Valley View Home of Beaumont, Inc. v. Department of Health Services

Opinion

McDANIEL, J.

Valley View Home of Beaumont (Valley View), a licensed Medi-Cal service provider, claims money due from the state for services rendered to Medi-Cal beneficiaries without first having submitted reauthorization request forms as required by the applicable regulations. In the action to enforce such claims, the trial court entered judgment for Valley View. The state appealed, and we shall affirm.

Facts

A. Statutory and Regulatory Scheme

Medi-Cal provides health care services to recipients of public assistance and to certain other categories of poor persons. (Welf. & Inst. Code, §…