Today's Law As Amended


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AB-910 Medi-Cal: dispute resolution.(2019-2020)



As Amends the Law Today


SECTION 1.

 Section 14715.5 is added to the Welfare and Institutions Code, immediately following Section 14715, to read:

14715.5.
 (a) (1) If a county mental health plan and a Medi-Cal managed care plan have a dispute, as described in Section 1850.505 of Title 9 of the California Code of Regulations, and are unable to reach a resolution within 15 business days from the initiation of the dispute resolution process, both the county mental health plan and the Medi-Cal managed care plan shall submit a request for resolution to the department.
(2) The department shall, within 30 calendar days from the receipt of the request by either the county mental health plan or the Medi-Cal plan, issue a written decision to the county mental health plan and the Medi-Cal managed care plan.
(b) A dispute between the county mental health plan and the Medi-Cal managed care plan shall not delay the provision of medically necessary services by the Medi-Cal managed care plan or the county mental health plan. Pending resolution of the dispute, both plans shall comply with Section 1850.525 of Title 9 of the California Code of Regulations.