reglab/statecodes huggingface dataset:
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 2 - Definitions › Section 51173.1 - In-Home Medical Care and Nursing Facility Waiver Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"In-home medical care waiver services and nursing
						facility waiver services" means those medical services provided in a
						beneficiary's place of residence to beneficiaries who would otherwise require
						acute hospital or nursing facility inpatient care for at least 90 consecutive
						days. Such services shall be provided by organizations or individuals approved
						by the Department to provide such services. For purposes of in-home medical
						care waiver services and nursing facility waiver services, the beneficiary's
						place of residence may include congregate living situations or facilities
						licensed as congregate living health facilities, if the home setting is not
						medically appropriate or available. For the purpose of providing in-home
						medical care services, congregate living situations do not include community
						care facilities licensed pursuant to Section
						1500,
						Health and Safety Code, except that in-home medical care waiver and nursing
						facility waiver services may be provided to ventilator-dependent children
						residing in foster care homes in accordance with Section
						1507.5,
						Health and Safety Code.
1. New
						section filed 9-1-82 as an emergency; effective upon filing (Register 82, No.
						37). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 12-30-82.
2. Certificate of
						Compliance transmitted to OAL 12-30-82 and filed 2-2-83 (Register 83, No.
						6).
3. Amendment filed 6-18-87; operative 7-18-87 (Register 87, No.
						25).
4. Amendment of section heading, text and NOTE filed 10-20-94;
						operative 10-20-94 (Register 94, No. 42).
5. Editorial correction of
						HISTORY 4 (Register 95, No. 14).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14114
						  and
						  14132,
						  Welfare and Institutions Code; and Section
						  1507.5,
						  Health and Safety Code.
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 2 - Definitions › Section 51174 - Paramedic Ambulance Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 4-20-82 as an emergency; effective upon filing (Register 82, No.
						18).
2. Order of Repeal of 4-20-82 emergency order filed 4-29-82 by
						OAL pursuant to Government Code Section
						11349.6
						(Register 82, No. 18).
3. New section filed 7-6-82 as an emergency;
						effective upon filing (Register 82, No. 28). A Certificate of Compliance must
						be filed within 120 days or emergency language will be repealed on
						11-3-82.
4. Certificate of Compliance as to 7-6-82 order transmitted
						to OAL 11-3-82 and filed 12-3-82 (Register 82, No. 49).
5. Repealer
						filed 8-9-85; effective thirtieth day thereafter (Register 85, No.
						32).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51175 - Nurse Midwife Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Nurse midwife services means services provided by nurse
						midwives, acting within the scope of their practice.
1. New
						section filed 12-21-83; effective thirtieth day thereafter (Register 83, No.
						52).
Note: Authority cited: Section
						  14124.5, Welfare Institutions
						  Code. Reference: Section
						  14132.4,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51176 - Home and Community-Based Waiver Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Home and community-based waiver services
					 which are permitted and defined under appropriate federal waiver are those
					 services available to individuals in order to avoid institutionalization.
					 Federal waivers as used in this chapter in reference to home and
					 community-based services are embodied in the following:
(1) Waiver for service to the developmentally
					 disabled effective October 1, 1992 and as periodically amended and/or
					 renewed;
(2) Waiver for services to
					 the elderly effective July 1, 1987 and as periodically amended and/or
					 renewed;
(3) In-Home Medical Care
					 Services Waiver, effective July 1, 1987 and as periodically amended and/or
					 renewed;
(4) Skilled Nursing
					 Facility Level of Care Waiver, effective July 1, 1987 and as periodically
					 amended and/or renewed;
(5) Model
					 Waiver, effective July 1, 1988 and as periodically amended and/or
					 renewed;
(6) Waiver for People with
					 AIDS and Related Conditions, effective January 1, 1989 and as periodically
					 amended and/or renewed; and
(7)
					 Nursing Facility Waiver Services.
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 2 - Definitions › Section 51177 - Swing Bed Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Swing bed services are skilled nursing facility services
						as defined in Section
						51123 which are provided by a
						swing bed facility.
1. New
						section filed 1-17-86; effective upon filing pursuant to Government Code
						Section
						11346.2(d)
						(Register 86, No. 3).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  1339.5,
						  1339.7,
						  1339.8,
						  1339.9,
						  1339.15
						  and
						  1339.19,
						  Health and Safety Code.
