Code Section Group

Welfare and Institutions Code - WIC


  ( Division 9 added by Stats. 1965, Ch. 1784. )


  ( Part 3 added by Stats. 1965, Ch. 1784. )

CHAPTER 7. Basic Health Care [14000 - 14199.67]

  ( Chapter 7 added by Stats. 1965, 2nd Ex. Sess., Ch. 4. )

ARTICLE 5.9. Medi-Cal Managed Care Plan Mental Health Benefits [14189 - 14190]
  ( Article 5.9 added by Stats. 2013, 1st Ex. Sess., Ch. 4, Sec. 30. )


Medi-Cal managed care plans shall provide mental health benefits covered in the state plan excluding those benefits provided by county mental health plans under the Specialty Mental Health Services Waiver. The department may require the managed care plans to cover mental health pharmacy benefits to the extent provided in the contracts between the department and the Medi-Cal managed care plans.

(Added by Stats. 2013, 1st Ex. Sess., Ch. 4, Sec. 30. (SB 1 1x) Effective September 30, 2013.)


(a) The department shall convene an advisory group to receive feedback on the changes, modifications, and operational timeframes regarding the implementation of pharmacy benefits offered in the Medi-Cal program. This advisory group shall be composed of organizations and entities such as hospitals, clinics, health plans, and consumer advocates.

(b) The department, through this advisory group as well as through other existing stakeholder meetings, shall provide regular updates on the pharmacy transition that include the following:

(1) A description of the changes in the division of responsibilities between the department and managed care plans as a result of a transition of the outpatient pharmacy benefit to fee-for-service.

(2) A description of anticipated changes, if any, to beneficiary access to prescription medications.

(c) The department shall include in the Governor’s proposed budget the fiscal assumptions for the transition of the outpatient pharmacy benefit to a fee-for-service benefit.

(Added by Stats. 2019, Ch. 38, Sec. 51. (SB 78) Effective June 27, 2019.)

WICWelfare and Institutions Code - WIC5.9.