2007 California Insurance Code Chapter 10. Fiscal Integrity

CA Codes (ins:12693.77)

12693.77.  (a) The board shall develop safeguards to assure the
fiscal integrity of the program.
   (b) The program shall ensure that subscribers are not eligible for
no-cost full-scope Medi-Cal coverage.  The board may provide data on
applicants and subscribers to the State Department of Health
Services for determination of Medi-Cal eligibility.  The State
Department of Health Services shall identify those subscribers
enrolled in the program who are concurrently enrolled in Medi-Cal
with no share of cost.
   (c) Any person who intentionally makes false declarations as to
his or her eligibility or any person who intentionally makes false
declarations as to eligibility on behalf of any other person seeking
eligibility under this part for which that person is not eligible
shall be guilty of a misdemeanor.
   (d) Plans and providers shall be subject to Section 550 of the
Penal Code.
   (e) Any person who intentionally makes false declarations as to
his or her eligibility or any person who intentionally makes false
declarations as to eligibility on behalf of any other person seeking
eligibility under this part for which that person is not eligible may
be denied coverage for up to one year from the date of the denial of
coverage by the board.