1. (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. (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. (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.
2. (b) In carrying out (a), the GMC enrollment contractor shall comply with the equitable distribution requirements contained in Section 53922.

Note: Authority cited: Sections 10725, 14089.7, 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).