| Old | New | Differences | |
|---|---|---|---|
| 1 | - | ||
| 1 | + | Amended IN Assembly May 05, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2277Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)February 14, 2020 An act to add Sections 14137.9 and 14197.08 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 2277, as amended, Salas. Medi-Cal: Blood lead screening tests.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.This bill would require any contract between the department and a Medi-Cal managed care health plan contract plan to impose requirements on the contractor on blood lead screening tests for children, including identifying Medi-Cal managed care plan to identify every enrollee who does not have a record of completing those tests, and reminding the responsible tests at 12 and 24 months of age, and to remind the contracting health care provider who is responsible for performing a periodic health assessment of a child of the need to perform those tests. The bill would require the department to develop and implement procedures procedures, and take enforcement action, as prescribed, to ensure that a contractor Medi-Cal managed care plan performs those duties, and to duties. If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the bill would require the Medi-Cal managed care plan to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, that child, including the parent or guardian, that their child has missed a required about those missed blood lead screening test, tests, and would require that notification to be included as part of an annual notification on preventive services.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age.(2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).(c) For purposes of this section, the following definitions apply:(1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations.(2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following:(A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code.(B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46.(C) Article 2.8 (commencing with Section 14087.5).(D) Article 2.81 (commencing with Section 14087.96).(E) Article 2.82 (commencing with Section 14087.98).(F) Article 2.91 (commencing with Section 14089). | |
| 2 | 2 | ||
| 3 | - | ||
| 3 | + | Amended IN Assembly May 05, 2020 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2277Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)February 14, 2020 An act to add Sections 14137.9 and 14197.08 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 2277, as amended, Salas. Medi-Cal: Blood lead screening tests.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.This bill would require any contract between the department and a Medi-Cal managed care health plan contract plan to impose requirements on the contractor on blood lead screening tests for children, including identifying Medi-Cal managed care plan to identify every enrollee who does not have a record of completing those tests, and reminding the responsible tests at 12 and 24 months of age, and to remind the contracting health care provider who is responsible for performing a periodic health assessment of a child of the need to perform those tests. The bill would require the department to develop and implement procedures procedures, and take enforcement action, as prescribed, to ensure that a contractor Medi-Cal managed care plan performs those duties, and to duties. If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the bill would require the Medi-Cal managed care plan to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, that child, including the parent or guardian, that their child has missed a required about those missed blood lead screening test, tests, and would require that notification to be included as part of an annual notification on preventive services.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO | |
| 4 | 4 | ||
| 5 | - | ||
| 5 | + | Amended IN Assembly May 05, 2020 | |
| 6 | 6 | ||
| 7 | - | Amended IN Assembly May 20, 2020 | |
| 8 | 7 | Amended IN Assembly May 05, 2020 | |
| 9 | 8 | ||
| 10 | 9 | CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION | |
| 11 | 10 | ||
| 12 | 11 | Assembly Bill | |
| 13 | 12 | ||
| 14 | 13 | No. 2277 | |
| 15 | 14 | ||
| 16 | 15 | Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva)February 14, 2020 | |
| 17 | 16 | ||
| 18 | 17 | Introduced by Assembly Members Salas, Cristina Garcia, Quirk, and Reyes(Principal coauthor: Senator Leyva) | |
| 19 | 18 | February 14, 2020 | |
| 20 | 19 | ||
| 21 | 20 | An act to add Sections 14137.9 and 14197.08 to the Welfare and Institutions Code, relating to Medi-Cal. | |
| 22 | 21 | ||
| 23 | 22 | LEGISLATIVE COUNSEL'S DIGEST | |
| 24 | 23 | ||
| 25 | 24 | ## LEGISLATIVE COUNSEL'S DIGEST | |
| 26 | 25 | ||
| 27 | 26 | AB 2277, as amended, Salas. Medi-Cal: Blood lead screening tests. | |
| 28 | 27 | ||
| 29 | - | Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment | |
| 28 | + | Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law.This bill would require any contract between the department and a Medi-Cal managed care health plan contract plan to impose requirements on the contractor on blood lead screening tests for children, including identifying Medi-Cal managed care plan to identify every enrollee who does not have a record of completing those tests, and reminding the responsible tests at 12 and 24 months of age, and to remind the contracting health care provider who is responsible for performing a periodic health assessment of a child of the need to perform those tests. The bill would require the department to develop and implement procedures procedures, and take enforcement action, as prescribed, to ensure that a contractor Medi-Cal managed care plan performs those duties, and to duties. If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the bill would require the Medi-Cal managed care plan to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, that child, including the parent or guardian, that their child has missed a required about those missed blood lead screening test, tests, and would require that notification to be included as part of an annual notification on preventive services. | |
| 30 | 29 | ||
| 31 | - | Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment | |
