California Health and Safety Code

§ 1373.96

HSC § 1373.96 Effective Jan 1, 2020Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)A health care service plan shall, at the request of an enrollee, provide for the completion of covered services as set forth in this section by a terminated provider or by a nonparticipating provider.

(b)(1) The completion of covered services shall be provided by a terminated provider to an enrollee who, at the time of the contract’s termination, was receiving services from that provider for one of the conditions described in subdivision (c).

(2)The completion of covered services shall be provided by a nonparticipating provider to a newly covered enrollee who, at the time the enrollee’s coverage became effective, was receiving services from that provider for one of the conditions described in subdivision (c).

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Legislative history

Amended by Stats. 2019, Ch. 776, Sec. 1. (AB 577) Effective January 1, 2020.