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HomeWelfare and Institutions CodeDiv. 9Pt. 3Ch. 8Art. 2§ 14253 Prepaid Health Plan Subcontracts

§ 14253 Prepaid Health Plan Subcontracts

Welfare and Institutions Code·California
AI Summary·Official Text·Key Terms·Related Statutes·References
AI SummaryVerified

§ 14253 Prepaid Health Plan Subcontracts

Key Takeaways

  • •A subcontract is a deal between a health plan and someone else to help with health services for Medi-Cal members.
  • •This deal can be with doctors or hospitals to give medical care to people in the health plan.
  • •It can also be with companies that help sell the health plan or do paperwork for it.
  • •The deal must be about helping the health plan do its job for the government.

Example

A health plan makes a deal with a local clinic to give check-ups to people in the plan.

This deal is a subcontract because the clinic is helping the health plan by giving medical care to its members.

AI-generated — May contain errors. Not legal advice. Always verify source.

Official Source
View on CA.gov

§ 14253 Prepaid Health Plan Subcontracts

“Subcontract” means an agreement entered into by the prepaid health plan with any of the following: (a) A provider of health care services who agrees to furnish such services to Medi-Cal beneficiaries enrolled in the prepaid health plan. (b) A marketing organization. (c) Any other person or organization who agrees to perform any administrative function or service for the operation of the prepaid health plan specifically related to securing or fulfilling its contractual obligations with the department. (Added by Stats. 1974, Ch. 983.)

Last verified: January 23, 2026

Key Terms

Subcontractprepaid health planMedi-Cal beneficiariesmarketing organizationadministrative function

Related Statutes

  • § 14258 Prepaid Health Plan Areas
  • § 14263 Prepaid Health Plan Marketing
  • § 14264 Marketing Organization Definition
  • § 14265 Marketing Representative Definition
  • § 14251 Prepaid Medicaid Health Plans

References

  • Official text at leginfo.legislature.ca.gov
  • California Legislature. Welfare and Institutions Code. Section 14253.
View Official Source