Legal Opinion
LIFE CARE CENTERS OF AMERICA v. CalOPTIMA
California Court of Appeal
Decided October 31, 2005No. G034479PublishedCited by 5 opinions
1Opinion of the Court
Opinion
ARONSON, J.
Defendant CalOptima is a county organized health system (COHS) providing services to Medi-Cal beneficiaries through contracts with various health care providers. Under its prior authorization policy, CalOptima requires long-term care providers to submit treatment authorization requests (TAR’s) 1 within 21 days of the patient’s admission. This case arose out of six TAR’s submitted by plaintiff Life Care Centers of America, doing business as La Habra Convalescent Hospital (Life Care), to defendant CalOptima seeking payment for patients admitted to Life Care’s facility.…
2Cases cited11 opinions
- Sara M. v. Superior CourtCalifornia Supreme Court · 2005
- Fitch v. Select Products Co.California Supreme Court · 2005
- Payne v. Anaheim Memorial Medical Center, Inc.California Court of Appeal · 2005
- William S. Hart Union High School District v. Regional Planning CommissionCalifornia Court of Appeal · 1991
- Western States Petroleum Ass'n v. State Department of Health ServercesCalifornia Court of Appeal · 2002
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3Cited by5 opinions
- Tehama-Colusa Canal Authority v. United States Department of the InteriorDistrict Court, E.D. California · 2011
- Keffeler v. Partnership HealthplanCalifornia Court of Appeal · 2014
- Allied Anesthesia Medical Group v. Inland Empire Health PlanCalifornia Court of Appeal · 2022
- Ashegian v. Beirne CA2/4California Court of Appeal · 2013
- Clinica De Salud Del Valle etc. v. Douglas CA3California Court of Appeal · 2014