(a) For the purposes of this chapter, “disease management organization” means an entity that provides disease management programs and services and that contracts with any of the following:
(1) A health care service plan.
(2) A contractor of a health care service plan.
(3) An employer.
(4) A publicly financed health care program.
(5) A government agency.
(b) A disease management organization shall not include an entity whose primary purpose is to market specific products or services to enrollees of a health care service plan.
(c) No medical group, individual licensed pursuant to Division 2 (commencing with Section 500) of the Business and Professions Code, or health facility as defined in Section 1250, that provides disease management programs and services incidental to their primary professional practices, shall be considered a disease management organization.
(Added by Stats. 2000, Ch. 1065, Sec. 2. Effective January 1, 2001.)
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