Article 1 - GENERAL PROVISIONS

Section 14000 - [For Operative Date See Text] Purpose of chapter; intent of Legislature (§ 14000)
Section 14000.01 - Federal approval for implementation of coverage for contraceptives
Section 14000.03 - Legislative findings and declaration
Section 14000.05 - Financially stressed rural hospitals
Section 14000.1 - Level of health care services
Section 14000.2 - Rules authorizing county hospital to integrate services with other hospitals into system of community service
Section 14000.3 - Contracts to obtain fiscal intermediary services
Section 14000.4 - Title of act
Section 14000.5 - Contracts with nonprofits to perform functions of Office of Ombudsman
Section 14000.6 - Office of Medicare Innovation and Integration established
Section 14000.7 - Assistance with application or redetermination process
Section 14001 - Component of public social services
Section 14001.1 - Needs of categorically needy persons met under chapter
Section 14001.11 - Implementation of federal requirements
Section 14002 - Health care subject law and rules and regulations
Section 14002.5 - Definitions
Section 14003 - Governor's authority as to agreements
Section 14004 - Exemption from medical examination for persons depending upon prayer or spiritual means to heal
Section 14005 - Health care benefits provided
Section 14005.1 - Eligibility of needy for health care services under section 14005
Section 14005.2 - Eligibility under Cuban-Haitian Entrant Program or Refugee Resettlement Program
Section 14005.3 - Disabled persons engaged in substantial gainful activity considered disabled
Section 14005.4 - Determining eligibility of state-only Medi-Cal person
Section 14005.5 - Reparation or restitution payments received by victims of Nazi persecution from Federal Republic of Germany
Section 14005.6 - Application for waivers to expand persons eligible for in-home services
Section 14005.60 - Benefits for individuals meeting eligibility requirements of section 1902(a)(10)(A)(i)(viii)
Section 14005.61 - Transfer of individuals enrolled in Low Income Health Program to Medi-Cal
Section 14005.62 - Eligibility determination and disregards
Section 14005.63 - Application for insurance affordability program
Section 14005.64 - Determining applicant's or beneficiary's income and resources
Section 14005.65 - Use of projected annual household income and predictable annual income
Section 14005.66 - Use of eligibility information of individuals eligible for CalFresh program
Section 14005.67 - Automatic enrollment of parents having one or more children eligible for Medi-Cal benefits
Section 14005.68 - Use of eligibility information of individuals eligible for other state-funded programs and county general assistance programs
Section 14005.7 - Medically needy persons and medically needy family persons entitled to services
Section 14005.70 - Coverage requirements of contracts with health care service plan or health insurer
Section 14005.73 - Treatment of multiple sclerosis
Section 14005.75 - Assistance for persons leaving welfare for work
Section 14005.76 - Notice of availability of transitional Medi-Cal program
Section 14005.8 - Right to continued health care services for six-month period
Section 14005.81 - [Repealed]
Section 14005.84 - Community outreach and education program
Section 14005.85 - Extended benefits to families losing AFDC eligibility because of marriage
Section 14005.88 - Evaluation of changes made to transitional Medi-Cal program
Section 14005.89 - Monitoring participation rates for transitional Medi-Cal
Section 14005.9 - Share of costs
Section 14005.10 - Prepaid health plans
Section 14005.11 - [For Conditional Inoperative Date See Text] Payment of premiums, deductibles and coinsurance
Section 14005.11 - [For Operative Date See Text] Payment of premiums, deductibles and coinsurance
Section 14005.12 - Income levels for maintenance of need
Section 14005.12 - [Operative 1/1/2025] Income levels for maintenance of need
Section 14005.13 - Earned income from therapeutic wages exempt
Section 14005.13 - [Operative 1/1/2025] Earned income from therapeutic wages exempt
Section 14005.14 - Income exemption paid toward cost of in-home supportive services
Section 14005.15 - Family planning services
Section 14005.16 - Community property interest of noninstitutionalized spouse in income of married individual not considered income
