Cal. Code Regs. Tit. 22, § 53440 - Disenrollment of Members

(a) Requests for disenrollment made under the following circumstances shall not be processed through the plan's grievance procedure and shall be submitted to the Department for processing within 5 working days after the member signs the disenrollment request:

(1) The member's eligibility as a Medi-Cal beneficiary for enrollment in the plan is terminated.

(2) The enrollment is in violation of Sections 53400, 53401, 53401.1, 53402, 53404 or 53406.

(3) The request for disenrollment is pursuant to Sections 53508 and 53510.

(4) Change of a member's place of residence outside the plan's service area.

(b) The Department shall, on an annual basis, provide in writing to each plan a schedule of the last calendar dates in each month by which requests for disenrollment must be submitted to the Department by the plans to assure that disenrollment occurs in compliance with Section 14413 of the Welfare and Institutions Code. The Department may revise the schedule, as necessary, to assure that the requirements of Section 14413 are met. The Department shall provide reasonable notice to plans of revisions to the schedule.

(c) All requests for disenrollment, except those made pursuant to subsection (a), shall be submitted to the Department no later than the calendar date set forth in the schedule described under subsection (b) for the month following the month in which the member requests disenrollment.

Notes

Cal. Code Regs. Tit. 22, § 53440

1. Amendment filed 12-10-79; effective thirtieth day thereafter (Register 79, No. 50). For prior history, see Register 78, No. 27.
2. Amendment filed 9-22-82; effective thirtieth day thereafter (Register 82, No. 39).
3. Amendment filed 9-21-84; effective thirtieth day thereafter (Register 84, No. 38).

Note: Authority cited: Section 14312, Welfare and Institutions Code. Reference: Sections 14303.1, 14303.2, 14409, 14412, 14413 and 14450, Welfare and Institutions Code.

1. Amendment filed 12-10-79; effective thirtieth day thereafter (Register 79, No. 50). For prior history, see Register 78, No. 27.
2. Amendment filed 9-22-82; effective thirtieth day thereafter (Register 82, No. 39).
3. Amendment filed 9-21-84; effective thirtieth day thereafter (Register 84, No. 38).