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 2 - Definitions › Section 51178 - Swing Bed Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Swing bed facility means a hospital as defined in Section
						51109 which meets the standards
						for swing bed facility participation specified in Section
						51247.
1. New
						section filed 1-17-86; effective upon filing pursuant to Government Code
						Section
						11346.2(d)
						(Register 86, No. 3).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  1339.3,
						  1339.5,
						  1339.9
						  and
						  1339.15,
						  Health and Safety Code.
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 2 - Definitions › Section 51179 - Comprehensive Perinatal Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Comprehensive perinatal services" means obstetrical,
						psychosocial, nutrition, and health education services, and related case
						coordination provided by or under the personal supervision of a physician
						during pregnancy and 60 days following delivery.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled as an emergency 6-5-87; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including amendment filed 9-17-87 (Register 87, No.
						38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.1 - Comprehensive Perinatal Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Comprehensive perinatal provider" means any general
						practice physician, family practice physician, obstetrician/gynecologist,
						pediatrician, a group, any of whose members are one of the above-named
						physicians, or any preferred provider organization, organized outpatient
						clinic, or any other clinic holding a valid Medi-Cal provider number, approved
						by the Department to provide comprehensive perinatal
						services.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled as an emergency 6-5-87; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance filed 9-17-87 (Register 87, No. 38).
Note: Authority cited: Section
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.2 - Comprehensive Perinatal Nutrition Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Comprehensive perinatal nutrition services" means direct
						patient care nutrition services provided by any qualified professional as
						specified in Section
						51179.7, pursuant to protocols as
						defined in Section
						51179.10.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87,No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including amendment filed 9-17-87 (Register 87, No.
						38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.3 - Comprehensive Perinatal Psychosocial Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Comprehensive perinatal psychosocial services" means
						direct patient care psychosocial services provided by any qualified
						professional as specified in Section
						51179.7, pursuant to protocols as
						defined in Section
						51179.10.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including amendment filed 9-17-87 (Register 87, No.
						38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.4 - Comprehensive Perinatal Health Education Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Comprehensive perinatal health education services" means
						direct patient care health education services provided by any qualified
						professional as specified in Section
						51179.7, pursuant to protocols as
						defined in Section
						51179.10.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including amendment filed 9-17-87 (Register 87, No.
						38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.5 - Personal Supervision

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Personal supervision" means evaluation, in accordance
						with protocols, by a licensed physician, of services performed by others
						through direct communication, either in person or through electronic
						means.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including amendment filed 9-17-87 (Register 87, No.
						38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.6 - Case Coordination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Case coordination" means organizing the provision of
						comprehensive perinatal services, and includes, but is not limited to,
						supervision of all aspects of patient care including antepartum, intrapartum,
						and postpartum.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section filed
						6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A Certificate
						of Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 10-15-87.
3. Certificate of Compliance filed
						9-17-87 (Register 87, No. 38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.7 - Comprehensive Perinatal Practitioner

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Comprehensive Perinatal Practitioner"
					 means any one of the following:
(1) A
					 physician who is either:
(A) A general
					 practice physician, or
(B) A family
					 practice physician, or
(C) A
					 pediatrician, or
(D) An
					 obstetrician-gynecologist.
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 2 - Definitions › Section 51179.8 - Individualized Care Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Individualized Care Plan" means a document developed by
						a comprehensive perinatal practitioner(s) in consultation with the patient. The
						plan consists of four components; obstetrical, nutritional, health education,
						and psychosocial. Each component includes identification of risk conditions,
						prioritization of needs, proposed interventions including methods, timeframes,
						and outcome objectives, proposed referrals and staff persons' respective
						responsibilities, based on the results of assessments.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including repealer of former Section
						51179.8, and renumbering and
						amendment of Section
						51179.9 to Section
						51179.8 filed 9-17-87 (Register
						87, No. 38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.9 - Protocol

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Protocol" means written procedures for providing
						psychosocial, nutrition, and health education services and related case
						coordination. Protocols shall be approved by the Comprehensive Perinatal
						Provider as defined in Section
						51179.7(a)(1) and
						the Comprehensive Perinatal Practitioners as defined in Sections
						51179.7(a)(6) ()
						or 51179.7(a)(6)(B), and Section
						51179.7(a)(7)(A)
						and Section
						51179.7(a)(9).
