California
§ 50793. Utilization Restrictions.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 50793Program Integrity Fraud AbuseReimbursement Payment
Utilization Restrictions.
Authorizes time-limited Medi-Cal utilization restrictions for beneficiaries found to misuse benefits and specifies prior authorization, provider, pharmacy, notice, and hearing conditions.
Group
Payment Program Integrity
Category
Program Integrity Fraud Abuse
Domain
Billing Reimbursement
Topics
Medi Cal utilization restrictions, Prior authorization, Restricted provider selection
Taxonomy
Regulatory category mix