AB 1216, as introduced, Bonta. Medi-Cal: plan amendments and waiver applications.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Existing law grants the department the rights and duties necessary to conform to requirements for securing approval of an agreement, or state plan, between the state and the federal government under Title XIX of the federal Social Security Act that describes the nature and scope of the Medi-Cal program. Existing law requires the department to seek approval from the federal Centers for Medicare and Medicaid Services (CMS) of any amendments to the state plan or a waiver from the requirements of the act for the purposes of continued federal financial participation under the act. Existing law requires the department to post on its Internet Web site all submitted state plan amendments and all federal waiver applications and requests for new waivers, waiver amendments, and waiver renewals and extensions, within 10 business days from the date of submission of those documents to CMS. Existing law requires the department to post on its Internet Web site all pending submitted state plan amendments and federal waiver applications and requests that the department submitted to CMS in 2009 and every year thereafter.
This bill would instead require the department to post on its Internet Web Site all submitted state plan amendments and all federal waiver applications and requests for new waivers, waiver amendments, and waiver renewals and extensions within 7 business days from the date of submission, and would also require the department to post all pending submitted state plan amendments and federal waiver applications and requests.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
Section 14100.3 of the Welfare and Institutions
2Code is amended to read:
(a) The State Department of Health Care Services
4shall post on its Internet Web site all submitted state plan
5amendments and all federal waiver applications and requests for
6new waivers, waiver amendments, and waiver renewals and
7extensions, withinbegin delete 10end deletebegin insert sevenend insert business days from the date the
8department submits these documents for approval to the federal
9Centers for Medicare and Medicaid Services (CMS).
10(b) The department shall post on its Internet Web site final
11approval or denial letters and accompanying documents for all
12submitted state plan amendments and federal waiver
applications
13and requests within 10 business days from the date the department
14receives notification of final approval or denial from CMS.
15(c) If the department notifies CMS of the withdrawal of a
16submitted state plan amendment or federal waiver application or
17request, as described in subdivisions (a) and (b), the department
18shall post on its Internet Web site the withdrawal notification within
1910 business days from the date the department notifies CMS of
20the withdrawal.
21(d) Unless already posted on the Internet Web site pursuant to
22subdivisions (a) to (c), inclusive, the department shall post on its
23 Internet Web site all pending submitted state plan amendments
P3 1and federal waiver applications andbegin delete requests, that the department begin insert
requests.end insert
2submitted to CMS in 2009 and every year thereafter.end delete
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