California Welfare and Institutions Code 14103.8 – (a) Medi-Cal services for beneficiaries who are eligible for …
(a) Medi-Cal services for beneficiaries who are eligible for services under the California Children’s Services Act (Article 5 (commencing with Section 123800) of Chapter 3 of Part 2 of Division 106 of the Health and Safety Code) as well as the Medi-Cal program shall be subject to prior authorization by the director.
(b) Claims for payment of prior authorized services shall be reviewed by postpayment audit conducted by the department, and shall not be subject to prepayment review under the California Children’s Services Act prior to submission to the Medi-Cal fiscal intermediary.
Terms Used In California Welfare and Institutions Code 14103.8
- department: means the State Department of Health Services. See California Welfare and Institutions Code 14062
- director: means the State Director of Health Services. See California Welfare and Institutions Code 14061
- Medi-Cal: means the California Medical Assistance Program. See California Welfare and Institutions Code 14063
(c) The California Children’s Services program may require all applicants who are potentially eligible for cash grant public assistance to apply for Medi-Cal eligibility prior to becoming eligible for funded services.
(Amended by Stats. 1996, Ch. 1023, Sec. 473. Effective September 29, 1996.)