Section 14005.17 - Community property interest of either spouse in income of other spouse not considered income
Section 14005.18 - Eligibility for pregnancy-related and postpartum services; eligibility when diagnosed with a maternal mental health condition
Section 14005.185 - Medi-Cal benefits eligibility during and following pregnancy
Section 14005.19 - [Effective Until 1/1/2025] Respite care
Section 14005.19 - [Effective 1/1/2025] Respite care
Section 14005.20 - [Conditionally inoperative 1/1/2024] Payment of allowable tuberculosis related services
Section 14005.20 - [Conditionally operative 1/1/2024] Payment of allowable tuberculosis related services
Section 14005.21 - Continued receipt of benefits without share of cost
Section 14005.22 - Eligibility of pregnant individual for benefits
Section 14005.225 - [Repealed]
Section 14005.23 - Designation of birth date by which children attain age of 19
Section 14005.24 - Date of eligibility of child for whom custody voluntarily surrendered
Section 14005.25 - Extension of continuous eligibility to children 19 years of age and younger
Section 14005.255 - [Operative 1/1/2025] Children eligible for Medi-Cal up to five years of age
Section 14005.26 - Optional targeted low-income children with family incomes up to and including 200 percent of federal poverty level
Section 14005.27 - Transition of individuals enrolled in Healthy Families Program into Medi-Cal
Section 14005.271 - Medi-Cal Children's Health Advisory Panel
Section 14005.275 - Coordination of covered services across all delivery systems of care
Section 14005.276 - [Repealed]
Section 14005.277 - Information on individuals enrolled in Medi-Cal provided California Health Benefit Exchange
Section 14005.28 - Providing benefits to individual until 26th birthday
Section 14005.281 - [Repealed]
Section 14005.285 - Extension of Medi-Cal benefits to independent foster care adolescents
Section 14005.287 - Extension of benefits to individuals under 21 years of age placed in foster homes or private institutions for whom public agency assuming financial responsibility
Section 14005.288 - Extension of benefits to individuals under 21 years of age form whom adoption agreement between state and adoptive parents in effect
Section 14005.29 - Disabled person receiving benefits for conditions excluded by private insurer
Section 14005.30 - Benefits provided individuals with family income not exceeding 109 percent of federal poverty level
Section 14005.31 - Notice to be used by counties to inform beneficiaries whose eligibility for cash aid has ended
Section 14005.32 - Transfer of beneficiaries to corresponding Medi-Cal program
Section 14005.33 - Notice that beneficiary's Medi-Cal eligibility worker changed
Section 14005.34 - Medi-Cal beneficiary's annual reaffirmation date
Section 14005.35 - Notice to Medi-Cal managed care plan that eligibility of beneficiary being redetermined
Section 14005.36 - Updated beneficiary contact information
Section 14005.37 - Redeterminations of eligibility
Section 14005.38 - Principal, interest, and qualified distributions from 529 savings plan
Section 14005.39 - Termination of benefits if beneficiary not eligible due to event
Section 14005.40 - [Conditionally inoperative 1/1/2024] Program for aged and disabled persons
Section 14005.40 - [Conditionally operative 1/1/2024] Program for aged and disabled persons
Section 14005.401 - [Conditionally inoperative 1/1/2024] Income disregard for aged, blind or disabled individual
Section 14005.401 - [Conditionally operative 1/1/2024] Income disregard for aged, blind or disabled individual
Section 14005.41 - Documentation requirements for child enrolled in free meals program
Section 14005.42 - Benefits provided individuals on behalf of whom kinship guardians receiving aid under Kinship Guardian Assistance Programs
Section 14005.50 - Individuals ineligible for full-scope benefits because of reductions in maximum aid payments
Section 14005.95 - Income deductions for persons in long-term care
Section 14006 - [See Text for Conditional Inoperative Date] Medically needy persons, medically needy family persons and state-only Medi-Cal persons
Section 14006.01 - [See Text for Conditional Inoperative Date] Entrance fee considered in determining eligibility of individual residing in continuing care retirement community
Section 14006.1 - [See Text for Conditional Inoperative Date] Emergency regulations adopted to implement section 14006(b)
