Statutes, codes, and regulations
California Code Of Regulations
Title 9 - Rehabilitative and Developmental ServicesDivision 1 - Department of Mental HealthChapter 11 - Medi-Cal Specialty Mental Health ServicesSubchapter 5 - Problem Resolution Processes
Article 5 - Resolution of Disputes Between MHPs and Medi-Cal Managed Care Plans
Section 1850.515 - Department's Responsibility for Review of Disputes

Cal. Code Regs. tit. 9 § 1850.515

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Current through Register 2024 Notice Reg. No. 49, December 6, 2024
Section 1850.515 - Department's Responsibility for Review of Disputes
(a) The Department shall designate at least one and no more than two individuals to review the dispute and make a joint recommendation to the Director of the Department or his/her designee(s).
(b) The recommendation shall be based on a review of the submitted documentation in relation to the statutory, regulatory and contractual obligations of the MHP and the Medi-Cal Managed Care Plan.
(c) The individuals reviewing the dispute may, at their discretion, allow representatives of both the MHP and the Medi-Cal Managed Care Plan an opportunity to present oral argument.

Cal. Code Regs. Tit. 9, § 1850.515

1. New section filed 5-19-2006; operative 6-18-2006 (Register 2006, No. 20).
2. Change without regulatory effect amending section heading, subsection (a) and NOTE filed 8-24-2015 pursuant to section 100, title 1, California Code of Regulations (Register 2015, No. 35).

Note: Authority cited: Sections 10725, 14680 and 14700, Welfare and Institutions Code. Reference: Sections 14681, 14683, 14684, 14718 and 14721, Welfare and Institutions Code.

1. New section filed 5-19-2006; operative 6-18-2006 (Register 2006, No. 20).
2. Change without regulatory effect amending section heading, subsection (a) and Note filed 8-24-2015 pursuant to section 100, title 1, California Code of Regulations (Register 2015, No. 35).