Cal. Code Regs. Tit. 22, § 50071.5 - Prepaid Health Plan

(a) Prepaid health plan means any health care service plan as defined in Health and Safety Code Section 1345(f) which:

(1) Is licensed as a health care service plan by the Commissioner of Corporations pursuant to the Knox-Keene Health Care Service Plan Act of 1975, Chapter 2.2, commencing with Section 1340, Division 2, Health and Safety Code, or has an application for licensure pending and was registered under the Knox-Mills Health Plan Act prior to its repeal in Chapter 941, Statutes of 1975.

(2) Meets the requirements for participation in the Medicaid Program, Title XIX of the Social Security Act, on an at risk basis.

(3) Has a contract with the Department to furnish directly or indirectly health services to Medi-Cal beneficiaries on a predetermined periodic rate basis.

(b) The term "prepaid health plan" does not include any pilot program contract entered into pursuant to Article 7, commencing with Section 14490, Chapter 8, Part 3, Division 9, Welfare and Institutions Code.

Notes

Cal. Code Regs. Tit. 22, § 50071.5

1. New section filed 8-8-80; effective thirtieth day thereafter (Register 80, No. 32).

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 14016.5, Welfare and Institutions Code.

1. New section filed 8-8-80; effective thirtieth day thereafter (Register 80, No. 32).