| 30 | + | Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter contracts with managed care plans to provide Medi-Cal services. Under existing law, Medi-Cal covers early and periodic screening, diagnosis, and treatment for individuals under 21 years of age, consistent with federal law. | |
| 32 | 31 | ||
| 33 | - | This bill would require any contract between the department and a Medi-Cal managed care plan to impose requirements on the Medi-Cal managed care plan to identify every enrollee who does not have a record of completing those tests at 12 and 24 months of age, and to remind the contracting health care provider who is responsible for performing a periodic health assessment of a child of the need to perform those tests. The bill would require the department to develop and implement procedures, and take enforcement action, as prescribed, to ensure that a Medi-Cal managed care plan performs those duties. If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the bill would require the Medi-Cal managed care plan to notify specified individuals responsible for that child, including the parent or guardian, about those missed blood lead screening tests, and would require that notification to be included as part of an annual notification on preventive services. | |
| 32 | + | This bill would require any contract between the department and a Medi-Cal managed care health plan contract plan to impose requirements on the contractor on blood lead screening tests for children, including identifying Medi-Cal managed care plan to identify every enrollee who does not have a record of completing those tests, and reminding the responsible tests at 12 and 24 months of age, and to remind the contracting health care provider who is responsible for performing a periodic health assessment of a child of the need to perform those tests. The bill would require the department to develop and implement procedures procedures, and take enforcement action, as prescribed, to ensure that a contractor Medi-Cal managed care plan performs those duties, and to duties. If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the bill would require the Medi-Cal managed care plan to notify specified individuals responsible for a Medi-Cal beneficiary who is a child, that child, including the parent or guardian, that their child has missed a required about those missed blood lead screening test, tests, and would require that notification to be included as part of an annual notification on preventive services. | |
| 34 | 33 | ||
| 35 | 34 | ## Digest Key | |
| 36 | 35 | ||
| 37 | 36 | ## Bill Text | |
| 38 | 37 | ||
| 39 | - | The people of the State of California do enact as follows:SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of that child about those missed blood lead screening tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care plan shall impose both of the following requirements on the Medi-Cal managed care plan:(1) Identify, on a monthly | |
| 38 | + | The people of the State of California do enact as follows:SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year.SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age.(2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).(c) For purposes of this section, the following definitions apply:(1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations.(2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following:(A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code.(B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46.(C) Article 2.8 (commencing with Section 14087.5).(D) Article 2.81 (commencing with Section 14087.96).(E) Article 2.82 (commencing with Section 14087.98).(F) Article 2.91 (commencing with Section 14089). | |
| 40 | 39 | ||
| 41 | 40 | The people of the State of California do enact as follows: | |
| 42 | 41 | ||
| 43 | 42 | ## The people of the State of California do enact as follows: | |
| 44 | 43 | ||
| 45 | - | SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of that child about those missed blood lead screening tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 44 | + | SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read:14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 46 | 45 | ||
| 47 | 46 | SECTION 1. Section 14137.9 is added to the Welfare and Institutions Code, immediately preceding Section 14138, to read: | |
| 48 | 47 | ||
| 49 | 48 | ### SECTION 1. | |
| 50 | 49 | ||
| 51 | - | 14137.9. (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of that child about those missed blood lead screening tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 50 | + | 14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 52 | 51 | ||
| 53 | - | 14137.9. (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of that child about those missed blood lead screening tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 52 | + | 14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 54 | 53 | ||
| 55 | - | 14137.9. (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of that child about those missed blood lead screening tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 54 | + | 14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests.(b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 56 | 55 | ||
| 57 | 56 | ||
| 58 | 57 | ||
| 59 | - | 14137.9. (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of that child about those missed blood lead screening tests. | |
| 58 | + | 14137.9. The department (a) If a Medi-Cal managed care plan enrollee who is a child misses a required blood lead screening test at 12 and 24 months of age, the Medi-Cal managed care plan shall notify the parent, parents, guardian, or other person charged with the support and maintenance of a Medi-Cal beneficiary who is a child, when that child misses a required that child about those missed blood lead screening test. This tests. | |
| 60 | 59 | ||
| 61 | 60 | (b) This notification shall be included in an annual notification to each family of a child who has not used preventive services over the course of the year. | |
| 62 | 61 | ||
| 63 | - | SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care plan shall impose both of the following requirements on the Medi-Cal managed care plan:(1) Identify, on a monthly | |