						Protocols shall be developed, approved, and adopted within six months of the
						effective date of provider approval as a Comprehensive Perinatal
						Provider.
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including renumbering of former Section
						51179.9 to Section
						51179.8, and renumbering and
						amendment of Section
						51179.10 to Section
						51179.9 filed 9-17-87 (Register
						87, No. 38).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51179.10 - Protocol. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 2-17-87 as an emergency; effective upon filing (Register 87, No.
						8). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-17-87.
2. New section
						refiled 6-5-87 as an emergency; operative 6-17-87 (Register 87, No. 25). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-15-87.
3. Certificate of
						Compliance including renumbering and amendment of Section
						51179.10 to Section
						51179.9 filed 9-17-87 (Register
						87, No. 38).
Note: Authority cited: Sections
						  1725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14132
						  and
						  14134.5,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51180 - Hospice Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Hospice
					 care means the provision of palliative and supportive items and services
					 described below to a terminally ill individual as defined in Section
					 51180.2, who has voluntarily
					 elected to receive such care in lieu of curative treatment related to the
					 terminal condition, by a hospice provider or by others under arrangements made
					 by a hospice provider:
(1) Nursing
					 services;
(2) Physical or
					 occupational therapy, or speech-language pathology;
(3) Medical social services under the
					 direction of a physician;
(4) Home
					 health aide and homemaker services;
(5) Medical supplies and
					 appliances;
(6) Drugs and
					 biologicals;
(7) Physician
					 services;
(8) Short-term inpatient
					 care;
(9) Counseling, including
					 bereavement, dietary and spiritual counseling;
(10) Any other item or service for which
					 payment may otherwise be made under the Medi-Cal program.
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 2 - Definitions › Section 51180.1 - Hospice

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Hospice means a
					 public agency or private organization, or a subdivision thereof, or a facility
					 which:
(1) Is primarily engaged in providing
					 the items and services described in Section
					 51180 to terminally ill
					 individuals.
(2) Makes such
					 services available as needed on a 24-hour basis, and
(3) Provides bereavement counseling for the
					 immediate family and significant others.
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 2 - Definitions › Section 51180.2 - Terminally Ill

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Terminally ill means that an individual's medical
						prognosis as certified by a physician is that his or her life expectancy is six
						months or less.
1. New
						section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No.
						44). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-24-88.
2. Certificate of
						Compliance transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No.
						15).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51180.3 - Routine Home Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Routine home care means care provided in the individual's
						residence which is not continuous care.
1. New
						section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No.
						44). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-24-88.
2. Certificate of
						Compliance transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No.
						15).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51180.4 - Continuous Home Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Continuous home care means care provided in the
						individual's residence, which consists predominately of skilled nursing care,
						for a minimum of eight hours in a 24-hour period, for the palliation or
						management of acute medical symptoms and/or when the family or caregiver is
						physically or emotionally unable to manage the patient's
						care.
1. New
						section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No.
						44). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-24-88.
2. Certificate of
						Compliance including amendment transmitted to OAL 2-24-88 and filed 3-22-88
						(Register 88, No. 15).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51180.5 - Respite Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Respite care means short-term inpatient care in an acute
						hospital, skilled nursing facility/Level B, intermediate care facility/Level A,
						or a hospice facility which is organized to provide inpatient care directly,
						when necessary to relieve family members or others primarily caring for the
						individual.
1. New
						section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No.
						44). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-24-88.
2. Certificate of
						Compliance transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No.
						15).
3. Amendment filed 3-27-2000 as an emergency; operative
						3-30-2000 (Register 2000, No. 13). A Certificate of Compliance must be
						transmitted to OAL by 7-28-2000 or emergency language will be repealed by
						operation of law on the following day.
4. Certificate of Compliance
						as to 3-27-2000 order transmitted to OAL 7-17-2000 and filed 8-28-2000
						(Register 2000, No. 35).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51180.6 - General Inpatient Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
General inpatient care means services in an acute
						hospital, skilled nursing facility/Level B, or a hospice facility which is
						organized to provide inpatient care directly, for the purpose of pain control
						or acute or chronic symptom management.
