Cal. Code Regs. Tit. 22, § 53000 - General

(a) Health care services to eligible Medi-Cal beneficiaries may be provided through prepaid health plans. These plans shall:

(1) Contract with the Department to provide, to the maximum extent feasible, the full scope of Medi-Cal program benefits to Medi-Cal beneficiaries voluntarily electing to obtain their health care services from the plan.

(2) Share in the risk of providing health care services.

(3) Provide readily available health care services and utilize preventive health care programs to improve the health status of their members.

(4) Be encouraged to utilize new and innovative approaches in the delivery of health care services to assure that care is provided in the most cost-effective manner possible.

Notes

Cal. Code Regs. Tit. 22, § 53000

1. New Chapter 4 (Sections 53000-53600, not consecutive) filed 3-4-77; effective thirtieth day thereafter (Register 97, No. 10).

Note: Authority cited: Sections 14301, 14304.5, 14312, and 14450, Welfare and Institutions Code. Reference: Sections 14000, 14053, 14200.1, 14251, 14253, 14254, 14258, 14261, 14263, 14265, 14300, 14301, 14302, 14302.6, 14303, 14304, 14304.5, 14305, 14306, 14308, 14400, 14402, 14403, 14405, 14406, 14407, 14408, 14409, 14412, 14413, 14450, 14451, 14452, 14452.3, 14452.4, 14454, 14455, 14456, 14457, 14458, 14459, and 14460, Welfare and Institutions Code.

1. New Chapter 4 (Sections 53000-53600, not consecutive) filed 3-4-77; effective thirtieth day thereafter (Register 97, No. 10).