AB 1126
Medi-Cal managed care plans: enrollees with other health care coverage.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Sign in to take action- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to simplify the process for Medi-Cal managed care enrollees who also have other health insurance coverage. It ensures that providers billing the Medi-Cal plan for costs not covered by the other insurance aren't subject to significantly stricter administrative requirements than those billing fee-for-service. The bill also allows for agreements between managed care plans and providers, particularly regarding prior authorizations and continuity of care, and requires the Department of Health Care Services to provide educational resources to enrollees navigating both coverage types. Furthermore, it establishes a workgroup to study functional, hormonal, integrative, and metabolic health.
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