ARTICLE 2.6. Selective Provider Contracts

Article 2.6 added by Stats. 1982, Ch. 328, Sec. 17.

§§ 14081–14087.29 · 33 sections

§ 14081 It is the purpose of this article to ensure that the Medi-Cal program shall be operated in the most cost-effective and efficient manner possible with the…
§ 14081.1 (a) The Legislature finds and declares the need to improve the reporting relationship between the state and hospitals eligible to contract with the state for…
§ 14081.5 Hospitals that are not selected for contracting under this article and that have negotiated in good faith to obtain a contract need not fulfill preexisting…
§ 14082 Notwithstanding any other provision of law, the Governor shall designate a person in his office to act as a special negotiator to negotiate rates, terms, and…
§ 14082.5 The negotiator provided for in Section 14082 shall serve in such capacity for the 1982–83 fiscal year, after which his or her functions shall be assumed by the…
§ 14083 The factors to be considered by the negotiator in negotiating contracts under this article, or in drawing specifications for competitive bidding, include, but…
§ 14083.5 In addition to considering factors specified in Section 14083, the negotiator, in negotiating contracts under this article, or in drawing specifications for…
§ 14084 (a) Payments to the contractor may be either on a capitation or prepayment basis, or on a combination of both methods of payment, or such other methods as the…
§ 14085 All utilization controls applied to inpatient hospital services by the director in accordance with Section 14133.1 shall continue to be applied to inpatient…
§ 14085.5 (a) Each disproportionate share hospital contracting to provide services under this article or contracting with a county organized health system, and which has…
§ 14085.51 (a) A disproportionate share hospital that qualifies under Section 14085.5 that has submitted final plans for an eligible capital project in accordance with…
§ 14085.52 (a) A disproportionate share hospital that qualifies under Section 14085.5 that has submitted final plans for an eligible capital project in accordance with…
§ 14085.53 (a) The Alameda Health System may revise plans submitted in accordance with subparagraph (C) of paragraph (1) of subdivision (b) of Section 14085.5 for the…
§ 14085.54 (a) The Los Angeles County University of Southern California (LAC-USC) Medical Center may submit revised final plans to the Office of Statewide Health Planning…
§ 14085.55 Notwithstanding subparagraph (C) of paragraph (1) of subdivision (b) of Section 14085.5, eligible projects shall include those new capital projects funded by…
§ 14085.56 (a) For the purposes of this section, “Los Medanos site,” means the site of the former Los Medanos Medical Center. (b) Contra Costa County Regional Medical…
§ 14085.57 (a) A designated public hospital, as defined in subdivision (d) of Section 14166.1, that is contracting to provide services under this article, and that has or…
§ 14086 (a) The provisions of this article relating to contracts with hospitals, to be negotiated or let out to bid by the negotiator, shall apply only to hospitals…
§ 14087 The provisions of this article shall not, however, be construed to preclude an otherwise qualified hospital from obtaining reimbursement as determined by the…
§ 14087.1 The department or its authorized agents shall conduct periodic audits or reviews, including onsite audits or reviews, of performance under any contract made…
§ 14087.10 Any contract hospital that provides the services required by a Medi-Cal beneficiary and has a physician with staff privileges who is willing to accept the…
§ 14087.101 For administrative costs incurred after January 1, 2004, the director may recover any administrative costs incurred by a health plan authorized by this article…
§ 14087.103 The department shall notify the health plan of the director’s decision to seek recovery of excess administrative costs pursuant to Section 14087.101 at least…
§ 14087.105 When it has been determined that the director may recover any administrative costs deemed excessive pursuant to Section 14087.103, the director may recover any…
§ 14087.11 (a) The provisions of this section shall be applicable to any county that seeks to provide or arrange for the provision of health care services provided under…
§ 14087.2 It is the intent of the Legislature that children’s hospitals need not contract under the provisions of this article until October 31, 1984. Services provided…
§ 14087.21 Commencing November 1, 1984, reimbursement to children’s hospitals shall be on a basis that reflects the relative severity of pediatric diagnostic case types.…
§ 14087.23 (a) Notwithstanding any other provision of law, and except as provided in subdivision (b), a county-operated community clinic, exempt from licensure under…
§ 14087.25 In order to achieve maximum cost savings the Legislature hereby determines that an expedited contract process for contracts under this article is necessary.…
§ 14087.26 In negotiating contracts pursuant to this article, the negotiator may designate a specific group of hospitals as the negotiating unit. The Legislature finds…
§ 14087.27 (a) Notwithstanding any other provision of law, judicial review pursuant to Section 1085 of the Code of Civil Procedure, shall be available to resolve disputes…
§ 14087.28 (a) A hospital contracting with the Medi-Cal program pursuant to this chapter shall not deny medical staff membership or clinical privileges for reasons other…
§ 14087.29 Hospitals or groups of hospitals with which a contract has been entered into pursuant to this article shall be exempt from the provisions of Chapter 2.2…