Title WIC, California Welf. & Inst. Code

The Legislature further intends that the alternatives developed and tested pursuant to the provisions of this article shall be consistent with the following objectives: (a) Providing reasonable access to all levels and types of hospital care by beneficiaries. (b) Providing reason…

(a) The department shall develop at least three alternative methods of reimbursing hospitals for providing inpatient and outpatient hospital services to Medi-Cal beneficiaries on a prospectively negotiated rate basis. Each method shall provide for prospectively negotiating rates …

Each alternative method for prospectively negotiated rate reimbursement developed pursuant to this article shall do the following: (a) Reduce administrative cost to the department and to hospitals. (b) Provide incentives to hospitals to participate in the Medi-Cal program, includ…

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 alternatives for prospective hospital rate negotiations which have been reported to the Legislature pursuant to Section 14614. T…

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 condition of participation in the Medi-Cal program. (Added by Stats. 1981, Ch. 102, Sec. 133. Effective June 28, 1981.)

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 1981 as are necessary to implement the provisions of this article. (Added by Stats. 1981, Ch. 102, Sec. 133. Effective June …

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: (a) A special Budget Act item, following the submission by the State Department of Health Services of a final report whi…

(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 mental health services at the local level, consistent with federal law. (b) Therefore, in order to ensure quality and con…

The department shall ensure that all contracts for Medi-Cal managed care include a process for screening, referral, and coordination with any mental health plan established, of medically necessary specialty mental health care services. (Amended by Stats. 2012, Ch. 34, Sec. 237. (…

(a) The State Department of Health Care Services shall be designated as the state agency responsible for development, consistent with the requirements of Section 4060, and implementation of, mental health plans for Medi-Cal beneficiaries. (b) The department shall convene a steeri…

The department shall ensure all of the following: (a) That mental health plans include a process for screening, referral, and coordination with other necessary services, including, but not limited to, health, housing, and vocational rehabilitation services. For Medi-Cal eligible …

(a) Notwithstanding any other provision of state law, and to the extent permitted by federal law, mental health plans, whether administered by public or private entities, shall be governed by the following guidelines: (1) State and federal Medi-Cal funds identified for the diagno…

(a) The department shall establish a process for second level treatment authorization request appeals to review and resolve disputes between mental health plans and hospitals. (b) When the department establishes an appeals process, the department shall comply with all of the foll…

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. (Added by Stats. 2012, Ch. 34, Sec. 244. (SB 1009) Effective June 27, 2012.)