California Welfare and Institutions Code

§ 14094.11

WIC § 14094.11 Effective Jul 10, 2023Div. 9 · Part 3 · Ch. 7 · Art. 2.985

Statute text

A Medi-Cal managed care plan participating in the Whole Child Model program shall meet all of the following requirements:

(a)Ensure that each CCS-eligible child or youth receives case management, care coordination, provider referral, and service authorization services from an employee or contractor of the plan who has knowledge of, and receives adequate training on, the CCS program, and who has clinical experience with the CCS population, or clinical experience with pediatric patients with complex medical conditions. In addition, the plan shall ensure that a CCS-eligible child has a primary point of contact who shall be responsible for the child’s care coordination.

(b)Work with the state or county CCS program, as appropriate, to ensure that, at a minimum, and in addition to other statutory and contractual requirements, care coordination and care management activities do all of the following:

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Legislative history

Amended by Stats. 2023, Ch. 42, Sec. 130. (AB 118) Effective July 10, 2023.