Section 14006.15 - [See Text for Conditional Inoperative Date] Equity interest in principal residence exceeds $750,000
Section 14006.2 - [See Text for Conditional Inoperative Date] Eligibility of married individual living separately from spouse
Section 14006.3 - [See Text for Conditional Inoperative Date] Statement explaining resource and income requirements
Section 14006.3 - [See Text for Conditional Operative Date] Statement explaining resource and income requirements
Section 14006.4 - [See Text for Conditional Inoperative Date] Statement required by sections 14006.2 and 14006.3
Section 14006.4 - [See Text for Conditional Operative Date] Statement required by section 14006.3
Section 14006.41 - Disclosure of interest in annuity; state remainder beneficiary of certain annuities
Section 14006.5 - [See Text for Conditional Inoperative Date] Training regarding treatment of separate and community income and resources
Section 14006.5 - [See Text for Conditional Operative Date] Training regarding treatment of separate and community income and resources
Section 14006.6 - [See Text for Conditional Inoperative Date] Assessment and documentation total value of institutionalized spouse and community spouse couple's resources
Section 14006.7 - Statement explaining circumstances under which interest in home transferred for less than fair market value without affecting eligibility
Section 14007 - Residence in state
Section 14007.1 - Establishment of state residency
Section 14007.15 - When individual resident of state
Section 14007.2 - Individuals eligible for services made available to persons who are not citizens or nationals of the United States
Section 14007.4 - Children under jurisdiction of county welfare department deemed residents
Section 14007.45 - Accelerated eligibility for children in process of entering foster care system
Section 14007.5 - Eligibility of persons who are not citizens or nationals of the United States
Section 14007.6 - Recipient maintaining residence outside of state for period of at least 2 months
Section 14007.65 - Long-term care services for persons who are not citizens or nationals of the United States continued
Section 14007.7 - Eligibility of a person who is not a citizen or national of the United States for medically necessary pregnancy-related services
Section 14007.705 - Protection of woman's right to reproductive privacy
Section 14007.71 - Assistance during period individual requires treatment for breast or cervical cancer
Section 14007.8 - Individual under 19 years of age without satisfactory immigration status or unable to establish satisfactory immigration status
Section 14007.9 - [See Note] Eligibility under section 1902(a)(10)(A)(ii)(XIII), Social Security Act (§ 14007.9)
Section 14007.9 - [Operative 1/1/2024] Eligibility under section 1902(a)(10)(A)(ii)(XIII), Social Security Act (§ 14007.9)
Section 14007.95 - Report of information gathered from California Health Improvement Project
Section 14008 - Financial responsibility of relative for cost of health care
Section 14008.6 - Assignment to state of rights to medical support; cooperation in establishing paternity of child
Section 14008.7 - Refusal to cooperate to establish paternity
Section 14008.85 - [Repealed]
Section 14009 - Responsibility for reporting material facts; repayment of overpayment
Section 14009.5 - Claim against decedent or decedent's estate
Section 14009.6 - [Conditionally inoperative 1/1/2024] State becomes remainder beneficiary of annuities by operation of law
Section 14009.6 - [Conditionally operative 1/1/2024] State becomes remainder beneficiary of annuities by operation of law
Section 14009.7 - [Conditionally inoperative 1/1/2024] Exception to state becoming remainder beneficiary
Section 14009.7 - [Conditionally operative 1/1/2024] Exception to state becoming remainder beneficiary
Section 14010 - Parental financial responsibility for health care or related services for person under 21 years of age
Section 14011 - [Conditionally inoperative 1/1/2024] Statement of income and other resources required of applicant not recipient of aid
Section 14011 - [Conditionally operative 1/1/2024] Statement of income and other resources required of applicant not recipient of aid
Section 14011.1 - Simplified application package for children and pregnant women applicants
Section 14011.10 - Benefits provided to inmate of public institution
Section 14011.11 - [Repealed]
