§ 55170. Indian Health Service Facilities and Non-Indian Beneficiaries.

The Indian Health Service Facility will determine the number of non-Indian Medi-Cal beneficiaries which the facility will accept as patients with the following limitations:

(a) The facility must ensure that it maintains its historical and cultural character as an Indian Health Service Facility;

(b) The facility must ensure that it provides care to Indian patients at a satisfactory level, as required by federal law;

(c) If the Indian Health Service Facility subcontracts with a Medi-Cal managed care plan, the number of non-Indian members may be negotiated between the parties.

(d) In the two-plan model or a Geographic Managed Care program, if the Indian Health Service Facility elects to participate as a fee-for-service managed care plan, the Indian Health Service Facility shall enroll only Indians and the number of non-Indians receiving services from the Indian Health Service Facility at the time of its application to the department.

HISTORY

1. New section filed 4-3-98; operative 4-3-98. Submitted to OAL for printing only pursuant to section 147, Senate Bill 485 (Ch. 722/92) (Register 98, No. 15).

2. Change without regulatory effect amending Note filed 4-9-98 pursuant to section 100, title 1, California Code of Regulations (Register 98, No. 15).

Note

Note: Authority cited: Stats. 1992, Ch. 722; Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Sections 14000, 14016.5, 14087.3, 14087.305, 14087.4, 14087.5, 14088, 14089, 14089.05, 14200 and 14499.5, Welfare and Institutions Code; and Title 25, United States Code, Sections 13 and 1601.