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§ 50118.5. Reconsideration of a Medi-Cal Fiscal Penalty.

22 CA ADC § 50118.5Barclays 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 § 50118.5
§ 50118.5. Reconsideration of a Medi-Cal Fiscal Penalty.
Currentness
(a) A county may request reconsideration of a Medi-Cal fiscal penalty if the county case error rate is caused by circumstances outside the control of the county. Such circumstances may include, but are not necessarily limited to, the following:
(1) Natural disasters which contribute significantly to the county case error rate.
(2) Work stoppages or other work activity beyond the control of the county which has a significant adverse impact on the processing of Medi-Cal eligibility cases.
(3) Failure by the Department to meet the minimum sample of cases specified in Section 50116.
(4) Such other occurrences as determined by the Director.
(b) The county shall have thirty days from the date of the Department's notice of fiscal penalty to file a written request for reconsideration with the Director. The request shall be signed by the county department Director and shall include a concise, detailed explanation of the basis for requesting reconsideration. The Director may, for good cause, extend the time to sixty days for the county to submit a request for reconsideration.
(c) Based on all the available written material, the Director shall address a decision on reconsideration to the county, in writing, within sixty days of receipt of the request.

Credits

Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Section 14016(f), 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 A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-3-83.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, § 50118.5, 22 CA ADC § 50118.5
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