§ 14169.11

335 words·~2 min read·/ca/welfare-and-institutions-code/14169-11

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

The department shall make disbursements from the Hospital Quality Assurance Revenue Fund consistent with the following:

(a)Fund disbursements shall be made periodically within 15 days of each date on which quality assurance fees are due from hospitals.

(b)The funds shall be disbursed in accordance with the order of priority set forth in subdivision

(b)of Section 14169.33, except that funds may be set aside for increased capitation payments to managed care health plans pursuant to subdivision

(f)of Section 14169.5.

(c)The funds shall be disbursed in each payment cycle in accordance with the order of priority set forth in subdivision

(b)of Section 14169.33 as modified by subdivision (b), and so that the supplemental payments and grants to hospitals, increased capitation payments to managed health care plans, increased payments to mental health plans, direct payments to hospitals of acute psychiatric supplemental payments, and supplemental payments for out-of-network emergency and poststabilization services for the Low Income Health Program are made to the maximum extent for which funds are available.

(d)To the maximum extent possible, consistent with the availability of funds in the quality assurance fund and the timing of federal approvals, the supplemental payments and grants to hospitals, increased capitation payments to managed health care plans, and increased payments to mental health plans under this article shall be made before December 31, 2013, except that supplemental payments for out-of-network emergency and poststabilization services for the Low Income Health Program shall be made before April 1, 2014.

(e)The aggregate amount of funds to be disbursed to private hospitals shall be determined under Sections 14169.2 and 14169.3. The aggregate amount of funds to be disbursed to managed health care plans shall be determined under Section 14169.5. The aggregate amount of direct grants to designated and nondesignated public hospitals shall be determined under Section 14169.7. The aggregate amount of supplemental payments to be disbursed to private hospitals for out-of-network and poststabilization services for the Low Income Health Program shall be determined under Section 14169.7.5.