Keffeler v. Partnership Healthplan (2014)

The states determine eligibility, the types of services covered, payment levels for services, and other aspects of administration, within the confines of federal law.’ ” (Keffeler v. Partnership Healthplan of California (2014) 224 Cal.App.4th 322, 327 (Keffeler).) To qualify for federal funds, each state must submit a detailed Medicaid plan describing the nature and scope of its program to the Centers for Medicare and Medicaid Services (a division of the Department of Health…

Nor does SJJC reinvigorate its claim that the City violated its own municipal laws and charter, a contention the superior court rejected as based on inapplicable provisions.14 Even if it is sufficient to assert a general public duty “to conduct a fair RFP process in conformity with the City’s duties under its own RFP rules and criteria,” the properly pleaded facts alleged in SJJC’s petition, together with the exhibits and judicially noticeable facts (Evans v. City of Berkele…

We examine the pleading de novo to determine whether it alleges facts sufficient to state a cause of action under any legal theory. [Citation.] We give the pleading 'a reasonable interpretation and treat the demurrer as admitting all material facts properly pleaded, but we do not assume the truth of contentions, deductions, or conclusions of law.' [Citation.]" (Keffeler v. Partnership Healthplan of California (2014) 224 Cal.App.4th 322, 335, fn. 10 .) Bjorklund correctly ass…

(Zelig v. County of Los Angeles (2002) 27 Cal.4th 1112, 1126 ; Brown v. County of Los Angeles (2014) 229 Cal.App.4th 320, 322 ; Keffeler v. Partnership Healthplan of California (2014) 224 Cal.App.4th 322, 335, fn. 10 .) Further, “[w]e follow the well-settled rule that ‘[w]hen reviewing a judgment dismissing a complaint after the granting of a demurrer without leave to amend, courts must assume the truth of the complaint’s properly pleaded or implied factual allegations.’ [Ci…

Code, § 14105, subd. (a).)9 4 Welfare and Institutions Code section 14019.3, subdivision (c), in relevant part, provides that a provider’s Medi-Cal claim is “subject to the rules and regulations of the Medi-Cal program.” 5 Welfare and Institutions Code section 14043.2, subdivision (a), in relevant part, provides: “[I]n order to be enrolled as a provider, or for enrollment as a provider to continue, an applicant or provider may be required to sign a provider agreement and sha…

Code, § 14105, subd. (a).)9 4 Welfare and Institutions Code section 14019.3, subdivision (c), in relevant part, provides that a provider’s Medi-Cal claim is “subject to the rules and regulations of the Medi-Cal program.” 5 Welfare and Institutions Code section 14043.2, subdivision (a), in relevant part, provides: “[I]n order to be enrolled as a provider, or for enrollment as a provider to continue, an applicant or provider may be required to sign a provider agreement and sha…