Cal. Code Regs. tit. 9 § 594

Current through Register 2024 Notice Reg. No. 52, December 27, 2024

Section 594 - Enforcement

The Department shall enforce utilization review by counties of Short-Doyle funded acute inpatient psychiatric services through the following means:

(a) Review and approval/disapproval of the utilization review plans;

(b) Onsite visits to evaluate required systems, audit clinical and administrative documentation, and request corrective action;

(c) Sanctions for non-compliance which can include any or all of the following:

(1) Wihholding future allocations until compliance is achieved;

(2) Requiring increased resources to be channeled into quality assurance activities from existing allocations;

(3) Recouping inappropriately used Short-Doyle funds from current allocations.

Counties shall be allowed the opportunity to appeal both clinical and administrative audit decisions and financial penalties.

Cal. Code Regs. Tit. 9, § 594

Note: Authority cited: Section 4073, Welfare and Institutions Code. Reference: Sections 4071, 4072, 5655 and 5712, Welfare and Institutions Code.