Clinica De Salud Del Valle etc. v. Douglas CA3

Filed 9/18/14 Clinica De Salud Del Valle etc. v. Douglas CA3

NOT TO BE PUBLISHED

California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

THIRD APPELLATE DISTRICT

(Sacramento) ----

CLINICA DE SALUD DEL VALLE DE SALINAS, C071171

Plaintiff and Appellant, (Super. Ct. No. 34201180000919CUWMGDS) v.

TOBY DOUGLAS, as Director, etc.,

Defendant and Respondent.

State law requires health providers to follow rigid billing procedures for Medi- Cal reimbursement claims or risk forfeiture. (Welf. & Ins. Code, §§ 14018.5, 14087.325, subd. (e)(1); 22 Cal. Code Regs. § 51008.) Although prior to 2003 the Department of Health Services (Department) failed to follow the law, it notified health providers that beginning on May 1, 2003, it would begin enforcing the law’s

1 billing mandate and no longer accept a…