Federal Court Issues Final Ruling Enjoining Medi-Cal 10% Provider Rate Cut
Yesterday evening Judge Snyder made final her tentative ruling that would enjoin the DHCS from implementing the 10% provider rate reduction. In the Judge's order she also states that DHCS is prohibited from applying the 10% reduction back to June 1, 2011, but is not prohibited from applying the reduction to services performed from that date until the date of the order, 1/31/12, if the services have not yet been reimbursed. This part of the ruling needs to be clarified by counsel but appears to protect providers from any recoupment effort if they have already been reimbursed for the services. This pertains to a legal argument under the 11th Amendment providing state immunity and whether a federal court can retrospectively impact state action.
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California Radiological Society 2012 Annual Meeting
September 7-9, 2012 Grand Hyatt Union Square San Francisco, CA |
