California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 7 - Payment for Services and Supplies › Section 51505.1 - Podiatry Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Reimbursement for podiatry services shall be the usual charges made to the
					 general public not to exceed the maximum reimbursement rates listed in this
					 section for each procedure performed by a podiatrist.
(b) Except as provided in subsections (d),
					 (e), (f), and (g), of this section, the maximum reimbursement rates for
					 podiatry services shall be the amount listed for podiatry services in the
					 "Schedule of Medi-Cal Physician Rates," incorporated by reference in its
					 entirety in Section
					 51503(b).
(c) As used in (b), a given procedure listed
					 in the "Schedule of Medi-Cal Physician Rates" means those procedures which are
					 a benefit of the Medi-Cal program as determined by the Department.
(d) The maximum reimbursement for "By Report"
					 or procedures not listed in the "Schedule of Medi-Cal Physician Rates" shall be
					 based upon a review of such procedures to determine their relationship to other
					 procedures for which unit reimbursement rates are established.
(e) The maximum reimbursement rate for
					 professional services for injections shall be determined in accordance with
					 51503(e).
(f) Pathology tests shall
					 be reimbursed in accordance with the provisions of Section
					 51529.
(g) Podiatry services provided under the
					 California Children's Services program shall be reimbursed at rates which are
					 39.7 percent greater than the Medi-Cal rate which would otherwise be
					 applicable.
1.
						Amendment of subsection (b) and new subsection (g) filed 7-30-82 as an
						emergency; designated effective 8-1-82 (Register 82, No. 33). A Certificate of
						Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 11-29-82. For prior history, see Register 81, No.
						52.
2. Amendment of subsection (b) filed 12-21-82 as an emergency;
						effective upon filing (Register 82, No. 52). A Certificate of Compliance must
						be transmitted to OAL within 120 days or emergency language will be repealed on
						4-20-83.
3. Certificate of Compliance as to 7-30-82 order
						transmitted to OAL 11-26-82 and filed 12-27-82 (Register 82, No.
						52).
4. Certificate of Compliance as to 12-21-82 order transmitted
						to OAL 4-19-83 and filed 5-24-83 (Register 83, No. 22).
5. Amendment
						of subsections (b) and (f) filed 8-1-84 as an emergency; effective upon filing
						(Register 84, No. 31). A Certificate of Compliance must be transmitted to OAL
						within 120 days or emergency language will be repealed on
						11-29-84.
6. Certificate of Compliance transmitted to OAL 11-27-84
						and filed 12-27-84 (Register 84, No. 52).
7. Amendment of
						subsections (b) and (f) filed 8-1-85 as an emergency; effective on filing
						(Register 85, No. 32). A Certificate of Compliance must be transmitted to OAL
						within 120 days or emergency language will be repealed on
						11-29-85.
8. Certificate of Compliance transmitted to OAL 11-20-85
						and filed 12-27-85 (Register 85, No. 52).
9. Amendment of subsection
						(f) filed 10-1-87; operative 10-31-87 (Register 87, No. 41).
10.
						Amendment of table in subsection (b) and NOTE filed 10-1-92 with Secretary of
						State by Department of Health Services; operative 10-1-92. Submitted to OAL for
						printing only pursuant to section
						147(c), SB 485,
						(Chapter 722, Statutes of 1992) (Register 92, No. 40).
11.
						Certificate of Compliance as to 10-1-92 order transmitted to OAL 1-2-93 and
						filed 3-12-93 (Register 93, No. 11).
12. Amendment of subsection
						(b), new subsection (h), and amendment of NOTE filed 12-30-97; operative 5-1-98
						(Register 98, No. 1).
13. Amendment of subsections (b) and (f), new
						subsection (i), and amendment of NOTE filed 3-1-99 as an emergency; operative
						3-1-99 (Register 99, No. 10). A Certificate of Compliance must be transmitted
						to OAL by 6-29-99 or emergency language will be repealed by operation of law on
						the following day.
14. Reinstatement of section as it existed prior
						to 3-1-99 emergency amendment by operation of Government Code section
						11346.1(f)
						(Register 99, No. 33).
15. Amendment of subsections (b) and (f), new
						subsection (i) and amendment of NOTE filed 8-10-99 as an emergency; operative
						8-10-99 (Register 99, No. 33). A Certificate of Compliance must be transmitted
						to OAL by 12-8-99 or emergency language will be repealed by operation of law on
						the following day.
16. Certificate of Compliance as to 8-10-99 order
						transmitted to OAL 12-2-99 and filed 1-13-2000 (Register 2000, No.
						2).
17. Amendment of subsections (b) and (f), new subsection (j) and
						amendment of NOTE filed 11-13-2000 as an emergency; operative 11-13-2000
						(Register 2000, No. 46). A Certificate of Compliance must be transmitted to OAL
						by 3-13-2001 or emergency language will be repealed by operation of law on the
						following day.
18. Certificate of Compliance as to 11-13-2000 order
						transmitted to OAL 3-13-2001 and filed 4-4-2001 (Register 2001, No.
						14).
19. Amendment of section and NOTE filed 7-16-2002; operative
						rates for services provided on or after 8-1-2000 pursuant to Stats. 2000, c.
						52, Items 4260-101-0001 and 0890 (Register 2002, No. 29).
20.
						Certificate of Compliance as to 7-16-2002 order, including repealer of
						subsection (h), transmitted to OAL 11-12-2002 and filed 12-24-2002 (Register
						2002, No. 52).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14125,
						  Welfare and Institutions Code. Reference: Sections
						  14105
						  and
						  14132,
						  Welfare and Institutions Code; Statutes of 1982, Chapter 1594, Section
						  77; Statutes of 1983, Chapter 323,
						  Section 149; Statutes of 1984, Chapter
						  258, Items 4260-106-001 and 890; Statutes of 1984, Chapter 268, Section
						  66; Statutes of 1985, Chapter 111,
						  Items 4260-106-001 and 890; Statutes of 1992, Chapter 722, Section
						  88; Statutes of 1998, Chapter 324,
						  Items 4260-101-001 and 0890; Statutes of 1999, Chapter 50, Items 4260-101-0001
						  and 4260-101-0890; and Section
						  433.123, Title 42, Code of Federal
						  Regulations; and Statutes of 2000, Chapter 50, Items 4260-101-0001 and
						  0890.