CA Welf & Inst Code Section 14133.5

There shall be established a two-year pilot program, whereby in Alameda County, utilization controls shall not be required when, pursuant to Title XVIII of the federal Social Security Act, a county hospital based utilization review committee has been established to determine the level of authorization for payment and a utilization plan has been filed with the department and approved by it. The department shall adopt rules and regulations to implement this section, within 60 days of the effective date of this act, including requirements that a hospital’s utilization review committee shall demonstrate that it is more cost-effective than the Medi-Cal utilization control function. No later than 18 months following the commencement of the pilot program, the department shall submit a report to the Legislature on the program.
Last Updated

Aug. 19, 2023

§ 14133.5’s source at ca​.gov