California Welfare and Institutions Code

§ 14103.5

WIC § 14103.5 Effective Oct 10, 2007Div. 9 · Part 3 · Ch. 7 · Art. 3

Statute text

(a)A noncontract hospital that is in a closed health facility planning area is not eligible to receive reimbursement for services provided to a Medi-Cal beneficiary, unless either of the following apply:

(1)The noncontract hospital provides necessary emergency services to a Medi-Cal beneficiary who is in a life threatening or emergency situation, but cannot be sufficiently stabilized in order to facilitate transport to a contracting hospital.

(2)The noncontract hospital is a facility location of a nonprofit hospital that is an affiliate of a nonprofit health care service plan, the facility location is approved in accordance with the standards of the California Children’s Services (CCS) program, and the hospital is providing medically necessary services for treatment of the CCS-eligible condition of a patient when all of the following apply:

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Legislative history

Amended by Stats. 2007, Ch. 418, Sec. 1. Effective October 10, 2007.