(a) Enrollment in GMC plans shall be mandatory for eligible beneficiaries who meet all of the following criteria:
- (1) Are eligible to received Medi-Cal services that are not limited in scope;
- (2) Have been determined to have a share of cost equal to zero;
- (3) Do not meet the criteria for selecting an alternative to GMC plan enrollment, specified in Section 53923.5;
(4) Are eligible for any of the following:
- (A) Programs linked to the Aid to Families with Dependent Children (AFDC) program, as defined in Section 50019;
- (B) The Medically Indigent program for children under age 21, as defined in Section 50251(a); or
- (C) Foster Children program.
(b) Enrollment in GMC plans shall be voluntary for eligible beneficiaries who meet all of the following criteria:
- (1) Are eligible to receive Medi-Cal services that are not limited in scope;
- (2) Have been determined to have a share of cost equal to zero; and
(3) Are eligible for either of the following:
- (A) The federal Supplemental Security Income for the Aged, Blind, and Disabled program set forth commencing with Section 1382, Title 42, United States Code.
- (B) The Medically Indigent program for pregnant women, as defined in Section 50251(b)(3).
Note: Authority cited: Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Section 14089, Welfare and Institutions Code.
History
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).