(

a) Clinics and hospital outpatient departments, except for emergency rooms, owned or operated by Los Angeles County that participated in the California

Section Medicaid Demonstration Project for Los Angeles County (No. 11-W-00076/9) and received percent cost-based reimbursement pursuant to the Special Terms and Conditions of that waiver shall continue to be reimbursed under a cost-based methodology on and after July 1, 2005. (

b) Reimbursement to clinics and hospitals described in subdivision (

a) shall be at percent of reasonable and allowable costs for Medi-Cal services rendered to Medi-Cal beneficiaries. Reasonable and allowable costs shall be determined in accordance with applicable cost-based reimbursement provisions of the following regulations and publications:

(1) The Medicare reimbursement methodology as specified at Sections 405.2460 to 405.2470, inclusive, of Title of the Code of Federal Regulations, together with applicable

definitions in Subpart X of Part of Title of the Code of Federal Regulations to the extent those

definitions are applied by the department in connection with payments to federally qualified health centers in California.

(2) Cost reimbursement principles outlined in

Part 413 (commencing with

Section 413.1) of Title of the Code of Federal Regulations. In the event of a conflict between the provisions of Part and

Part 413, the provisions of Part shall govern. (3) “Cost Principles for State, Local, and Indian Tribe Governments” (OMB Circular A-87). (4) “Rural Health and FQHC Manual” (CMS Publication 27).

(5) Subdivision (

e) of

Section 14087.325 and any implementing regulations. (

c) The methodology for reimbursement adopted by the state to comply with

Section 1396a(aa) of Title of the United States Code shall not be applicable to clinics and hospitals that are paid pursuant to this section. (

d) This

section shall be implemented on the effective date established by the federal Centers for Medicare and Medicaid Services for an amendment to the California Medicaid State Plan that approves the cost-based reimbursement methodology for the clinics and hospitals described in subdivision (b). (e)

(1) Payments received by clinics and hospital outpatient departments described in subdivision (a), for services rendered to populations described in

Section 14182, shall be equivalent to what otherwise would have been received under this

section on a fee-for-service basis.

(2) This subdivision shall be implemented only to the extent permitted under federal law and when federal financial participation is available. (

f) Notwithstanding subdivision (

a) of

Section 14105, and the rulemaking provisions of

Chapter 3.5 (commencing with

Section 11340) of Part of Division of Title of the Government Code, the department may implement and administer the cost-based rates of reimbursement described in this

section by means of provider bulletins or manuals, or similar instructions.