Cal. Code Regs. tit. 17 § 1065.25

Current through Register 2024 Notice Reg. No. 24, June 14, 2024

Section 1065.25 - State-Initiated Exclusions from Medicaid and Medi-Cal

The department may initiate exclusions from Medicaid and Medi-Cal when the grounds for taking a permissive exclusion under 42 CFR part 1002 exist. The department shall initiate exclusions from Medicaid and Medi-Cal when the grounds for taking a mandatory exclusion under 42 CFR part 1002 exist. Before imposing an exclusion, the department shall give a provider of service an opportunity to submit documents and written argument against the exclusion. A provider of service that is dissatisfied with the imposition of an exclusion may seek judicial review by filing a petition for writ of mandate in accordance with the provisions of the Code of Civil Procedure.

Cal. Code Regs. Tit. 17, § 1065.25

1. New section filed 8-28-97 as an emergency; operative 8-28-97 (Register 97, No. 35). A Certificate of Compliance must be transmitted to OAL by 12-26-97 or emergency language will be repealed by operation of law on the following day.
2. Certificate of Compliance as to 8-28-98 order transmitted to OAL 12-24-97 and filed 2-9-98 (Register 98, No. 7).

Note: Authority cited: Section 1224, Business and Professions Code; Section 100275, Health and Safety Code; Stats. 1995, c.510, Section 1; and Section 14105, Welfare and Institutions Code. Reference: Stats.1995, c.510, Section 1; Section 101160, Health and Safety Code; Sections 1265, 1267, 1280, 1281, 1282, 1283, 1284, 1285, 1286, 1287, 1288.5, 1289, 1310, 1320, 1323, 1324 and 1326, Business and Professions Code; Sections 11503, 11504, 11506 and 11523, Government Code; 42 USC, Section 1395x(s) [Section 1861(s) of the Social Security Act]; 42 United States Code, Section 1395w-2 [Section 1846 of the federal Social Security Act]; 42 United States Code, Section 1396a(a)(9)(C) [Section 1902(a)(9)(C) of the federal Social Security Act]; 42 United States Code, Section 1396a(a)(30) [Section 1902(a)(30) of the federal Social Security Act]; 42 USC Section 1396a(p) [Section 1902(p) of the Social Security Act]; 42 CFR Section 1002.2; 42 CFR Sections 1001.201 through 1001.1701; Section 14123, Welfare and Institutions Code; and 42 CFR Section 493.1840.