California Welfare and Institutions Code

§ 14104.3

WIC § 14104.3 Effective Oct 12, 2001Div. 9 · Part 3 · Ch. 7 · Art. 3

Statute text

(a)The department may, to the extent feasible, enter into nonexclusive contracts providing arrangements under which funds available for health care under this chapter shall be administered and disbursed to providers of health care or to their designated agents in consideration for services rendered and supplies furnished by them in accordance with the provisions of the applicable contract and any schedule of charges or formula for determining payments established pursuant to the contract. The contract shall provide that the contractor:

(1)Will take any action as may be necessary to assure that payment for services to hospitals and other facilities and professional services shall be based on standards determined by the director. The formula for the payments shall be determined in accordance with regulations establishing the methods to be used and the items to be included.

(2)Will take any action which may be necessary to assure that charges by providers will be reasonable and not higher than the charge for a comparable service and under comparable circumstances made to other payors.

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Legislative history

Amended by Stats. 2001, Ch. 745, Sec. 250. Effective October 12, 2001.