reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 2.5 - Third Party Liability › Article 2 - Estate Recovery › Section 50962 - Notification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Within 90 days
					 of the date of death of an individual who received or may have received
					 Medi-Cal benefits, or was the surviving spouse of a person who received
					 Medi-Cal benefits, the attorney for the estate, or if there is no attorney, the
					 beneficiary, the personal representative, or the person in possession of
					 property of the decedent, shall give written notice by mail of the decedent's
					 death to the Director of the Department of Health Care Services at his or her
					 Sacramento office, or, Estate Recovery Section, Mail Stop 4720, P.O. Box
					 997425, Sacramento, CA 95899-7425. The notice shall include a copy of the
					 decedent's death certificate. Any other notice or submission of county vital
					 records (i.e., death certificate) to the State Registrar of Vital Statistics or
					 other governmental entities shall not satisfy this requirement.
(b) Date of notice of the decedent's death to
					 the Director shall be deemed as the date that the notice is postmarked; or in
					 the absence of a postmark, the date stamp posted by the Department upon receipt
					 of the notice; or in the absence of a date stamp, the date on the original
					 proof of mailing that references the decedent's name, from the person or entity
					 giving notice to the Department.
(c) The Department shall provide written
					 notice to the person handling the decedent's estate, which includes the
					 following:
(1) The basis for the estate claim;
					 the specific statutes and regulations supporting the claim; the basis for an
					 exemption from the claim; the right to seek a waiver of the Department's claim;
					 the right to contest the Department's claim; the right to request an estate
					 hearing if dissatisfied with the waiver decision; the timeframes for requesting
					 a waiver or estate hearing; and the basis for the applicant to seek a waiver or
					 estate hearing due to substantial hardship; and
(2) A copy of the itemized Medi-Cal payments
					 that constitute the basis for the claim; and
(3) An Application for Hardship Waiver, form
					 DHCS 6195 (05/15).
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 2.5 - Third Party Liability › Article 2 - Estate Recovery › Section 50963 - Substantial Hardship Criteria

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The Department shall waive an applicant's
					 proportionate share of the claim if the applicant can demonstrate through
					 submission of an Application for Hardship Waiver, form DHCS 6195 (05/15) and
					 documentation to substantiate hardship, or, if applicable, at an estate
					 hearing, that enforcement of the Department's claim would result in substantial
					 hardship to the applicant. In determining the existence of substantial
					 hardship, the Department shall waive an applicant's proportionate share of the
					 claim if one or more of the following criteria apply:
(1) When allowing the applicant to receive
					 the inheritance from the estate would enable the applicant to discontinue
					 eligibility for public assistance payments and/or medical assistance programs;
					 or,
(2) When the estate property is
					 part of an income-producing business, including a working farm or ranch, and
					 recovery of medical assistance expenditures would result in the applicant
					 losing his or her primary source of income; or,
(3) When an aged, blind, or disabled
					 applicant has continuously lived in the decedent's home for at least one year
					 prior to the decedent's death and continues to reside there, and is unable to
					 obtain financing to repay the State. The applicant shall apply to obtain
					 financing, for an amount not to exceed his or her proportionate share of the
					 claim, from a financial institution as defined in Probate Code Section
					 40. The
					 applicant shall provide the Department with a denial letter(s) from the
					 financial institution; or,
(4) When
					 the applicant provided care to the decedent for two or more years that
					 prevented or delayed the decedent's admission to a medical or long-term care
					 institution. The applicant must have resided in the decedent's home during the
					 period care was provided and continue to reside in the decedent's home. The
					 applicant must provide written medical substantiation from a licensed health
					 care provider(s), which clearly indicates that the level and duration of care
					 provided prevented or delayed the decedent from being placed in a medical or
					 long-term care institution; or,
(5)
					 When the applicant transferred the property to the decedent for no
					 consideration; or,
(6) When equity
					 in the real property is needed by the applicant to make the property habitable,
					 or to acquire the necessities of life, such as food, clothing, shelter or
					 medical care.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 2.5 - Third Party Liability › Article 2 - Estate Recovery › Section 50964 - Estate Hearing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An
					 applicant may challenge the Department's hardship waiver decision by requesting
					 an estate hearing. The request must be in writing and mailed to the Director of
					 the Department through his or her designee, the Office of Administrative
					 Hearings and Appeals, within 60 days of the date of the Department's decision
					 inscribed at the top of the Department's notice.
(1) The Department shall provide the
					 applicant at least 30 days notice of the date, time and place of the hearing.
					 The hearing shall be conducted within 60 days from the date of the request, and
					 may be continued for good cause, such as illness, injury or incarceration of
					 the applicant.
(2) For an in-state
					 applicant the Department shall conduct the hearing within the California Court
					 of Appeal district where the applicant resides. In the case of an out-of-state
					 applicant, the hearing shall be conducted in Sacramento, California.
(3) At the estate hearing, the applicant
					 and/or the applicant's representative shall have the opportunity to be heard,
					 offer evidence, and present witnesses in support of the request for a waiver.
					 All testimony shall be submitted under oath, affirmation, or penalty of
					 perjury. The proceedings at the estate hearing shall be electronically
					 recorded. The applicant and/or the applicant's representative shall be prepared
					 to leave copies of all documents which support the applicant's request for a
					 waiver with the hearing officer.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 2.5 - Third Party Liability › Article 2 - Estate Recovery › Section 50965 - Voluntary Post Death Lien

