California Code of Regulations
Title 9 - Rehabilitative and Developmental Services
Division 1 - Department of Mental Health
Chapter 11 - Medi-Cal Specialty Mental Health Services
Subchapter 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
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(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.
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.
