Cal. Welf. & Inst. Code §§ 15909 through 15916: Public Social Services — Low Income Health Program – California

Status: Enacted
Year Enacted: 2010
Year Amended: 2013
File: Download

In consultation with participating entities, the department shall determine actuarially sound per enrollee capitation rates for LIHPs that are adequate and sufficient to ensure access to services for enrollees and to at least cover the projected cost of care. The department may develop additional payment mechanisms that provide for incentive payments to LIHPs that meet designated performance criteria for quality of and access to care. The department may include risk corridors to allow for adjustments to rates if the actual cost or utilization of a LIHP exceeds the projected cost.


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