California
§ 50037.5. Eligibility Quality Control.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 50037.5Program Integrity Fraud AbuseQuality Governance
Eligibility Quality Control.
Defines eligibility quality control as federally and state-mandated review of Medi-Cal cases to ensure proper eligibility determinations.
Group
Payment Program Integrity
Category
Program Integrity Fraud Abuse
Domain
Billing Reimbursement
Topics
Medi Cal eligibility review, Eligibility quality control, Case review
Taxonomy
Regulatory category mix