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§ 50117. Calculation of Medi-Cal Fiscal Penalties.

22 CA ADC § 50117Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 22. Social Security
Division 3. Health Care Services
Subdivision 1. California Medical Assistance Program (Refs & Annos)
Chapter 2. Determination of Medi-Cal Eligibility and Share of Cost
Article 2. Administration
22 CCR § 50117
§ 50117. Calculation of Medi-Cal Fiscal Penalties.
Currentness
(a) The Department shall calculate the fiscal penalty for a liable county for each monitoring period as follows:
(1) A penalty multiple shall be calculated by multiplying a county's case error rate times its percentage of statewide Medi-Cal cases.
(2) A county's penalty multiple shall be divided by the sum of the penalty multiples of all counties then multiplied times the penalty bank.
(b) The penalty bank shall include only quality control federal fiscal sanctions, federal withholds, federal disallowances, and any associated General Fund expenditures, minus the value of any state assumed errors and the General Fund share of the value of client caused errors.
(c) The case error rate and penalty multiple shall be adjusted by excluding client errors for the purpose of determining the associated General Fund expenditures.
(d) If the Federal Government reduces or eliminates any quality control federal fiscal sanction, federal withhold or federal disallowance assessed a county as a penalty, the Department shall reduce or eliminate the corresponding fiscal penalty assessment including any associated General Fund expenditures to liable counties.
(e) The monitoring period shall be the federal fiscal year. Fiscal penalties shall apply to the entire monitoring period. The first monitoring period shall begin October 1, 1988.

Credits

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 14016(g), Welfare and Institutions Code.
History
1. New section filed 7-6-83 as an emergency; effective upon filing (Register 83, No. 33). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-3-83.
2. Certificate of Compliance transmitted to OAL 11-3-83 and filed 12-6-83 (Register 83, No. 50).
3. Corrected Certificate of Compliance as to 7-6-83 order filed 1-9-84 (Register 84, No. 2).
4. Amendment filed 5-15-92; operative 6-15-92 (Register 92, No. 21).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50117, 22 CA ADC § 50117
End of Document