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Cal. Welf. & Inst. Code § 14491

Pilot Programs

Known as the Waxman-Duffy Prepaid Health Plan Act

The act spans §§ 14200 to 14499.77 (113 sections).

Added by Stats. 1977, Ch. 1036.

The director shall pursue the feasibility of establishing the following as pilot programs:

(a) A capitated, risk-assuming contract with one or more regional fiscal intermediaries.

(b) A capitated, risk-assuming contract with acute care hospitals within a county or region.

(c) A capitated, risk-assuming contract with one or more organizations which provide payment to a specified class or classes of providers.

For purposes of this section, “risk-assuming” means the pilot program contractor agrees to assume the risk of utilization of services or costs of services, or both.

Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.