Section 14011.15 - Simplified application package for children, families and adults
Section 14011.16 - [Repealed]
Section 14011.17 - [Repealed]
Section 14011.18 - [Repealed]
Section 14011.2 - Compliance with State Child Health Insurance Program waiver
Section 14011.25 - Compliance and implementation of waivers
Section 14011.3 - A person who is not a citizen or national of the United States entering United States sponsored by individual or organization
Section 14011.4 - Simple referral form to be used as proof of birth
Section 14011.5 - Responsibility for establishing systems for health services provided
Section 14011.6 - Accelerated enrollment of children
Section 14011.65 - Medi-Cal to Healthy Families Accelerated Enrollment program
Section 14011.65a - Medi-Cal to Healthy Families Presumptive Eligibility Program
Section 14011.65b - Program for presumptive eligibility for child
Section 14011.66 - Presumptive eligibility period to individuals determined eligible on basis of preliminary information by qualified hospital
Section 14011.7 - Children's Presumptive Eligibility Program for preenrollment of children into Medi-Cal program
Section 14011.75 - Modifying CHDP Gateway
Section 14011.78 - Implementation of section 12693.26(b) and section 12696.05(e), Insurance Code
Section 14011.8 - Month benefits provided pursuant to preliminary determination end
Section 14011.9 - Counties to implement automated system for tracking status of applications
Section 14012 - Waivers of federal Medicaid requirements
Section 14012.5 - Process to self-certify amount and nature of assets and income
Section 14013 - System to investigate applications to assure validity
Section 14013.3 - [See text for inoperative date] Obtaining information about individual available electronically from other states and federal agencies
Section 14013.3 - [See text for operative date] Obtaining information about individual available electronically from other states and federal agencies
Section 14013.5 - Implementation of asset verification program
Section 14014 - Person receiving health care on basis of false declarations
Section 14014.5 - Safeguards to ensure privacy and protection of rights of applicants appointing authorized representative
Section 14015 - [See Text for Conditional Inoperative Date] Transfer of assets for less than fair market value
Section 14015.1 - Undue hardship exists
Section 14015.12 - Transfer of ownership of principal residence or income to same-sex spouse or registered domestic partner
Section 14015.2 - Persons who may request hearing on undue hardship
Section 14015.5 - Retention or delegation of authority to perform eligibility determinations
Section 14015.7 - Implementation of workflow transfer protocol by Exchange
Section 14015.8 - Sharing information to perform statutory and regulatory duties
Section 14016 - Eligibility determined by county in which person resides
Section 14016.1 - Death of patient received in comatose condition or suffering from amnesia
Section 14016.2 - Failure or refusal of guardian or authorized representative to provide information needed to determine eligibility
Section 14016.3 - Assistance to counties to maximize identification of private health care coverage
Section 14016.4 - Agreement with county to detect and recover value of benefits improperly received or obtained
Section 14016.5 - Beneficiary informed of managed care and fee-for-service options
Section 14016.51 - Contacting enrollment contractor by using Health Care Options toll-free telephone number
Section 14016.55 - Survey determining reasons beneficiaries failed to enroll into managed care plan when required
Section 14016.6 - Program to provide information and assistance to beneficiaries to use services of managed care plans
Section 14016.7 - Requirements of managed care contracts
Section 14016.8 - Information given patient to make informed health care decisions
Section 14016.9 - Earnings clearance system used to verify eligibility
Section 14016.10 - Continuity of coverage during pregnancy and post partum period
Section 14017 - Identification cards to persons eligible for program benefits
Section 14017.1 - Audit of county eligibility departments
Section 14017.5 - Issuance of identification cards on pilot project or statewide basis
Section 14017.6 - References to Medi-Cal card
Section 14017.7 - Benefits identification cards
Section 14017.8 - Persons provided with Medi-Cal card
