California Welfare and Institutions Code ARTICLE 2.6 - Selective Provider Contracts

• Section 14081.
  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...
• Section 14081.1.
  (a) The Legislature finds and declares the need to improve the reporting relationship between the state and hospitals eligible to contract with the state for the...
• Section 14081.5.
  Hospitals that are not selected for contracting under this article and that have negotiated in good faith to obtain a contract need not fulfill preexisting...
• Section 14082.
  Notwithstanding any other provision of law, the Governor shall designate a person in his office to act as a special negotiator to negotiate rates, terms,...
• Section 14082.5.
  The negotiator provided for in Section 14082 shall serve in such capacity for the 1982–83 fiscal year, after which his or her functions shall be...
• Section 14083.
  The factors to be considered by the negotiator in negotiating contracts under this article, or in drawing specifications for competitive bidding, include, but are not...
• Section 14083.5.
  In addition to considering factors specified in Section 14083, the negotiator, in negotiating contracts under this article, or in drawing specifications for competitive bidding, shall...
• Section 14084.
  (a) Payments to the contractor may be either on a capitation or prepayment basis, or on a combination of both methods of payment, or such other...
• Section 14085.
  All utilization controls applied to inpatient hospital services by the director in accordance with Section 14133.1 shall continue to be applied to inpatient hospital services...
• Section 14085.5.
  (a) Each disproportionate share hospital contracting to provide services under this article or contracting with a county organized health system, and which has or would have...
• Section 14085.51.
  (a) A disproportionate share hospital that qualifies under Section 14085.5 that has submitted final plans for an eligible capital project in accordance with subparagraph (C) of...
• Section 14085.52.
  (a) A disproportionate share hospital that qualifies under Section 14085.5 that has submitted final plans for an eligible capital project in accordance with subparagraph (C) of...
• Section 14085.53.
  (a) The Alameda Health System may revise plans submitted in accordance with subparagraph (C) of paragraph (1) of subdivision (b) of Section 14085.5 for the Alameda...
• Section 14085.54.
  (a) The Los Angeles County University of Southern California (LAC-USC) Medical Center may submit revised final plans to the Office of Statewide Health Planning and Development...
• Section 14085.55.
  Notwithstanding subparagraph (C) of paragraph (1) of subdivision (b) of Section 14085.5, eligible projects shall include those new capital projects funded by new debt for...
• Section 14085.56.
  (a) For the purposes of this section, “Los Medanos site,” means the site of the former Los Medanos Medical Center.(b) Contra Costa County Regional Medical Center may...
• Section 14085.57.
  (a) A designated public hospital, as defined in subdivision (d) of Section 14166.1, that is contracting to provide services under this article, and that has or...
• Section 14086.
  (a) The provisions of this article relating to contracts with hospitals, to be negotiated or let out to bid by the negotiator, shall apply only to...
• Section 14087.
  The provisions of this article shall not, however, be construed to preclude an otherwise qualified hospital from obtaining reimbursement as determined by the department based...
• Section 14087.1.
  The department or its authorized agents shall conduct periodic audits or reviews, including onsite audits or reviews, of performance under any contract made pursuant to...
• Section 14087.10.a.
  Any contract hospital that provides the services required by a Medi-Cal beneficiary and has a physician with staff privileges who is willing to accept the...
• Section 14087.101.
  For administrative costs incurred after January 1, 2004, the director may recover any administrative costs incurred by a health plan authorized by this article deemed...
• Section 14087.103.
  The department shall notify the health plan of the director’s decision to seek recovery of excess administrative costs pursuant to Section 14087.101 at least 30...
• Section 14087.105.
  When it has been determined that the director may recover any administrative costs deemed excessive pursuant to Section 14087.103, the director may recover any excess...
• Section 14087.11.
  (a) The provisions of this section shall be applicable to any county that seeks to provide or arrange for the provision of health care services provided...
• Section 14087.2.
  It is the intent of the Legislature that children’s hospitals need not contract under the provisions of this article until October 31, 1984. Services provided...
• Section 14087.21.
  Commencing November 1, 1984, reimbursement to children’s hospitals shall be on a basis that reflects the relative severity of pediatric diagnostic case types. For the...
• Section 14087.23.
  (a) Notwithstanding any other provision of law, and except as provided in subdivision (b), a county-operated community clinic, exempt from licensure under Section 1206 of the...
• Section 14087.25.
  In order to achieve maximum cost savings the Legislature hereby determines that an expedited contract process for contracts under this article is necessary. Therefore, contracts...
• Section 14087.26.
  In negotiating contracts pursuant to this article, the negotiator may designate a specific group of hospitals as the negotiating unit. The Legislature finds and declares...
• Section 14087.27.
  (a) Notwithstanding any other provision of law, judicial review pursuant to Section 1085 of the Code of Civil Procedure, shall be available to resolve disputes relating...
• Section 14087.28.
  (a) A hospital contracting with the Medi-Cal program pursuant to this chapter shall not deny medical staff membership or clinical privileges for reasons other than a...
• Section 14087.29.
  Hospitals or groups of hospitals with which a contract has been entered into pursuant to this article shall be exempt from the provisions of Chapter...

Last modified: October 22, 2018