(a) It is the intent of the Legislature that the department implement and monitor compliance with the time or distance requirements set forth in Sections 438.68, 438.206, and 438.207 of Title 42 of the Code of Federal Regulations and this section, to ensure that all Medi-Cal managed care covered services are available and accessible to enrollees of Medi-Cal managed care plans in a timely manner, as those standards were enacted in May 2016. (b) Commencing January 1, 2018, for covered benefits under its contract, as applicable, a Medi-Cal managed care plan shall maintain a network of providers that are located within the following time or distance standards for the following services: (1) For primary care, both adult and pediatric, 10 miles or 30 minutes from the beneficiaryâs place of residence. (2) For hospitals, 15 miles or 30 minutes from the beneficiaryâs place of residence. (3) For dental services provided by a Medi-Cal managed care plan, 10 miles or 30 minutes from the beneficiaryâs place of residence. (4) For obstetrics and gynecology primary care, 10 miles or 30 minutes from the beneficiaryâs place of residence. (c) Commencing July 1, 2018, for the covered benefits under its contracts, as applicable, a Medi-Cal managed care plan shall maintain a network of providers that are located within the following time or distance standards for the following services: (1) For specialists, as defined in subdivision (i), adult and pediatric, including obstetric and gynecology specialty care, as follows: (A) Up to 15 miles or 30 minutes from the beneficiaryâs place of residence for the following counties: Alameda, Contra Costa, Los Angeles, Orange, Sacramento, San Diego, San Francisco, San Mateo, and Santa Clara. (B) Up to 30 miles or 60 minutes from the beneficiaryâs place of residence for the following counties: Marin, Placer, Riverside, San Joaquin, Santa Cruz, Solano, Sonoma, Stanislaus, and Ventura. (C) Up to 45 miles or 75 minutes from the beneficiaryâs place of residence for the following counties: Amador, Butte, El Dorado, Fresno, Kern, Kings, Lake, Madera, Merced, Monterey, Napa, Nevada, San Bernardino, San Luis Obispo, Santa Barbara, Sutter, Tulare, Yolo, and Yuba. (D) Up to 60 miles or 90 minutes from the beneficiaryâs place of residence for the following counties: Alpine, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Imperial, Inyo, Lassen, Mariposa, Mendocino, Modoc, Mono, Plumas, San Benito, Shasta, Sierra, Siskiyou, Tehama, Trinity, and Tuolumne. (2) For pharmacy services, 10 miles or 30 minutes from the beneficiaryâs place of residence. (3) For outpatient mental health services, as follows: (A) Up to 15 miles or 30 minutes from the beneficiaryâs place of residence for the following counties: Alameda, Contra Costa, Los Angeles, Orange, Sacramento, San Diego, San Francisco, San Mateo, and Santa Clara. (B) Up to 30 miles or 60 minutes from the beneficiaryâs place of residence for the following counties: Marin, Placer, Riverside, San Joaquin, Santa Cruz, Solano, Sonoma, Stanislaus, and Ventura. (C) Up to 45 miles or 75 minutes from the beneficiaryâs place of residence for the following counties: Amador, Butte, El Dorado, Fresno, Kern, Kings, Lake, Madera, Merced, Monterey, Napa, Nevada, San Bernardino, San Luis Obispo, Santa Barbara, Sutter, Tulare, Yolo, and Yuba. (D) Up to 60 miles or 90 minutes from the beneficiaryâs place of residence for the following counties: Alpine, Calaveras, Colusa, Del Norte, Glenn, Humboldt, Imperial, Inyo, Lassen, Mariposa, Mendocino, Modoc, Mono, Plumas, San Benito, Shasta, Sierra, Siskiyou, Tehama, Trinity, and Tuolumne. (4) (A) For outpatient substance use disorder services other than opioid treatment programs, as follows: (i) Up to 15 miles or 30 minutes from the beneficiaryâs place of residence for the following counties: Alameda, Contra Costa, Los Angeles, Orange, Sacramento, San Diego, San Francisco, San Mateo, and Santa Clara. (ii) Up to 30 miles or 60 min
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