTER 4 - California Major Risk Medical Insurance Program

ARTICLE 1 - General

Section 15870. - 15870. For the purposes of this chapter, the following terms...

Section 15872. - 15872. The California Major Risk Medical Insurance Program is hereby...

Section 15872.5. - 15872.5. This chapter shall become operative on July 1, 2014....

ARTICLE 2 - Powers and Duties

Section 15873. - 15873. The department shall have the authority: (a) To establish...

Section 15876. - 15876. Plan rates for major risk medical benefits approved for...

ARTICLE 3 - Policies Issued by the Department

Section 15878. - 15878. The department may place a lien on compensation or...

Section 15879. - 15879. Except as provided in Article 3.5 (commencing with Section...

Section 15880. - 15880. Benefits under this article or Article 4 (commencing with...

ARTICLE 4 - Participating Health Plans

Section 15881. - 15881. The department shall provide coverage through participating health plans...

Section 15882. - 15882. The department may provide or purchase stop-loss coverage under...

Section 15883. - 15883. The department shall withdraw its approval of any participating...

ARTICLE 5 - Subscriber Eligibility and Enrollment

Section 15884. - 15884. (a) Each resident of the state meeting the eligibility...

Section 15884.5. - 15884.5. (a) It shall constitute unfair competition for purposes of...

Section 15885. - 15885. The department may permit the exclusion of coverage or...

Section 15885.5. - 15885.5. If more than one participating health plan is offered,...

Section 15886. - 15886. After the applicant notifies the department in writing of...

Section 15886.5. - 15886.5. A subscriber may request a change in coverage based...

Section 15887. - 15887. Health coverage secured through the program shall permit a...

Section 15887.5. - 15887.5. A transfer of enrollment from one participating health plan...

Section 15888. - 15888. If a subscriber is dissatisfied with any action or...

Section 15888.5. - 15888.5. Subscribers and their dependents who become eligible for Medicare...

ARTICLE 6 - Plan Rates and Compensation from the Fund

Section 15890. - 15890. Upon enrollment as a subscriber in the program, the...

Section 15890.5. - 15890.5. Each health plan contracting with the department pursuant to...

Section 15891. - 15891. (a) The department shall establish program contribution amounts for...

Section 15891.5. - 15891.5. A participating health plan may charge subscriber contributions under...

ARTICLE 7 - Major Risk Medical Insurance Fund

Section 15893. - 15893. (a) There is hereby continued in existence in the...

Section 15894. - 15894. (a) Except as provided in Section 15894.5, the department...

Section 15894.5. - 15894.5. (a) From money appropriated by the Legislature to the...

Section 15895. - 15895. Any moneys remaining in the fund at the end...