Cal. Code Regs. Tit. 22, § 53883 - Assignment of Eligible Beneficiaries to Plans

(a) The Health Care Options Program shall assign an eligible beneficiary described in section 53845(a) to a plan within a designated region, from which to receive health care services, in the following situations:

(1) In the event the eligible beneficiary does not select a plan within thirty days of receiving an enrollment form pursuant to section 53882(d).

(2) In the event a member requests and is granted disenrollment from either plan within that region, pursuant to section 53891, but does not enroll in the competing plan, unless that member was granted approval by the department or its designee to receive health care services through the fee-for-service Medi-Cal program, pursuant to section 53887.

(3) In the event the competing plan is at capacity, the fee-for-service Medi-Cal option shall be made available.

(b) In carrying out (a), the Health Care Options Program shall comply with the assignment requirements contained in section 53884.

Notes

Cal. Code Regs. Tit. 22, § 53883

1. New section filed 7-1-96 as an emergency; operative 7-1-96. Submitted to OAL for printing only pursuant to Section 147, SB 485 (Ch. 722/92) (Register 96, No. 28).
2. Repealer of section and NOTE and new section and NOTE filed 3-4-97; operative 3-4-97. Submitted to OAL for printing only pursuant to Section 147, SB 485 (Ch. 722/92) (Register 97, No. 10).

Note: Authority cited: Sections 10725, 14124.5 and 14312, Welfare and Institutions Code. Reference: Sections 14087.3 and 14087.4, Welfare and Institutions Code.

1. New section filed 7-1-96 as an emergency; operative 7-1-96. Submitted to OAL for printing only pursuant to Section 147, SB 485 (Ch. 722/92) (Register 96, No. 28).
2. Repealer of section and Note and new section and Note filed 3-4-97; operative 3-4-97. Submitted to OAL for printing only pursuant to Section 147, SB 485 (Ch. 722/92) (Register 97, No. 10).