§ 50786. Action on Overpayment--Department of Health Services or County Unit Contracted to Coll...
22 CA ADC § 50786Barclays Official California Code of Regulations
22 CCR § 50786
§ 50786. Action on Overpayment--Department of Health Services or County Unit Contracted to Collect Overpayments.
(E) Potential overpayments, due to beneficiary possession of other health coverage that is not subject to post-services reimbursement, shall be processed by the Department to determine and recover actual overpayments in all cases. The actual overpayment in such cases shall be the actual cost of services paid by the Department which would have been covered by private health insurance or other health coverage, had the coverage been known to the Department. The actual overpayment shall not include any costs which can be recovered directly by the Department from the health insurance carrier or other source.
Credits
Note: Authority cited: Sections 10725 and 14124.5, Welfare and Institutions Code. Reference: Sections 11004, 14005.9, 14009 and 14016.4, Welfare and Institutions Code.
History
1. Amendment filed 12-30-81 as an emergency; effective upon filing (Register 82, No. 1). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-29-82.
2. Certificate of Compliance transmitted to OAL 4-23-82 and filed 5-12-82 (Register 82, No. 20).
3. Amendment filed 5-12-82; effective thirtieth day thereafter (Register 82, No. 20).
4. Amendment of subsection (a)(2)(A)2. filed 6-3-87; operative 7-3-87 (Register 87, No. 24).
5. Amendment of subsections (a)(2)(B)1. and 2. and Note filed 4-13-93; operative 5-13-93 (Register 93, No. 16).
This database is current through 6/21/24 Register 2024, No. 25.
Cal. Admin. Code tit. 22, § 50786, 22 CA ADC § 50786
End of Document |