General Provisions
Cal. WIC § 14005.60
California Statutes
(
a) Commencing January 1, 2014, the department shall provide Medi-Cal benefits for individuals who meet eligibility requirements of
Section 1902(a)(10)(A)(i)(VIII) of Title XIX of the federal Social Security Act (42 U.S.C.
Sec. 1396a(a)(10)(A)(i)(VIII)). (
b) An individual eligible under this
section shall not have income that exceeds percent of the federal poverty level as determined, counted, and valued in accordance with the requirements of
Section 1396a(e)(14) of Title of the United States Code, as added by the federal Patient Protection and Affordable Care Act (Public Law 111-148), and as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) and any subsequent amendments. (c)
(1) Individuals who are eligible under this
section shall be required to mandatorily enroll into a Medi-Cal managed care health plan in those counties where a Medi-Cal managed care health plan is available. (2) (
A) Individuals residing in a county where no Medi-Cal managed care health plan is available shall be provided services under the Medi-Cal fee-for-service delivery system subject to subparagraph (B). (
B) If a Medi-Cal managed care health plan becomes available to individuals referenced in subparagraph (A), those individuals shall be enrolled in a Medi-Cal managed care health plan. (
d) Notwithstanding
Chapter 3.5 (commencing with
Section 11340) of Part of Division of Title of the Government Code, the department, without taking any further regulatory action, shall implement, interpret, or make specific this
section by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions until the time regulations are adopted. Thereafter, the department shall adopt regulations in accordance with the requirements of
Chapter 3.5 (commencing with
Section 11340) of Part of Division of Title of the Government Code. Beginning six months after the effective date of this section, and notwithstanding
Section 10231.5 of the Government Code, the department shall provide a status report to the Legislature on a semiannual basis until regulations have been adopted. (
e) This
section shall be implemented only if and to the extent that federal financial participation under Title XIX of the federal Social Security Act (42 U.S.C.
Sec. 1396 et seq.) is available.