California Welfare and Institutions Code

§ 14133.05

WIC § 14133.05 Effective Jul 7, 2000Div. 9 · Part 3 · Ch. 7 · Art. 4

Statute text

(a)Notwithstanding any other provision of law, a request for a treatment authorization received by the department shall be reviewed for medical necessity only.

(b)Any claim for a service that is authorized pursuant to a treatment authorization request that qualifies for approval under the requirements established by the department in regulations shall be reduced in accordance with Section 14115.

(c)If a provider does not agree with the decision on a treatment authorization request, the provider may appeal the decision pursuant to procedures set forth in regulations adopted by the department.

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Legislative history

Added by Stats. 2000, Ch. 93, Sec. 95. Effective July 7, 2000.