1. (a) The Department shall establish, maintain in writing, and make available, maximum rates of payment.

2. (b) Maximum rates of payment for authorized goods and services are regulated by any one or more of the following:

   1. (1) Those rates established by the Department for goods and services.
   2. (2) The California Relative Value Studies published by the California Medical Association governing maximum unit values for medical procedures.
   3. (3) The California State Schedule of Maximum Allowances published by the Department of Health Care Services regulating maximum amounts payable for medical and related services.
   4. (4) The California State Administrative Manual guidelines.
   5. (5) Those rates paid by other agencies or charged the general public for comparable goods and services.

Note: Authority cited: Sections 19006 and 19016, Welfare and Institutions Code. Reference: 34 CFR Section 361.50.

History

1. Change without regulatory effect amending subsections (a), (b)(1) and (b)(3) and amending Note filed 5-9-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 19).