California
§ 53251. Assumption of Financial Risk.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 53251Reimbursement PaymentCost Reporting
Assumption of Financial Risk.
Assigns responsibility for covered care costs, establishes excess-cost payment and documentation procedures, and requires plans to retain significant financial risk.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Prepaid plan financial risk, Medi Cal covered care costs, Risk limits