Welf. & Inst. Code, § 14043.65 · Article 1.3. Provider Enrollment, Application, and Participation
Welf. & Inst. Code, § 14043.65
Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
(a) Notwithstanding any other law, any applicant whose application for enrollment as a provider or whose certification is denied; or any provider who is denied continued enrollment or certification, or denied enrollment for a new location, who has been temporarily suspended, who has had payments suspended, who has had one or more business addresses used to obtain reimbursement from the Medi-Cal program deactivated, or whose provisional provider status or preferred provisional provider status has been terminated pursuant to this article or Section 14107.11, or Section 100185.5 of the Health and Safety Code, or who has had a civil penalty imposed pursuant to subdivision (a) of Section 14123.25; or any billing agent, as defined in Section 14040, when the billing agent’s registration has been denied pursuant to subdivision (e) of Section 14040.5, may appeal this action by submitting a written appeal, including any supporting evidence, to the director or the director’s designee. If the appeal is of a suspension of payment pursuant to Section 14107.11, the appeal to the director or the director’s designee shall be limited to the credibility of the allegation supporting the payment suspension, as described in subdivision (d) of Section 14107.11, and shall not encompass investigation or adjudication of the allegation. The appeal procedure shall not include a formal administrative hearing under the Administrative Procedure Act and shall not result in reactivation of any deactivated provider numbers during appeal. An applicant, provider, or billing agent that files an appeal pursuant to this section shall submit the written appeal along with all pertinent documents and all other relevant evidence to the director or to the director’s designee within 60 days of the date of notification of the department’s action. The director or the director’s designee shall review all of the relevant materials submitted and shall issue a decision within 90 days of the receipt of the appeal. The decision may provide that the action taken should be upheld, continued, or reversed, in whole or in part. The decision of the director or the director’s designee shall be final. Any further appeal shall be required to be filed in accordance with Section 1085 of the Code of Civil Procedure.
(b) No applicant whose application for enrollment as a provider has been denied pursuant to Section 14043.2, 14043.36, or 14043.4 may reapply for a period of three years from the date the application is denied. The three-year period shall commence upon the date of the denial notice.
Notes and commentary — not statutory text
History
Amended by Stats. 2012, Ch. 797, Sec. 20. (SB 1529) Effective January 1, 2013.
Source of truth
- Edition
- As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
- Official file
- https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=14043.65.
- Text hash
- sha256 4555472fbd1fc049d82dd0e9ec196354f13b3e58c9380ac9c378df9de7a69ffc
- Composed by
- compose_ca.py 2026-10-22: the Legislative Counsel's CAML content files read by a tokenizer (caml_readers.reader_a); an independent xml.etree reading (caml_readers.reader_b) agrees on every section
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Code of Civil Procedure
Health and Safety Code
Welfare and Institutions Code
- Welf. & Inst. Code, § 14040Printed as Section 14040
- Welf. & Inst. Code, § 14040.5Printed as Section 14040.5
- Welf. & Inst. Code, § 14043.2Printed as Section 14043.2, 14043.36, or 14043.4
- Welf. & Inst. Code, § 14043.36Printed as Section 14043.2, 14043.36, or 14043.4
- Welf. & Inst. Code, § 14043.4Printed as Section 14043.2, 14043.36, or 14043.4
- Welf. & Inst. Code, § 14107.11Printed as Section 14107.11
- Welf. & Inst. Code, § 14123.25Printed as Section 14123.25
Cited by 11 provisions
Provisions in this library whose text cites Welf. & Inst. Code, § 14043.65. Each shows the citation as that text prints it.
Health and Safety Code
Welfare and Institutions Code
- Welf. & Inst. Code, § 14040.5Printed as Section 14043.65
- Welf. & Inst. Code, § 14043.2Printed as Section 14043.65
- Welf. & Inst. Code, § 14043.26Printed as Section 14043.65
- Welf. & Inst. Code, § 14043.27Printed as Section 14043.65
- Welf. & Inst. Code, § 14043.36Printed as Section 14043.65
- Welf. & Inst. Code, § 14043.61Printed as Section 14043.65
- Welf. & Inst. Code, § 14043.7Printed as Section 14043.65
- Welf. & Inst. Code, § 14107.11Printed as Section 14043.65
- Welf. & Inst. Code, § 14123.25Printed as Section 14043.65
- Welf. & Inst. Code, § 24005Printed as Section 14043.65
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.