California Welfare and Institutions Code

§ 14251

WIC § 14251 Effective Jan 1, 2016Div. 9 · Part 3 · Ch. 8 · Art. 2

Statute text

(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 the Department of Managed Health Care pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code), other than a plan organized and operating pursuant to Section 10810 of the Corporations Code that substantially indemnifies subscribers or enrollees for the cost of provided services, or has an application for licensure pending and was registered under the Knox-Mills Health Plan Act prior to its repeal.

(B)Meets the requirements for participation in the Medicaid program (Title XIX of the Social Security Act) on an at-risk basis.

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Legislative history

Amended by Stats. 2015, Ch. 455, Sec. 53. (SB 804) Effective January 1, 2016.