If a Medi-Cal provider negotiates a rate of payment for inpatient, outpatient, or ancillary services with a prepaid health plan under contract with the department pursuant to Chapter 8 (commencing with Section 14200) of this part which is lower than or equal to the lesser of reasonable costs, customary charges, or the schedule of maximum allowances, the rate shall not affect the director’s determination of reasonable costs, customary charges, or schedule of maximum allowances.
Cal. Welf. & Inst. Code § 14106
Administration
Known as the Medi-Cal Act
The act spans §§ 14000 to 14199.87 (1,239 sections).
Applied in 1 court decision — leading case Everhealth Foundation, Inc. v. Department of Health Services (1985)
Most recently applied in Everhealth Foundation, Inc. v. Department of Health Services (May 1985)
Amended by Stats. 1982, Ch. 328, Sec. 27
Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.