California Code of Regulations
Title 10 - Investment
Chapter 5.8 - Managed Risk Medical Insurance Board Healthy Families Program
Article 5 - Child Health and Disability Prevention Program Payments
Section 2699.6903 - Reimbursable Services
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) For purposes of meeting the requirements of Insurance Code Section 12693.41 relating to the Healthy Families Program reimbursements, a "CHDP well-child health assessment" is as defined in Title 17, California Code of Regulations, Section 6800 and shall include those services specified in Title 17, California Code of Regulations, Section 6846.
(b) For purposes of meeting the requirements of Insurance Code Section 12693.41 relating to the Healthy Families Program reimbursement, "initial treatment" means those services provided in the 90 days prior to a person's effective date of coverage by a Healthy Families Program participating health plan that are necessary for diagnosis and treatment of a condition identified during the "CHDP well-child health assessment". These services may include, but are not limited to:
1. New section
filed 8-28-98 as an emergency; operative 8-28-98 (Register 98, No. 35). A
Certificate of Compliance must be transmitted to OAL by 12-28-98 or emergency
language will be repealed by operation of law on the following day.
2.
Certificate of Compliance as to 8-28-98 order, including amendment of subsection
(b)(3), transmitted to OAL 12-18-98 and filed 2-2-99 (Register 99, No.
6).
3. Amendment of subsection (b) filed 1-10-2000 as an emergency;
operative 1-10-2000 (Register 2000, No. 2). A Certificate of Compliance must be
transmitted to OAL by 5-9-2000 or emergency language will be repealed by operation
of law on the following day.
4. Certificate of Compliance as to 1-10-2000
order transmitted to OAL 5-5-2000 and filed 6-16-2000 (Register 2000, No.
24).
Note: Authority cited: Section 12693.21, Insurance Code. Reference: Section 12693.41, Insurance Code.
