California Welfare and Institutions Code ARTICLE 5.228 - Medi-Cal Hospital Provider Rate Improvement Act of 2011

Section 14169.1.
For the purposes of this article, the following definitions shall apply:(a) “Acute psychiatric days” means the total number of Medi-Cal specialty mental health service administrative days,...
Section 14169.2.
(a) Private hospitals shall be paid supplemental amounts for the provision of hospital outpatient services as set forth in this section. The supplemental amounts shall be...
Section 14169.3.
(a) Except as provided in Section 14169.19, private hospitals shall be paid supplemental amounts for the provision of hospital inpatient services for the program period as...
Section 14169.5.
(a) The department shall increase capitation payments to Medi-Cal managed health care plans for each subject fiscal year as set forth in this section.(b) The increased capitation...
Section 14169.6.
(a) Each managed health care plan receiving increased capitation payments under Section 14169.5 shall expend the capitation rate increases in a manner consistent with actuarial certification,...
Section 14169.7.
(a) (1) Designated public hospitals shall be paid direct grants in support of health care expenditures, which shall not constitute Medi-Cal payments, and which shall be funded...
Section 14169.7.5.
(a) The Low Income Health Program MCE Out-of-Network Emergency Care Services Fund is hereby established in the State Treasury. The moneys in the fund shall, upon...
Section 14169.8.
(a) The amount of any payments made under this article to private hospitals, including the amount of payments made under Sections 14169.2, 14169.3, and 14169.7.5 and...
Section 14169.9.
The payments to a hospital under this article shall not be made for any portion of a subject fiscal year during which the hospital is...
Section 14169.10.a.
(a) For only as long as the selective provider contracting program pursuant to Article 2.6 (commencing with Section 14081) is in effect, the amount of any...
Section 14169.11.
The department shall make disbursements from the Hospital Quality Assurance Revenue Fund consistent with the following:(a) Fund disbursements shall be made periodically within 15 days of...
Section 14169.12.
(a) Exclusive of payments made under Article 5.21 (commencing with Section 14167.1) and Article 5.226 (commencing with Section 14168.1), payment rates for hospital outpatient services, furnished...
Section 14169.13.
(a) The director shall do all of the following:(1) Promptly submit any state plan amendment or waiver request that may be necessary to implement this article.(2) Promptly seek...
Section 14169.14.
Notwithstanding any other provision of this article or Article 5.229 (commencing with Section 14169.31), the director may proportionately reduce the amount of any supplemental payments...
Section 14169.15.
The director may, pursuant to Section 14169.40, decide not to implement or to discontinue implementation of this article and Article 5.229 (commencing with Section 14169.31),...
Section 14169.16.
(a) This article shall remain operative only until the later of the following:(1) January 1, 2015.(2) The date of the last payment of the quality assurance fee payments...
Section 14169.17.
Notwithstanding any other provision of law, if federal approval or a letter that indicates likely federal approval in accordance with Section 14169.34 has not been...
Section 14169.17.5.
Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement this...
Section 14169.18.
If the director determines that this article has become inoperative pursuant to Section 14169.13, 14169.16, 14169.17, or 14169.40, the director shall execute a declaration stating...
Section 14169.19.
(a) It is the intent of the Legislature to consider legislation requiring the director to seek approval to increase payments to hospitals in accordance with subdivision...

Last modified: October 22, 2018