1. New
						section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No.
						44). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-24-88.
2. Certificate of
						Compliance transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No.
						15).
3. Editorial correction of HISTORY 2 (Register 95, No.
						45).
4. Amendment filed 3-27-2000 as an emergency; operative
						3-30-2000 (Register 2000, No. 13). A Certificate of Compliance must be
						transmitted to OAL by 7-28-2000 or emergency language will be repealed by
						operation of law on the following day.
5. Certificate of Compliance
						as to 3-27-2000 order transmitted to OAL 7-17-2000 and filed 8-28-2000
						(Register 2000, No. 35).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51180.7 - Representative

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Representative means a person who, because of a
						terminally ill individual's mental or physical incapacity, is lawfully
						authorized in accordance with the procedures set forth in Civil Code Section
						2500 et seq. or
						otherwise to execute or revoke an election for hospice care or terminate
						medical care on behalf of the individual.
1. New
						section filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No.
						44). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-24-88.
2. Certificate of
						Compliance transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No.
						15).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
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 2 - Definitions › Section 51181 - Personal Care Services Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A personal care services provider is that individual,
						county employee, or county contracted agency authorized by the Department of
						Health Services to provide personal care services to eligible beneficiaries. An
						individual provider shall not be a family member, which for purposes of this
						section means the parent of a minor child or a spouse.
1. New
						section filed 4-14-93 as an emergency; operative 4-14-93. Submitted to OAL for
						printing only pursuant to section
						8, AB 1773 (Chapter 939, Statutes
						of 1992) (Register 93, No. 16).
Note: Authority cited: Section
						  14132.95,
						  Welfare and Institutions Code; Section
						  8, Chapter 939, Statutes of 1922;
						  Section 3, Chapter 7, Statutes of 1993.
						  Reference: Section
						  14132.95,
						  Welfare and Institutions Code; Section
						  1396 d(a)(7) of Title 42, of the
						  United States Code; Article 7 (commencing with Section
						  12300) of Part 3 of Division 9 of
						  the Welfare and Institutions Code; Section
						  440.170(f) of
						  Title 42 of the Code of Federal
						  Regulations.
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 2 - Definitions › Section 51182 - Personal Representative

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For purposes of Section
						51204 and
						51350, "personal representative"
						means the duly appointed guardian or conservator of the individual or a person
						representing the individual provided that it can be established with reasonable
						certainty through forms, documents or correspondence that such person is
						authorized to represent the individual.
1. New
						section filed 4-14-93 as an emergency; operative 4-14-93. Submitted to OAL for
						printing only pursuant to section
						8, AB 1773 (Chapter 939, Statutes
						of 1992) (Register 93, No. 16).
Note: Authority cited: Section
						  14132.95,
						  Welfare and Institutions Code; Section
						  8, Chapter 939, Statutes of 1922;
						  Section 3, Chapter 7, Statutes of 1993.
						  Reference: Section
						  14132.95,
						  Welfare and Institutions Code; Section
						  1396 d(a)(7) of Title 42, of the
						  United States Code; Article 7 (commencing with Section
						  12300) of Part 3 of Division 9 of
						  the Welfare and Institutions Code; Section
						  440.170(f) of
						  Title 42 of the Code of Federal
						  Regulations.
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 2 - Definitions › Section 51184 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 EPSDT Screening Services means:
(1) An
					 initial, periodic, or additional health assessment of a Medi-Cal eligible
					 individual under 21 years of age provided in accordance with the requirements
					 of the Child Health and Disability Prevention (CHDP) program as set forth in
					 Title 17, Sections
					 6800 et seq.; or
(2) A health assessment, examination, or
					 evaluation of a Medi-Cal eligible individual under 21 years of age by a
					 licensed health care professional acting within his or her scope of practice,
					 at intervals other than those specified in paragraph (a)(1) to determine the
					 existence of physical or mental illnesses or conditions; or
(3) Any other encounter with a licensed
					 health care professional that results in the determination of the existence of
					 a suspected illness or condition or a change or complication in a condition for
					 a Medi-Cal eligible person under 21 years of age.
