ARTICLE 3. Administration
Article 3 repealed and added by Stats. 1974, Ch. 983.
§§ 14300–14316 · 23 sections
- § 14300 The department shall publish a notice of intent to contract at least 60 days prior to the effective date of any initial or renewed contract. The notice shall…
- § 14301 (a) The department shall determine, by actuarial methods, prospective per capita rates of payment for services provided under this chapter for Medi-Cal…
- § 14301.1 (a) For rates established on or after August 1, 2007, the department shall pay capitation rates to health plans participating in the Medi-Cal managed care…
- § 14301.11 (a) Notwithstanding any law, and subject to subdivisions (e) and (f), in order to account for the impacts of the COVID-19 public health emergency on Medi-Cal…
- § 14301.2 (a) The director may defer fee-for-service payments or payments to Medi-Cal managed care health plans contracting with the department pursuant to Article 2.7…
- § 14301.3 The department shall ensure that Medi-Cal managed care plans demonstrate ongoing ability and readiness to perform the obligations set forth in Section…
- § 14301.4 (a) It is the intent of the Legislature, to the extent federal financial participation is not jeopardized and consistent with federal law, that the…
- § 14301.5 (a) (1) To the extent federal financial participation is not jeopardized and consistent with federal law, and subject to the conditions set forth in…
- § 14302 Except as provided in Section 14490, the duration of initial contracts entered into pursuant to this chapter shall be for a maximum of one year and of renewed…
- § 14302.1 (a) (1) Once it is determined that a contract shall be renewed pursuant to this chapter with a prepaid health plan, by the state agency responsible for…
- § 14303 No contract between the department and the prepaid health plan shall be amended without the public notice and if necessary the holding of a public hearing as…
- § 14303.1 The department shall have authority to amend a prepaid health plan contract in accordance with the terms of a merger of a prepaid health plan with another…
- § 14303.2 The department shall have authority to amend a prepaid health plan contract in accordance with the terms of the reorganization of a prepaid health plan or a…
- § 14303.3 The department shall renew a contract unless good cause is shown for nonrenewal.
- § 14304.5 Each prepaid health plan shall provide directly or through subcontractors, not less than the basic scope of health care benefits as defined in Section 14256.…
- § 14305 The department may limit the scope of health care benefits provided by a prepaid health plan under this chapter to exclude the care of illness or injury which…
- § 14308 (a) Each prepaid health plan shall furnish to the director such information and reports as required by Title XIX of the federal Social Security Act. (b) The…
- § 14309 The department shall provide for a continuing study of the quality of care and services resulting from the operation of this chapter and for surveys and…
- § 14311 Prepaid health plans, the services they provide, and the persons receiving these services shall not be subject to the limitations on services set forth in…
- § 14312 The director shall adopt all necessary rules and regulations to carry out the provisions of this chapter. In adopting such rules and regulations, the director…
- § 14314 The director may recover a due and payable overpayment made to a prepaid health plan by means of a repayment agreement executed between such prepaid health…
- § 14315 When it has been determined that a prepaid health plan has received an overpayment which is due and payable, the director may recover such overpayment by…
- § 14316 Notwithstanding any other provisions of law, contracts with plans which are entered into, renewed, or amended pursuant to this article may include one or more…