California Welfare and Institutions Code ARTICLE 3.8 - Medi-Cal Long-Term Care Reimbursement Act

• Section 14126.
  This article shall be known as the Medi-Cal Long-Term Care Reimbursement Act.(Repealed and added by Stats. 2004, Ch. 875, Sec. 5. Effective September 29, 2004....
• Section 14126.02.
  (a) It is the intent of the Legislature to devise a Medi-Cal long-term care reimbursement methodology that more effectively ensures individual access to appropriate long-term care...
• Section 14126.021.
  The department shall develop and implement a cost-based reimbursement rate methodology using the cost categories as described in Section 14126.023, for freestanding nursing facilities pursuant...
• Section 14126.022.
  (a) (1) By August 1, 2011, the department shall develop the Skilled Nursing Facility Quality and Accountability Supplemental Payment System, subject to approval by the federal Centers...
• Section 14126.023.
  (a) The methodology developed pursuant to this article shall be facility specific and reflect the sum of the projected cost of each cost category and passthrough...
• Section 14126.025.
  (a) The department shall seek approval of an amendment to the Medicaid state plan specifically outlining the reimbursement methodology developed pursuant to this article not later...
• Section 14126.027.
  (a) (1) The Director of Health Care Services, or his or her designee, shall administer this article.(2) The regulations and other similar instructions adopted pursuant to this article...
• Section 14126.028.
  (a) The Legislature finds and declares both of the following:(1) Section Q of the Minimum Data Set, Version 3.0, developed as part of the federal government’s nursing...
• Section 14126.031.
  (a) In implementing this article, the department may use the process outlined in subdivision (c) of Section 14126.02 to obtain professional consulting services for the purpose...
• Section 14126.033.
  (a) The Legislature finds and declares all of the following:(1) Costs within the Medi-Cal program continue to grow due to the rising cost of providing health care...
• Section 14126.034.
  (a) (1) The department shall convene a workgroup of interested stakeholders to make recommendations to the department to ensure compliance with the intent of this article, as...
• Section 14126.035.
  (a) This article shall remain operative only as long as Article 7.6 (commencing with Section 1324.20) of Chapter 2 of Division 2 of the Health and...
• Section 14126.036.
  This article shall become inoperative on August 1, 2020, and as of January 1, 2021, is repealed, unless a later enacted statute that is enacted...

Last modified: October 22, 2018