| 62 | + | SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read:14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age.(2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).(c) For purposes of this section, the following definitions apply:(1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations.(2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following:(A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code.(B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46.(C) Article 2.8 (commencing with Section 14087.5).(D) Article 2.81 (commencing with Section 14087.96).(E) Article 2.82 (commencing with Section 14087.98).(F) Article 2.91 (commencing with Section 14089). | |
| 64 | 63 | ||
| 65 | 64 | SEC. 2. Section 14197.08 is added to the Welfare and Institutions Code, immediately following Section 14197.07, to read: | |
| 66 | 65 | ||
| 67 | 66 | ### SEC. 2. | |
| 68 | 67 | ||
| 69 | - | 14197.08. (a) A contract between the department and a Medi-Cal managed care plan shall impose both of the following requirements on the Medi-Cal managed care plan:(1) Identify, on a monthly | |
| 68 | + | 14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age.(2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).(c) For purposes of this section, the following definitions apply:(1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations.(2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following:(A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code.(B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46.(C) Article 2.8 (commencing with Section 14087.5).(D) Article 2.81 (commencing with Section 14087.96).(E) Article 2.82 (commencing with Section 14087.98).(F) Article 2.91 (commencing with Section 14089). | |
| 70 | 69 | ||
| 71 | - | 14197.08. (a) A contract between the department and a Medi-Cal managed care plan shall impose both of the following requirements on the Medi-Cal managed care plan:(1) Identify, on a monthly | |
| 70 | + | 14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age.(2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).(c) For purposes of this section, the following definitions apply:(1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations.(2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following:(A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code.(B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46.(C) Article 2.8 (commencing with Section 14087.5).(D) Article 2.81 (commencing with Section 14087.96).(E) Article 2.82 (commencing with Section 14087.98).(F) Article 2.91 (commencing with Section 14089). | |
| 72 | 71 | ||
| 73 | - | 14197.08. (a) A contract between the department and a Medi-Cal managed care plan shall impose both of the following requirements on the Medi-Cal managed care plan:(1) Identify, on a monthly | |
| 72 | + | 14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan:(1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age.(2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests.(b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a).(c) For purposes of this section, the following definitions apply:(1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations.(2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following:(A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code.(B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46.(C) Article 2.8 (commencing with Section 14087.5).(D) Article 2.81 (commencing with Section 14087.96).(E) Article 2.82 (commencing with Section 14087.98).(F) Article 2.91 (commencing with Section 14089). | |
| 74 | 73 | ||
| 75 | 74 | ||
| 76 | 75 | ||
| 77 | - | 14197.08. (a) A contract between the department and a Medi-Cal managed care plan shall impose both of the following requirements on the Medi-Cal managed care plan: | |
| 76 | + | 14197.08. (a) A contract between the department and a Medi-Cal managed care health plan shall impose both of the following requirements on the contractor: Medi-Cal managed care plan: | |
| 78 | 77 | ||
| 79 | - | (1) Identify, on a monthly | |
| 78 | + | (1) Identify, on a monthly basis, every enrollee who is a child without any record of completing required blood lead screening tests. tests at 12 and 24 months of age. | |
| 80 | 79 | ||
| 81 | - | (2) Remind the contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests. | |
| 80 | + | (2) Remind the responsible contracting health care provider who is responsible for performing a periodic health assessment of a child pursuant to Section 37100 of Title 17 of the California Code of Regulations of the need to perform required blood lead screening tests. | |
| 82 | 81 | ||
| 83 | - | (b) The department shall develop and implement procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan is held accountable for the requirements specified in subdivision (a). | |
| 82 | + | (b) The department shall develop and implement procedures procedures, and take enforcement action pursuant to Section 14197.7, to ensure that a Medi-Cal managed care plan contractor is held accountable for the requirements specified in subdivision (a). | |
| 84 | 83 | ||
| 85 | 84 | (c) For purposes of this section, the following definitions apply: | |
| 86 | 85 | ||
| 87 | 86 | (1) Health care provider has the same meaning as in Section 37000 of Title 17 of the California Code of Regulations. | |
| 88 | 87 | ||
| 89 | 88 | (2) Medi-Cal managed care plan means an individual, organization, or entity that enters into a contract with the department to provide general health care services to enrolled Medi-Cal beneficiaries, including any of the following: | |
| 90 | 89 | ||
| 91 | 90 | (A) Chapter 3 (commencing with Section 101675) of Part 4 of Division 101 of the Health and Safety Code. | |
| 92 | 91 | ||
| 93 | 92 | (B) Article 2.7 (commencing with Section 14087.3), excluding dental managed care programs developed pursuant to Section 14087.46. | |
| 94 | 93 | ||
| 95 | 94 | (C) Article 2.8 (commencing with Section 14087.5). | |
| 96 | 95 | ||
| 97 | 96 | (D) Article 2.81 (commencing with Section 14087.96). | |
| 98 | 97 | ||
| 99 | 98 | (E) Article 2.82 (commencing with Section 14087.98). | |
| 100 | 99 | ||
| 101 | 100 | (F) Article 2.91 (commencing with Section 14089). |