Cal. Code Regs. Tit. 22, § 51471.1 - Reimbursements for Program Underpayments

Providers shall cooperate with the Department in making reimbursements to beneficiaries for Medi-Cal program underpayments. Providers shall provide such beneficiaries with documentation of claims for reimbursement on forms provided by the Department. Providers shall accept an underpayment adjustment from the Medi-Cal program for such beneficiaries and reimburse such beneficiaries the full amount of that adjustment, up to the amount actually received in payment from the beneficiary for the medical services in question.

Notes

Cal. Code Regs. Tit. 22, § 51471.1

1. New section filed 3-21-77 as an emergency; effective upon filing (Register 77, No. 13). For prior history, see Register 77, No. 13.
2. Certificate of Compliance filed 5-20-77 (Register 77, No. 21).
3. Editorial correction of first sentence (Register 95, No. 45).

Note: Authority cited: Sections 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14005.7, 14017 and 14018, Welfare and Institutions Code.

1. New section filed 3-21-77 as an emergency; effective upon filing (Register 77, No. 13). For prior history, see Register 77, No. 13.
2. Certificate of Compliance filed 5-20-77 (Register 77, No. 21).
3. Editorial correction of first sentence (Register 95, No. 45).