Cal. Code Regs. tit. 22 § 53921.5

Current through Register 2025 Notice Reg. No. 2, January 10, 2025
Section 53921.5 - Assignment of Eligible Beneficiaries to GMC Plans
(a) The GMC enrollment contractor shall assign an eligible beneficiary described in Section 53906(a) to a GMC plan, from which to receive health care services, in the following situations:
(1) In the event the eligible beneficiary does not select a PHP or PCCM plan and a dental plan within thirty days of receiving an enrollment form pursuant to Section 53921(c).
(2) In the event a member requests and is granted disenrollment from a GMC plan, pursuant to Section 53925.5, but does not select a different GMC plan in which to enroll, unless that member was granted approval by the GMC enrollment contractor to receive health care services through the fee-for-service Medi-Cal program, pursuant to Section 53923.5.
(b) In carrying out (a), the GMC enrollment contractor shall comply with the equitable distribution requirements contained in Section 53922.

Cal. Code Regs. Tit. 22, § 53921.5

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).

Note: Authority cited: Sections 10725, 14089.7, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Section 14089, Welfare and Institutions Code.

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).