2009 California Insurance Code - Section 12693.77 :: Chapter 10. Fiscal Integrity

INSURANCE CODE
SECTION 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.

Disclaimer: These codes may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.