ARTICLE 5.230. Medi-Cal Hospital Reimbursement Improvement Act of 2013

Article 5.230 added by Stats. 2013, Ch. 657, Sec. 6.

§§ 14169.50–14169.76 · 27 sections

§ 14169.50 The Legislature finds and declares all of the following: (a) The Legislature continues to recognize the essential role that hospitals play in serving the…
§ 14169.51 For purposes of this article, the following definitions shall apply: (a) “Acute psychiatric days” means the total number of Medi-Cal specialty mental health…
§ 14169.52 (a) There shall be imposed on each general acute care hospital that is not an exempt facility a quality assurance fee, except that a quality assurance fee…
§ 14169.53 (a) (1) All fees required to be paid to the state pursuant to this article shall be paid in the form of remittances payable to the department. (2) The…
§ 14169.54 (a) Private hospitals shall be paid supplemental amounts for each subject fiscal quarter in a program period for the provision of hospital outpatient services…
§ 14169.55 (a) Private hospitals shall be paid supplemental amounts for the provision of hospital inpatient services for each subject fiscal quarter in a program period…
§ 14169.56 (a) The department shall increase capitation payments to Medi-Cal managed health care plans for each subject fiscal year as set forth in this section. (b) (1)…
§ 14169.57 (a) Each managed health care plan receiving increased capitation payments under Section 14169.56 shall expend the capitation rate increases in a manner…
§ 14169.58 (a) (1) For the first program period, designated public hospitals shall be paid direct grants in support of health care expenditures, which shall not…
§ 14169.59 (a) The department shall determine during each rebase calculation year the number of subject fiscal years in the next program period. (b) During each rebase…
§ 14169.60 (a) The amount of any payments made under this article to private hospitals, including the amount of payments made under Sections 14169.54 and 14169.55 and…
§ 14169.61 (a) (1) Except as provided in this section, all data and other information relating to a hospital that are used for the purposes of this article, including,…
§ 14169.62 Notwithstanding any provision in this article, the director may correct any identified material and egregious errors in the data, including, but not limited…
§ 14169.63 (a) Notwithstanding any other provision of this article requiring federal approvals, the department may impose and collect the quality assurance fee and may…
§ 14169.64 (a) Notwithstanding any other provision in this article, the director may modify any timeline or timelines related to the assessment of the quality assurance…
§ 14169.65 (a) Upon receipt of a letter that indicates likely federal approval that the director determines is sufficient for implementation under Section 14169.63, or…
§ 14169.66 The department shall make disbursements from the fund consistent with the following: (a) Fund disbursements shall be made periodically within 15 days of each…
§ 14169.67 Notwithstanding any other provision of this article, supplemental payments or other payments under this article shall only be required and payable in any…
§ 14169.68 (a) In order to ensure that the proceeds of the quality assurance fee, the matching amount provided by the federal government, and any interest earned on those…
§ 14169.69 (a) The director shall do all of the following: (1) Promptly submit any state plan amendment or waiver request that may be necessary to implement this article.…
§ 14169.70 Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement this…
§ 14169.71 Notwithstanding any other provision of this article, the director may proportionately reduce the amount of any supplemental payments or increased capitation…
§ 14169.72 This article shall become inoperative if any of the following occurs: (a) The effective date of a final judicial determination made by any court of appellate…
§ 14169.73 In the event this article becomes inoperative pursuant to Section 14169.72, all of the following shall apply: (a) No hospital shall be required to pay the fee…
§ 14169.74 Beginning with the proposed budget for the 2014–15 fiscal year, and each fiscal year thereafter, the Department of Finance shall report in the Governor’s…
§ 14169.75 Notwithstanding subdivision (k) of Section 14167.35, subdivisions (a), (i), and (j) of Section 14167.35, creating the fund, are not repealed and shall remain…
§ 14169.76 This article is repealed on January 1 of the year following the date on which the article becomes inoperative.