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 1850.535 - Additional Conditions of the Dispute Resolution Process
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(a) Nothing in this Article shall preclude the Department from taking oversight/corrective actions against its plans.
(b) Nothing in this Article shall preclude a beneficiary from utilizing the MHP's beneficiary problem resolution process or any similar process offered by the Medi-Cal managed care plan or to request a fair hearing. When there is a conflict between a fair hearing decision and a decision by the Department under this Article, the fair hearing decision shall take precedence.
1. New section
filed 5-19-2006; operative 6-18-2006 (Register 2006, No. 20).
2. Change
without regulatory effect amending section 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.