Medi-Cal Access Program

Cal. WIC § 15840

California Statutes

(a)

(1) At a minimum, coverage provided pursuant to this

chapter shall be provided to subscribers during one pregnancy, and until the end of the month in which the 60th day after pregnancy occurs, and to eligible children less than two years of age who were born of a pregnancy covered under this program or the Access for Infants and Mothers program under former

Part 6.3 (commencing with

Section 12695) of Division of the Insurance Code to a woman enrolled in the Access for Infants and Mothers program. (2) (

A) Upon the effective date reflected in any necessary federal approvals obtained by the department pursuant to subdivision (

c) of

Section 14005.185, a subscriber described in paragraph (1) shall be eligible for an additional 10-month period following the 60-day postpartum period, for a total of months of continuous eligibility after the end of pregnancy. (

B) This paragraph shall be implemented only if, and to the extent that, any necessary federal approvals are obtained pursuant to

Section 14005.185 and federal financial participation is available, and subject to an annual appropriation by the Legislature for this purpose. (

b) Coverage provided pursuant to this

chapter shall include, at a minimum, those services required to be provided by health care service plans approved by the Secretary of Health and Human Services as a federally qualified health care service plan pursuant to

Section 417.101 of Title of the Code of Federal Regulations. (

c) Medically necessary prescription drugs shall be a required benefit in the coverage provided pursuant to this chapter. (

d) To the extent required pursuant to

Section to comply with paragraph (1) of subdivision (

b) of

Section of the Revenue and Taxation Code, health education services related to tobacco use shall be a benefit in the coverage provided under this chapter. (e)

(1) If the voters approve the addition of

Chapter 7.5 (commencing with

Section 14199.100) to Part of this division at the November 5, 2024, statewide general election, and the conditions described in paragraph (1) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, have been met, this

section shall become inoperative on January 1, 2025, or the date certified by the department pursuant to paragraph (2) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, whichever is later, and shall be repealed on January directly following that date.

(2) If the voters do not approve the addition of

Chapter 7.5 (commencing with

Section 14199.100) to Part of this division at the November 5, 2024, statewide general election, and the conditions described in paragraph (1) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, have been met, this

section shall become inoperative on January 1, 2026, or the date certified by the department pursuant to paragraph (2) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, whichever is later, and shall be repealed on January directly following that date.

Document details

CollectionCalifornia Statutes
CitationCal. WIC § 15840
Date2024-06-29
Typestatute
Languageen
SourceCA_STAT
IdentifierWIC15840.20244077

Medi-Cal Access Program

Cal. WIC § 15840

California Statutes

Medi-Cal Access Program

Cal. WIC § 15840

California Statutes

(a)

(1) At a minimum, coverage provided pursuant to this

chapter shall be provided to subscribers during one pregnancy, and until the end of the month in which the 60th day after pregnancy occurs, and to eligible children less than two years of age who were born of a pregnancy covered under this program or the Access for Infants and Mothers program under former

Part 6.3 (commencing with

Section 12695) of Division of the Insurance Code to a woman enrolled in the Access for Infants and Mothers program. (2) (

A) Upon the effective date reflected in any necessary federal approvals obtained by the department pursuant to subdivision (

c) of

Section 14005.185, a subscriber described in paragraph (1) shall be eligible for an additional 10-month period following the 60-day postpartum period, for a total of months of continuous eligibility after the end of pregnancy. (

B) This paragraph shall be implemented only if, and to the extent that, any necessary federal approvals are obtained pursuant to

Section 14005.185 and federal financial participation is available, and subject to an annual appropriation by the Legislature for this purpose. (

b) Coverage provided pursuant to this

chapter shall include, at a minimum, those services required to be provided by health care service plans approved by the Secretary of Health and Human Services as a federally qualified health care service plan pursuant to

Section 417.101 of Title of the Code of Federal Regulations. (

c) Medically necessary prescription drugs shall be a required benefit in the coverage provided pursuant to this chapter. (

d) To the extent required pursuant to

Section to comply with paragraph (1) of subdivision (

b) of

Section of the Revenue and Taxation Code, health education services related to tobacco use shall be a benefit in the coverage provided under this chapter. (e)

(1) If the voters approve the addition of

Chapter 7.5 (commencing with

Section 14199.100) to Part of this division at the November 5, 2024, statewide general election, and the conditions described in paragraph (1) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, have been met, this

section shall become inoperative on January 1, 2025, or the date certified by the department pursuant to paragraph (2) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, whichever is later, and shall be repealed on January directly following that date.

(2) If the voters do not approve the addition of

Chapter 7.5 (commencing with

Section 14199.100) to Part of this division at the November 5, 2024, statewide general election, and the conditions described in paragraph (1) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, have been met, this

section shall become inoperative on January 1, 2026, or the date certified by the department pursuant to paragraph (2) of subdivision (

b) of

Section 15832, as added by

Section of the act that added this subdivision, whichever is later, and shall be repealed on January directly following that date.

Document details

CollectionCalifornia Statutes
CitationCal. WIC § 15840
Date2024-06-29
Typestatute
Languageen
SourceCA_STAT
IdentifierWIC15840.20244077