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Cal. Welf. & Inst. Code § 14105.395

Administration

Known as the Medi-Cal Act

The act spans §§ 14000 to 14199.87 (1,239 sections).

Applied in 1 court decision — leading case 144 Cal. App. 4th 713 - Paleski v. STATE DEPARTMENT OF HEALTH SERVICES (2006)

Most recently applied in 144 Cal. App. 4th 713 - Paleski v. STATE DEPARTMENT OF HEALTH SERVICES (November 2006)

Added by Stats. 2003, Ch. 230, Sec. 66

(a) The department may implement utilization controls through the establishment of guidelines, protocols, algorithms, or criteria for drugs, medical supplies, durable medical equipment, and enteral formulae. The department shall publish the guidelines, protocols, algorithms, or criteria in the pharmacy and medical provider manuals.

(b) The department shall issue providers written notice of changes pursuant to subdivision (a) at least 30 days prior to implementation.

(c) Changes made pursuant to this section are exempt from the requirements of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340), Chapter 4 (commencing with Section 11370), and Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code), and shall not be subject to the review and approval of the Office of Administrative Law. The department shall consult with interested parties and appropriate stakeholders in implementing this section with respect to all of the following:

(1) Notifying the provider representatives of the proposed change.

(2) Scheduling at least one meeting to discuss the change.

(3) Allowing for written input regarding the change.

(4) Providing advance notice on the implementation and effective date of the change.

Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.