California Law (Last Updated: March 4, 2014) |
Welfare and Institutions Code - WIC |
Division 9. PUBLIC SOCIAL SERVICES |
Part 4.7. HEALTH CARE FOR INDIGENTS |
Chapter 5. California Healthcare for Indigents Program |
ARTICLE 3.5. Physician Services Account |
Section 16952.1.
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(a) Each county that elects to establish a Physicians Services Account in the county emergency medical services fund shall annually, on April 15, report to the Legislature on the implementation and status of the Physicians Services Account. The report shall cover the preceding fiscal year, and shall include, but not be limited to, all of the following:
(1) The total amount of moneys deposited in the Physicians Services Account.
(2) The account balance and the amount of moneys disbursed to physicians and surgeons.
(3) The number of claims paid to physicians, and the percentage of claims paid, based on the uniform fee schedule, as adopted by the county.
(4) The amount of moneys available to be disbursed to physicians, descriptions of the physician claims payment methodologies, the dollar amount of the total allowable claims submitted, and the percentage at which those claims are reimbursed.
(5) A statement of the policies, procedures, and regulatory action taken to implement and run the program under this chapter.
(6) The name of the physician and hospital administrator organization, or names of specified physicians and hospital administrators, contracted to review claims payment methodologies.
(b) Each county shall make available to any member of the public, upon request, the report required under subdivision (a).