Medi-Cal Program Sample Clauses
Medi-Cal Program. Program of medical assistance established by the Medi-Cal Act as contained in Chapter 7, Part 3, Division 9 of the WIC (commencing with Section 14000) including amendments thereto and applicable administrative regulations promulgated under and pursuant to said law, as now in existence or as amended or changed.
Medi-Cal Program. For Medi-Cal Members, CalOptima shall reimburse County for Covered Services as follows: • Professional Services: 156% of the current Medi-Cal Fee Schedule, as defined in CalOptima Policies, in effect for the date of service. • Non Professional services shall be paid at 100% of the current Medi-Cal Fee Schedule, as defined in the CalOptima Policies, in effect for the date of service. • Unless specified otherwise in this Contract, Medi-Cal billing rules and payment policies and guidelines for billing and payment will apply. • By Report Codes shall be billed and paid according to Section 3.4. • Services not contained in the Medi-Cal fee schedule at the time of service are not reimbursable, except as provided in Section 3.4.
Medi-Cal Program. 1. With the exception of the services and reimbursement rates specified in Sections LB, LC, and LD of this Attachment B -Amendment 13, CalOptima or a Member's Health Network shall reimburse County, and County shall accept as payment in full from CalOptima, the lesser of:
a. billed charges, or:
b. the following rates:
1) 123% of the Current CalOptima Medi-Cal Fee Schedule on a fee-for-service basis for