SECTIONS 12693.68-12693.69 - California Statutes

INSURANCE CODE

SECTION 12693.68-12693.69

12693.68. The board shall encourage all plans, including those
receiving purchasing credits, that provide services under the program
to have viable protocols for screening and referring children
needing supplemental services outside of the scope of the screening,
preventive, and medically necessary and therapeutic services covered
by the contract to public programs providing such supplemental
services for which they may be eligible, as well as for coordination
of care between the plan and the public programs. The public programs
for which plans may be required to develop screening, referral, and
care coordination protocols may include the California Children's
Services Program, the regional centers, county mental health
programs, programs administered by the Department of Alcohol and Drug
Programs, and programs administered by local education agencies.

12693.69. A child enrolled in the Healthy Families Program who has
a medical condition that is eligible for services pursuant to the
California Children's Services Program, and whose family is not
financially eligible for the California Children's Services Program,
shall have the medically necessary treatment services for their
California Children's Services Program eligible medical condition
authorized and paid for by the California Children's Services
Program. County expenditures for the payment of services for the
child shall be waived and these expenditures shall be paid for by the
state from Title XXI funds that are applicable and state general
funds.