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 2 - Definitions › Section 51185 - Targeted Case Management Services Program Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Encounter" means a face-to-face contact
					 or a significant telephone contact in lieu of a face-to-face contact when
					 environmental considerations preclude a face-to-face encounter, for the purpose
					 of rendering one or more targeted case management service components by a case
					 manager. For the target populations specified in Section
					 50262.7(a)(3)(B), (C) or
					 (D), the encounter may be with persons acting
					 on behalf of the Medi-Cal beneficiary.
(b) "High-risk persons" means those persons
					 who have failed to take advantage of necessary health care services, or do not
					 comply with their medical regimen or who need coordination of multiple medical,
					 social and other services due to the existence of an unstable medical condition
					 in need of stabilization, substance abuse or because they are victims of abuse,
					 neglect, or violence, including, but not limited to, the following individuals:
(1) Women, infants, children and young adults
					 to age 21.
(2) Pregnant
					 women.
(3) Persons with Human
					 Immunodeficiency Virus/Acquired Immune Deficiency Syndrome.
(4) Persons with reportable communicable
					 disease.
(5) Persons who are
					 technology dependent. Solely for the purposes of the Targeted Case Management
					 Services program, "technology dependent persons" means those persons who use a
					 medical technology, embodied in a medical device, that compensates for the loss
					 of normal use of a vital body function and require skilled nursing care to
					 avert death or further disability.
(6) Persons with multiple diagnoses who
					 require services from multiple health/social service providers.
(7) Persons who are medically fragile. Solely
					 for the purposes of the Targeted Case Management Services program, "medically
					 fragile persons" means those persons who require ongoing or intermittent
					 medical supervision without which their health status would deteriorate to an
					 acute episode.
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 2 - Definitions › Section 51187 - Tuberculosis (TB) Infection

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Tuberculosis (TB) Infection means a
					 condition in which living tubercle bacilli are present in an individual with or
					 without producing active disease.
(b) For the purposes of this program, an
					 individual is considered TB infected if a physician indicates a positive
					 diagnosis or a suspicion of TB infection in his/her diagnosis. A TB infected
					 individual includes, but is not limited to, an individual who:
(1) Has a positive Tuberculin skin test using
					 the Mantoux method and who receives treatment for latent TB infection or active
					 TB;
(2) Has a negative Tuberculin
					 skin test but whose sputum culture or culture from another tissue sample is
					 positive for the Tuberculosis organism;
(3) Has never received a Tuberculin skin test
					 but whose sputum culture or culture from another tissue sample is positive for
					 the Tuberculosis organism;
(4) Has
					 a negative Tuberculin skin test and whose sputum or other tissue culture for TB
					 is not or cannot be obtained, but in the physician's judgement he/she requires
					 and is given TB-related drug and/or surgical therapy;
(5) Is symptomatic with a negative TB skin
					 test who is being treated with a TB drug regimen while awaiting the TB culture
					 results because the physician suspects he/she may have active TB, until such
					 time as the individual's culture turns out to be negative for TB, causing the
					 TB drug regimen to be discontinued.
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 2 - Definitions › Section 51187.1 - Tuberculosis (TB) Related Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Tuberculosis (TB) Related Services for
					 persons eligible for the TB program pursuant to Section
					 50268 means outpatient medical
					 services related to the diagnosis and treatment of TB infection.
(1) TB diagnostic services means those
					 outpatient services necessary to confirm the presence of TB infection or active
					 disease.
(2) TB related treatment
					 means all outpatient services necessary for the medical management and
					 follow-up of TB infection and/or active disease, which may include drug
					 therapy, Targeted Case Management pursuant to the requirements of Section
					 14132.44,
					 Welfare and Institutions Code and directly observed therapy (DOT) when provided
					 by a provider listed under Section
					 51051, who meets the
					 qualifications specified in Section
					 51276. DOT means the direct
					 observation of the ingestion of prescribed anti-tuberculosis medications by TB
					 infected persons. DOT includes:
(A) Delivering
					 of prescribed medications;
(B)
					 Assisting with the means to ingest prescribed medications;
(C) Observing the ingestion of prescribed
					 medications;
(D) Monitoring for
					 signs of nonadherence or adverse side effects;
(E) Documenting that prescribed medications
					 have been ingested; and
(F)
					 Reporting compliance and/or other problems.
