California Welfare and Institutions Code ARTICLE 3.5 - Physician Services Account

• Section 16951.
  As a condition of receiving funds pursuant to this chapter, each county shall establish an emergency medical services fund as authorized by subdivision (a) of...
• Section 16952.
  (a) (1) Each county shall establish within its emergency medical services fund a Physician Services Account. Each county shall deposit in the Physician Services Account those funds...
• Section 16952.1.
  (a) Each county that elects to establish a Physicians Services Account in the county emergency medical services fund shall annually, on April 15, report to the...
• Section 16952.5.
  (a) Notwithstanding subdivision (g) of Section 16952, expenses incurred by Solano County for the development of managed care systems to increase access for indigents to physician...
• Section 16953.
  (a) For purposes of this chapter “emergency services” means physician services in one of the following:(1) A general acute care hospital which provides basic or comprehensive emergency...
• Section 16953.1.
  Notwithstanding any other provision of this chapter, an emergency physician and surgeon, or an emergency physician group, with a gross billings arrangement with a hospital...
• Section 16953.2.
  Nothing in this article shall prevent a physician from utilizing an agent who furnishes billing and collection services to the physician to submit claims or...
• Section 16953.3.
  (a) Notwithstanding any other restrictions on reimbursement, a county shall adopt a fee schedule to establish a uniform, reasonable level of reimbursement from the Physician Services...
• Section 16955.
  Reimbursement for losses incurred by any physician shall be limited to services provided to a patient as established by subdivisions (f) and (g) of Section...
• Section 16955.1.
  This article shall not be applied or interpreted so as to prevent a physician from seeking payment from a patient or responsible third-party payor, or...
• Section 16956.
  (a) The administering agency shall establish procedures and time schedules for submission and processing of reimbursement claims submitted by physicians in accordance with this chapter.(b) Schedules for...
• Section 16956.5.
  (a) The administering agency may establish an EMS Fund advisory committee. The committee shall include emergency physicians and emergency department oncall backup panel physicians. The committee...
• Section 16957.
  Any physician who submits any claim in accordance with this chapter shall keep and maintain records of the services rendered, the person to whom services...
• Section 16958.
  If, after receiving payment from the account, a physician is reimbursed by a patient or a responsible third-party, the physician shall do one of the...
• Section 16959.
  The moneys contained in a Physician Services Account within an Emergency Medical Services Fund shall not be subject to Chapter 2.5 (commencing with Section 1797.98a)...

Last modified: October 22, 2018