§ 14170 (a) (1) Amounts paid for services provided to Medi-Cal …
§ 14170.1 (a) Prior to the issuance to a provider of pharmaceutical …
§ 14170.5 (a) No provider’s claims for reimbursement under this chapter …
§ 14170.8 (a) Notwithstanding any other provision of law, every primary …
§ 14170.10 v2 (a) No provider shall submit a claim to the department or its …
§ 14170.11 (a) No person or entity shall submit a claim to the department …
§ 14170.12 Effective January 1, 2012, and notwithstanding Section 19130 of the …
§ 14171 (a) The director shall establish administrative appeal processes …
§ 14171.5 Any institutional provider of health care services that obtained …
§ 14171.6 (a) (1) Any provider, as defined in paragraph (3), that …
§ 14172 (a) Except as provided in subdivision (b), if any amount is due …
§ 14172.5 (a) No later than 60 days after the completion of an audit or …
§ 14173 An abstract of a judgment obtained pursuant to subdivision (a) of …
§ 14174 The right of the director to use the summary judgment procedure …
§ 14175 The director may release any lien imposed pursuant to subdivision (a) …
§ 14176 The director may recover a due and payable overpayment made to a …
§ 14176.5 Whenever it has been determined, pursuant to an audit conducted by …
§ 14177 When it has been determined that a provider of health care services …
§ 14178 (a) Counties shall be held harmless in accordance with the …

Terms Used In California Codes > Welfare and Institutions Code > Division 9 > Part 3 > Chapter 7 > Article 5.3 - Audit, Appeal, and Recovery of Overpayments

  • Abstract of judgment: In a federal criminal proceeding, A certification from a U.S. District Court clerk that a judgment of restitution was entered against the defendant owing to the victim. If the defendant inherits, owns, or sells real property or holdings, these assets can then be attached at the state and local levels as well.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • County: includes "city and county. See California Welfare and Institutions Code 14
  • department: means the State Department of Health Services. See California Welfare and Institutions Code 14062
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Medi-Cal: means the California Medical Assistance Program. See California Welfare and Institutions Code 14063
  • Personal property: All property that is not real property.
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Spouse: includes "registered domestic partner" as required by §. See California Unemployment Insurance Code 11.2