CHAPTER 8.8. Medi-Cal Management: Alternative Methods
Chapter 8.8 added by Stats. 1981, Ch. 102, Sec. 133.
§§ 14600–14685.1 · 18 sections
ARTICLE 1. General Provisions §§ 14600–14601 · 2 sections
- § 14600 The Legislature finds and declares that expenditure demands on health service costs at the federal, state, and local level, now, and will in the foreseeable…
- § 14601 As used in this chapter: (a) “Department” means State Department of Health Services. (b) “Director” means State Director of Health Services.
ARTICLE 2. Negotiated Hospital Rates §§ 14610–14620 · 9 sections
- § 14610 As used in this article: (a) “Rate” means the rate of reimbursement per unit of service which is agreed to by the department and a hospital. (b) “Unit of…
- § 14611 It is the intention of the Legislature to enact a method for reimbursing hospitals for inpatient and outpatient services provided to Medi-Cal beneficiaries on…
- § 14612 The Legislature further intends that the alternatives developed and tested pursuant to the provisions of this article shall be consistent with the following…
- § 14613 (a) The department shall develop at least three alternative methods of reimbursing hospitals for providing inpatient and outpatient hospital services to…
- § 14614 Each alternative method for prospectively negotiated rate reimbursement developed pursuant to this article shall do the following: (a) Reduce administrative…
- § 14616 Not sooner than 30 days after providing notification to the Joint Legislative Budget Committee, the department may implement on a test basis any of the…
- § 14617 Nothing in this article shall be construed to require that hospitals participate in a prospectively negotiated rate test, as provided by this article, as a…
- § 14619 For the 1981–82 fiscal year, the Controller may transfer such funds among Items 426-001-001, 426-001-890, 426-101-001, and 426-101-890 of the Budget Act of…
- § 14620 Authority to implement negotiated hospital rates after the completion of the pilot study and after June 30, 1983, shall be contingent on both of the following:…
ARTICLE 5. Mental Health Managed Care §§ 14680–14685.1 · 7 sections
- § 14680 (a) The Legislature finds and declares that there is a need to establish a standard set of guidelines that governs the provision of managed Medi-Cal specialty…
- § 14681 The department shall ensure that all contracts for Medi-Cal managed care include a process for screening, referral, and coordination with any mental health…
- § 14682.1 (a) The State Department of Health Care Services shall be designated as the state agency responsible for development, consistent with the requirements of…
- § 14683 The department shall ensure all of the following: (a) That mental health plans include a process for screening, referral, and coordination with other necessary…
- § 14684 (a) Notwithstanding any other provision of state law, and to the extent permitted by federal law, mental health plans, whether administered by public or…
- § 14684.1 (a) The department shall establish a process for second level treatment authorization request appeals to review and resolve disputes between mental health…
- § 14685.1 Section 14685 is hereby repealed on November 7, 2012, if Section 36 has been added to Article XIII of the California Constitution as of that date.