California Welfare and Institutions Code 14106 – If a Medi-Cal provider negotiates a rate of payment for inpatient, …
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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.
(Amended by Stats. 1982, Ch. 328, Sec. 27. Effective June 30, 1982.)
Terms Used In California Welfare and Institutions Code 14106
- Contract: A legal written agreement that becomes binding when signed.
- department: means the State Department of Health Services. See California Welfare and Institutions Code 14062
- Medi-Cal: means the California Medical Assistance Program. See California Welfare and Institutions Code 14063