RCJ Medical Services, Inc. v. Bonta´
California Court of Appeal
1Opinion of the Court
Opinion
TURNER, P. J.
I. Introduction
This case involves a postpayment audit of a Medi-Cal provider’s claims. Such audits are required under both federal and state law. (42 C.F.R. §§ 447.45(f)(2), 456.3 (2000); Welf. & Inst. Code, § 14170, subd. (a)(1).) No Medi-Cal payments were withheld from the provider.
The California Department of Health Services (DHS) administers MediCal, the federal Medicaid program in California. The DHS contracted with the California State Controller’s office (the Controller) to audit Medi-Cal payments to providers. The Health Care Financing Administration (HCFA), part…
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