127 chapters · 4,511 sections in this title.
Ins. Code § 12693.48 Section 12693.48
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The board may adjust payments made to a participating health plan if the board finds that the plan has a significantly disproportionate share of high- or low-risk subscribers. Prior to making this finding, the program shall obtain validated data from participating health plans. R…
Ins. Code § 12693.49 Section 12693.49
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(a) When an applicant is dissatisfied with any action or inaction of a participating plan in which a subscriber is enrolled through the purchasing pool, the applicant shall first attempt to resolve the dispute with the participating plan according to its established policies and …
Ins. Code § 12693.50 Section 12693.50
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(a) The board shall consult and coordinate with the State Department of Health Services to implement the Medi-Cal to Healthy Families Accelerated Enrollment program pursuant to Section 14011.65 of the Welfare and Institutions Code. (b) The state shall seek approval of any amendme…
Ins. Code § 12693.51 Section 12693.51
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(a) A transfer of enrollment from one participating health plan to another may be made by a subscriber at times and under conditions as may be prescribed by regulations of the board. (b) The board shall provide for the transfer of coverage of any subscriber to another participati…