Anti-Fraud Data Requirements
Below are the eligibility criteria that organāizations must meet to access fraud data.
California Health and Safety Code (HSC) Section102230(c)(5) as follows:
- Financial institutions, as defined in Section 6827(4)(A) and (B) of Title 15 of the United States Code, its representatives or contractors.
- Consumer credit reporting agencies, as defined in subdivision (d) of Section 1785.3 of the Civil Code, its representatives or contractors.
- Entities providing information services for purposes of law enforcement or preventing fraud.
- Officers of the court for the sole purpose of verifying a death.
- Persons or entities acting on behalf of law enforcement agencies or the court, or pursuant to a courtorder.
Or California Health and Safety Code (HSC) Section 102230(c)(6) as follows:
- A health care service plan as defined in the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2)
- A Medi-Cal managed care plan contracted with the State Department of Health Care Services to provide full scope benefits to a Medi-Cal enrollee pursuant to Chapter 7 (commencing with Section 14000) or Chapter 8.75 (commencing with Section 14591) of Part 3 of Division 9 of the Welfare and Institutions Code.
- A health insurer licensed to provide health insāurance as defined in Section 106 of the Insurance Code.
- A physician organization as defined in Section 127500.2.
- A health facility as defined in Section 1250, including a general acute care hospital.
Please note that in accordance with California Health and Safety Code (HSC) Section 102232(a) as follow:
- Any person who violates Section 102230 or 102231 may be denied further access to the indices or data files maintained by the department.
- Any person who violates Section 102230 or 102231 is guilty of a misdemeanor and shall be punished by imprisonment in the county jail for a period not to exceed one year, or a fine of one thousand dollars ($1,000), or by both the imprisonment and fine, for each violation.
- The penalties described in paragraphs (1) and (2) shall not be construed to limit any other remedies provided by law.
For information regarding the availability of data and the data request process, see theā āVital Statistics Request Guide (PDF).
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