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Earlier editions: 2020-112018-11

DIVISION 9. PUBLIC SOCIAL SERVICES 10000-18999.98›PART 3. AID AND MEDICAL ASSISTANCE 11000-15771›CHAPTER 8. Prepaid Plans 14200-14499.77›ARTICLE 5. Standards for Prepaid Health Plans 14450-14464

§ 14464

California Welfare and Institutions Code · 2026 edition · updated 2026-10-04 · California

(a) The department may negotiate and establish an individual administrative cost limit in its contracts with each prepaid health plan or Medi-Cal managed care plan contracting under Chapter 7 (commencing with Section 14000) or Chapter 8 (commencing with Section 14200) providing services to Medi-Cal beneficiary enrollees.

(b) As used in this section, prepaid health plan or Medi-Cal managed care plan “administrative costs” includes net profit or revenue in excess of expenditures, in addition to those items set forth in Section 1300.78 of Title 10 of the California Code of Regulations and those items set forth by the director.

(Added by Stats. 1995, Ch. 859, Sec. 10. Effective January 1, 1996.)

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