Cal. Code Regs. Tit. 22, § 53900 - General

(a) In defined geographic areas designated by the department, health care services shall be provided to eligible beneficiaries as follows:

(1) Medical services shall be provided through Prepaid Health Plans (PHPs) and Primary Care Case Management (PCCM) plans.

(2) Dental services shall be provided through dental-only Knox-Keene licensed PHPs.

(b) PHPs, PCCM plans, and dental plans participating in the Geographic Managed Care (GMC) program shall meet the requirements contained in this chapter and the PHP and PCCM plan requirements contained in chapters 4 and 6, respectively, of this subdivision. If the requirements in this chapter and those in chapters 4 and 6 conflict, this chapter shall take precedence.

Notes

Cal. Code Regs. Tit. 22, § 53900

1. New chapter 4.5, article 1 and section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).

Note: Authority cited: Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Section 14089, Welfare and Institutions Code.

1. New chapter 4.5, article 1 and section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).