Ariz. Rev. Stat. §§ 36-3401 through 36-3416: Behavioral Health Services — General Provisions – Arizona
Status: Enacted Year Enacted: 1986
If the administration contracts with behavioral health contractors that would act as regional behavioral health authorities or directly with a service provider for behavioral health services, the administration and each behavioral health contractor or service provider shall prepare and make available monthly summary statements, in a …
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Cal. Bus. & Prof. Code §§ 510 through 512: Advocacy for Appropriate Health Care – California
Status: Enacted Year Enacted: 1994
A provider whose employment or contractual relationship is terminated or is penalized for appealing a payer’s decision to deny payment for a service pursuant to the reasonable grievance or appeal procedure or protest a decision, …
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Cal. Health & Safety Code §§ 1374.60 through 1374.76: Knox-Keene Health Care Service Plan Act of 1975 — Point-of-Service Health Care Service Plan Contracts – California
Status: Enacted Year Enacted: 1993
For purpose of point-of-service health care Service plan contracts, the definitions as specified shall apply. A point-of-service plan contract, in which any risk for out-of-network coverage or services is transferred from a health care service …
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Cal. Labor Code §§ 4600 through 4615: Workers’ Compensation and Insurance — Medical and Hospital Treatment – California
Status: Enacted Year Enacted: 1993
In order to prevent the improper selling, leasing, or transferring of a health care provider’s contract, it is the intent of the Legislature that every arrangement that results in any payor paying a health care …
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Cal. Welf. & Inst. Code §§ 14081 through 14087.29: Selective Provider Contracts – California
Status: Enacted Year Enacted: 1982
It is the purpose of this article to ensure that the Medi-Cal program shall be operated in the most cost-effective and efficient manner possible with the optimum number of inpatient hospital service providers. In order …
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Cal. Welf. & Inst. Code §§ 14087.3 through 14087.48: Contracts for Medi-Cal Services and Case Management – California
Status: Enacted Year Enacted: 1982
The director may contract, on a bid or nonbid basis, with any qualified individual, organization, or entity to provide services to, arrange for or case manage the care of Medi-Cal beneficiaries. At the director’s discretion, …
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Cal. Welf. & Inst. Code §§ 14087.96 through 14087.9730: Managed Health Care System for Los Angeles County – California
Status: Enacted Year Enacted: 1994
The board of supervisors may, by ordinance, resolution, or other action, establish a commission in order to meet the problems of delivery of publicly assisted medical care in the county and demonstrate ways of promoting …
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Cal. Welf. & Inst. Code §§ 14088 through 14088.25: Primary Care Provider Case Management – California
Status: Enacted Year Enacted: 1982
The department or a county which has contracted for the provision of services pursuant to this article may, within service areas designated by the department, enter into contracts with primary care providers. The contracts shall …
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Cal. Welf. & Inst. Code §§ 14131 through 14138: The Medi-Cal Benefits Program – California
Status: Enacted Year Enacted: 1974
Any increase in the amount charged to the Medi-Cal program for patient care or treatment that is directly related to an identifiable provider-preventable condition is excluded from reimbursement under Medi-Cal.
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Cal. Welf. & Inst. Code §§ 14139.05 through 14139.62: Long-Term Care Integration Pilot Program – California
Status: Enacted Year Enacted: 1995
The Legislature finds and declares that: the office of the Legislative Analyst and others have pointed out that California’s systems of service delivery in a number of areas are dysfunctional, due to the fragmentation of …
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Cal. Welf. & Inst. Code §§ 14165 through 14165.11: California Medical Assistance Commission – California
Status: Enacted Year Enacted: 1982
California Medical Assistance Commission dissolved on June 30, 2012 (Cal. Welf. & Inst. Code § 14165). The Director of Health Care Services has taken upon all powers, duties, and responsibilities of the commission. The commission …
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Cal. Welf. & Inst. Code §§ 14168.31 through 14168.41: Hospital Quality Assurance Fee Act of 2011 – California
Status: Enacted Year Enacted: 2011
The definitions in this statute controls this chapter (Hospital Quality Assurance Fee Act of 2011).
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Cal. Welf. & Inst. Code §§ 14169.1 through 14169.19: Medi-Cal Hospital Provider Rate Improvement Act of 2011 – California
Status: Enacted Year Enacted: 2011
For only as long as the selective provider contracting program pursuant to Article 2.6 (commencing with Section 14081) is in effect, the amount of any supplemental payment under this article for a new noncontract hospital …
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Cal. Welf. & Inst. Code §§ 14169.31 through 14169.42: Private Hospital Quality Assurance Fee Act of 2011 – California
Status: Enacted Year Enacted: 2011
There shall be imposed on each general acute care hospital that is not an exempt facility a quality assurance fee, provided that a quality assurance fee under this article shall not be imposed on a …
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Cal. Welf. & Inst. Code §§ 14169.50 through 14169.76: Medi-Cal Hospital Reimbursement Improvement Act of 2013 – California
Status: Enacted Year Enacted: 2013
The Legislature continues to recognize the essential role that hospitals play in serving the state’s MediCal beneficiaries. To that end, it has been, and remains, the intent of the Legislature to improve funding for hospitals …
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Cal. Welf. & Inst. Code §§ 14180 through 14182.45: Health Care Coordination; Improvement, and Long-Term Cost Commitment Waiver or Demonstration Project – California
Status: Enacted Year Enacted: 2009
The department shall submit an application to the federal Centers for Medicare and Medicaid Services for a waiver or a demonstration project to implement all of the following: (1) Strengthen California’s health care safety net, …
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