Today's Law As Amended

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AB-505 Medi-Cal: managed care: language assistance services.(2013-2014)



SECTION 1.

 Section 14029.91 is added to the Welfare and Institutions Code, to read:

14029.91.
 (a) The department shall require all managed care plans contracting with the department to provide Medi-Cal services to provide language assistance services to limited-English-proficient (LEP) Medi-Cal beneficiaries who are mandatorily enrolled in managed care in the following manner:
(1) Oral interpretation services shall be provided in any language on a 24-hour basis at key points of contact.
(2) Translation services shall be provided to the language groups identified by the department.
(b) The department shall determine when an LEP population meets the requirement for translation services using one of the following numeric thresholds:
(1) A population group of at least 3,000 or 5 percent of the beneficiary population, whichever is fewer, mandatory Medi-Cal beneficiaries, residing in the service area, who indicate their primary language as other than English.
(2) A population group of mandatory Medi-Cal beneficiaries, residing in the service area, who indicate their primary language as other than English, and that meet a concentration standard of 1,000 beneficiaries in a single ZIP Code or 1,500 beneficiaries in two contiguous ZIP Codes.
(c) The department shall make this determination if any of the following occurs:
(1) A nonmanaged care county becomes a new managed care county.
(2) A new population group becomes a mandatory Medi-Cal managed care beneficiary population.
(3) A period of three years has passed since the last determination.
(d) The department shall instruct managed care plans, by means of incorporating the requirement into plan contracts, all-plan letters, or similar instructions, of the language groups that meet the numeric thresholds.
(e) For purposes of this section, a person is “limited-English-proficient” if he or she speaks English less than very well.
(f) This section shall not apply to mental health plans contracting with the department pursuant to Section 14712.