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Case Name California Association of Medical Products Suppliers v. Maxwell-Jolly
Date 09/16/2011
Note The California Department of Health Care Services did not act outside its authority when it adopted upper billing limit regulations in 2004 to close a significant Medi-Cal loophole, the 1st District Court of Appeal concluded.
Citation A126749
WCC Citation WCC 38022011 CA
CALIFORNIA ASSOCIATION OF MEDICAL PRODUCTS SUPPLIERS v. MAXWELL-JOLLY CALIFORNIA ASSOCIATION OF MEDICAL PRODUCTS SUPPLIERS, Plaintiff and Appellant, v. DAVID MAXWELL-JOLLY, as Director, etc. , et al. CERTIFIED FOR PUBLICATION LAMBDEN, J. Appellant California Association of Medical Products Suppliers (CAMPS) appeals from the trial court's denial of its petition for a writ of mandate and complaint for declaratory and injunctive relief. The regulations set upper billing limits for providers of durable medical equipment and certain medical supplies to Medi-Cal recipients. BACKGROUND Before the UBL The UBL as finally adopted in 2004 targeted dispensed medical supplies, incontinence medical supplies, and durable medical equipment. The same assumption applies to Medi-Cal payment of the weighted average of the negotiated contract price plus a 38% markup for incontinence medical supplies.

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