Cal. Code Regs. Tit. 22, § 53101 - Actuarial Equivalence

Actuarial equivalence means the per capita costs for Medi-Cal fee-for-service beneficiaries adjusted by age, sex, aid category, scope of services and other appropriate factors, as determined by the Department, in order to be comparable with the costs for Medi-Cal beneficiaries who are members of prepaid health plans.

Notes

Cal. Code Regs. Tit. 22, § 53101

1. New section filed 7-5-78; effective thirtieth day thereafter (Register 78, No. 27).

Note: Authority cited: Sections 14124.5 and 14312, Welfare and Institutions Code. Reference: Sections 14201, 14251, 14256, 14261, 14262(a) (b) (c), 14300, 14301, 14302, 14303, 14303.1, 14303.2, 14304, 14308, 14312, 14402, 14405, 14406(a) (b), 14408(d), 14409(a) (b), 14410, 14411(a) (b), 14412, 14413, 14450, 14451, 14451.5(a) (b), 14452, 14452.5, 14454, 14455, 14456, 14459, 14460, 14475, 14476, 14477, 14478, 14479, 14480, 14481 and 14482, Welfare and Institutions Code.

1. New section filed 7-5-78; effective thirtieth day thereafter (Register 78, No. 27).