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 2 - Definitions › Section 51190.1 - Local Educational Agency (LEA) Eligible Beneficiary

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For the purposes of this article, a "Local Educational
						Agency (LEA) eligible beneficiary" means a person eligible for services under
						Title XIX of the Social Security Act and certified for Medi-Cal who is one of
						the following:
(a) Under age 22 and
					 enrolled in a school within an LEA in California. Any person who becomes 22
					 years of age while participating in an Individualized Education Plan or
					 Individualized Family Service Plan may continue his or her participation in the
					 program for the remainder of that current school year; or
(b) A Medi-Cal eligible family member of a
					 student meeting subsection (a) above.
1. New
						section filed 12-22-93 as an emergency; operative 12-22-93 (Register 93, No.
						52). A Certificate of Compliance must be transmitted to OAL by 4-22-94 or
						emergency language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 12-22-93 order including
						amendment of subsections (a) and (b) transmitted to OAL 4-20-94 and filed
						6-2-94 (Register 94, No. 22).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code; and
						  42 U.S.C. Sections
						  1396a and
						  1396d.
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 2 - Definitions › Section 51190.2 - Local Educational Agency (LEA) Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Local Educational Agency (LEA) Provider" means a Local
						Educational Agency (LEA), that meets the definition in Education Code, Section
						33509(e),
						and that meets the Medi-Cal program requirements pursuant to Section
						51270(a). LEA
						Providers may be enrolled retroactively to January 1, 1993.
1. New
						section filed 12-22-93 as an emergency; operative 12-22-93 (Register 93, No.
						52). A Certificate of Compliance must be transmitted to OAL by 4-22-94 or
						emergency language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 12-22-93 order transmitted
						to OAL 4-20-94 and filed 6-2-94 (Register 94, No.
						22).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code; and Section
						  33509(e),
						  Education Code.
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 2 - Definitions › Section 51190.3 - Local Educational Agency (LEA) Practitioner

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A "Local Educational Agency (LEA)
					 Practitioner" means an employee or individual under contract to an LEA Provider
					 to furnish LEA Services to LEA eligible beneficiaries. All LEA practitioners
					 except the practitioner identified in (21) below shall provide documented
					 evidence of being licensed, certified, registered, or otherwise credentialed to
					 practice in California as one of the following:
(1) A licensed physician,
(2) A licensed registered nurse, including a
					 registered credentialed school nurse or a certified public health
					 nurse,
(3) A certified nurse
					 practitioner,
(4) A licensed
					 vocational nurse,
(5) A licensed
					 clinical social worker,
(6) A
					 registered dietician,
(7) A
					 licensed physician's assistant,
(8)
					 A licensed psychologist,
(9) A
					 licensed marriage, family and child counselor,
(10) A licensed optometrist,
(11) A licensed speech therapist,
(12) A licensed audiologist,
(13) A credentialed school
					 psychologist,
(14) A credentialed
					 school social worker,
(15) A
					 credentialed school counselor,
(16)
					 A registered school audiometrist,
(17) A credentialed language, speech and
					 hearing specialist,
(18) A licensed
					 physical therapist,
(19) A
					 registered occupational therapist,
(20) A licensed psychiatrist, or
(21) A trained health care aide as specified
					 in Section
					 51491(g)(1).
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 2 - Definitions › Section 51190.4 - Local Educational Agency (LEA) Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Local Educational Agency (LEA) Services" means
						preventive, diagnostic, therapeutic, and rehabilitative services that
						are:
(a) Listed in Section
					 51360;
(b) Medically necessary as defined in Welfare
					 and Institutions Code, Section
					 14059.5;
(c) Provided on an outpatient basis;
					 and
(d) Provided to an LEA eligible
					 beneficiary, as defined in Section
					 51190.1; by an LEA practitioner,
					 as defined in Section
					 51190.3; on or after January 1,
					 1993.
1. New
						section filed 12-22-93 as an emergency; operative 12-22-93 (Register 93, No.
						52). A Certificate of Compliance must be transmitted to OAL by 4-22-94 or
						emergency language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 12-22-93 order including
						amendment of opening statement transmitted to OAL 4-20-94 and filed 6-2-94
						(Register 94, No. 22).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053,
						  14059.5
						  and
						  14132,
						  Welfare and Institutions Code.