Cal. Welfare and Institutions Code § 14079
Cal. Welfare and Institutions Code § 14079
California · California Welfare and Institutions Code · Status: effective · Effective 2020-06-29
Cite this
- Citation
- Cal. Welfare and Institutions Code § 14079, California, version 1 as recorded 2026-07-25, yourstate.us, https://yourstate.us/provision/952500
- Permanent ID
ys:prov:952500@1- SHA-256
d80085ac3018cc29dc3ba139647f605bad454e4db5040083f166738022f07a8d
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) The director shall periodically review the reimbursement levels for physician and dental services in the Medi-Cal fee-for-service delivery system, and shall periodically revise the rates of reimbursement to physicians and dentists to the extent the director deems necessary to comply with applicable federal Medicaid program requirements, including provisions on reasonable access to physician and dental services for Medi-Cal beneficiaries.
(b) To the extent consistent with the department’s federally approved access monitoring plan, or any successor methodology for monitoring reasonable access to Medi-Cal covered services, as described in Section 1396a(a)(30)(A) of Title 42 of the United States Code, this periodic review, as it relates to rates for physician services, shall take into account at least the following factors:
(1) Annual cost increases for physicians as reflected by the Consumer Price Index.
(2) Physician reimbursement levels under the Medicare Program.
(3) Prevailing customary physician charges within the state and in various geographical areas.
(4) Characteristics of the current population of Medi-Cal beneficiaries and the medical services needed.