Section 14018 - Rules applicable to Medi-Cal card
Section 14018.1 - Managed care plan notified of annual redetermination
Section 14018.2 - Reimbursement not denied health care provider because proof of eligibility label does not accompany bill
Section 14018.4 - Reimbursement not denied hospital because proof of eligibility label does not accompany bill
Section 14018.5 - Section 3275, Civil Code inapplicable to reimbursement or prior authorization
Section 14018.7 - Interested in contract entered into by commission
Section 14019 - Card authorization for payment
Section 14019.3 - Return for payment by beneficiary for medically necessary health care services
Section 14019.4 - Reimbursement to provider who obtains label or copy from Medi-Cal card or other proof of eligibility
Section 14019.5 - Control over management of facility
Section 14019.6 - Spenddown of excess property
Section 14019.7 - Additional payment to enable resident of facility to obtain noncovered services
Section 14020 - Sections operative during times grants-in-aid provided
Section 14021 - Mental health and substance abuse disorder services
Section 14021.2 - Participation in federal program
Section 14021.3 - Specialty mental health services included in Medicaid
Section 14021.30 - Transfer of Drug Medi-Cal program to department
Section 14021.31 - Plan to guide transfer of Drug Medi-Cal program
Section 14021.33 - Continuing effect of regulation or order Drug Medi-Cal program
Section 14021.35 - Federal participation to implement Drug Medi-Cal program
Section 14021.37 - [Repealed]
Section 14021.4 - Objections of state's plan for federal Medi-Cal grants for medical assistance
Section 14021.5 - Basis of rates for reimbursing specialty mental health and substance abuse disorder services
Section 14021.51 - Narcotic replacement therapy dosing fee for methadone
Section 14021.52 - Drug treatment services to indigent patients not eligible for Medi-Cal
Section 14021.53 - Form used by narcotic treatment program provider
Section 14021.6 - Rates for Medi-Cal Drug Treatment Program
Section 14021.7 - Case management services for pregnant and parenting adolescents
Section 14021.8 - Use of information regarding psychiatric inpatient admission to determine eligibility
Section 14021.9 - Reduction applied to rates for Drug Medi-Cal services
Section 14022 - Medi-Cal conflict of interest law
Section 14022.1 - Information regarding ownership of nursing facility or intermediate care facility
Section 14022.3 - Disclosure as Medi-Cal participation by long-term care facility
Section 14022.4 - Withdrawal from Medi-Cal program by nursing facility or intermediate care facility
Section 14022.5 - Data provided as dental services received
Section 14023 - Failure to disclose other entitlement
Section 14023.7 - Provider to seek to obtain payment from health insurance coverage to which person entitled
Section 14024 - Recovery by director from person, corporation or partnership owing other entitlement
Section 14025 - Buying, selling or bartering for cards, labels or identification numbers
Section 14026 - Furnishing, giving or lending card or labels; using card of another
Section 14026.5 - Fraud investigations
Section 14027 - County health service agencies designated as providers of nursing home services
Section 14028 - [Effective until 1/1/2027] Sharing of data relating to psychotropic medications
Section 14029 - Transfer of child to home setting made in consultation with California Children's Services program
Section 14029.5 - Information submitted to county welfare department by county juvenile detention facility
Section 14029.8 - Applicability of section 124260, Health and Safety Code
Section 14029.91 - Language assistance services provided by managed care plans
Section 14029.92 - Notification to beneficiaries and general public
Section 14040 - Electronic means for transmitting claims to fiscal intermediary contractor
Section 14040.1 - Registration of billing agents
Section 14040.5 - Claims submitted by billing agents
Section 14041 - Standards for timely processing and payment of claim type
Section 14041.1 - Holding payments to providers
Section 14041.5 - Claims preparation and processing software programs
Section 14042 - Automated eligibility verification system
Section 14042.1 - Medically Tailored Meals Pilot Program
Section 14042.2 - Report on calls received by the Medi-Cal Managed Care Ombudsman