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The Department shall propose a voluntary post death lien on the real property
					 of the estate, and other real property that the dependent(s), heir(s), or
					 survivor(s) has an interest in, when one or more of the dependent(s), heir(s),
					 or survivor(s) are:
(1) Living in and not
					 willing to sell the real property, and
(2) Unable to pay the Department's claim in
					 full, and
(3) Can demonstrate as
					 provided in subsection (b) that he or she is unable to obtain
					 financing.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 2.5 - Third Party Liability › Article 2 - Estate Recovery › Section 50966 - Claim Exemption

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 The Department shall withdraw its claim against the estate of a deceased
					 Medi-Cal beneficiary when the surviving child or his or her representative
					 provides the following documentary evidence to the Department of Health Care
					 Services, Estate Recovery Section, Mail Stop 4720, PO Box 997425, Sacramento,
					 CA 95899-7425, which demonstrates the surviving child was blind or disabled as
					 of the date of the Department's notice of claim:
(1) Documented proof of blindness or
					 disability in the form of a copy of an award letter from the Federal Social
					 Security Administration (SSA) or any correspondence from the SSA that provides
					 verification of the surviving child's blindness or disability and that the
					 blindness or disability existed on the date of the Department's notice of
					 claim. This documentation is not required if the surviving child is enrolled in
					 Medi-Cal with a blindness or disability aid code. If the surviving child is
					 over age 65, is not in possession of the award letter, and his or her
					 SSA/Supplemental Security Income disability benefits were converted to an aged
					 category, the Department will accept a verification of benefits, awarded prior
					 to age 65, from the SSA as proof that the benefits were based on blindness or
					 disability criteria; and
(2)
					 Documented proof that he or she is a surviving child of the decedent, such as a
					 copy of a birth certificate or adoption papers.
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 1 - Application and Enrollment › Section 51000.1.1 - Application or Application Package

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Application" or "Application Package" means a completed
						and signed application form, including an application for continued enrollment,
						signed under penalty of perjury or notarized pursuant to Welfare and
						Institutions Code Section
						14043.25,
						a Disclosure Statement, a Provider Agreement, and all attachments or changes in
						the form, statement, or agreement.
1. New
						section filed 2-8-2001; operative 2-8-2001 (Register 2001, No.
						6).
2. Redesignation of former section
						51000.101 as new section
						51000.1.1 and amendment of section
						heading, section and NOTE filed 9-29-2004 as an emergency; operative 10-7-2004
						(Register 2004, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 2-4-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL pursuant to Welfare and
						Institutions Code section
						14043.75.
3.
						Redesignation of former section
						51000.101 as new section
						51000.1.1 and amendment of section
						heading, section and NOTE refiled 1-27-2005 as an emergency; operative 2-5-2005
						(Register 2005, No. 4). A Certificate of Compliance must be transmitted to OAL
						by 6-6-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
4.
						Redesignation of former section
						51000.101 as new section
						51000.1.1 and amendment of section
						heading, section and NOTE refiled 6-2-2005 as an emergency; operative 6-7-2005
						(Register 2005, No. 22). A Certificate of Compliance must be transmitted to OAL
						by 10-5-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
5.
						Certificate of Compliance as to 6-2-2005 order, including amendment of section,
						transmitted to OAL 9-29-2005 and filed 11-10-2005 (Register 2005, No.
						45).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14043.1
						  and
						  14043.25,
						  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 1 - Application and Enrollment › Section 51000.2 - Beneficiary

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Beneficiary" means any person certified as eligible for
						services under the Medi-Cal program.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Sections
						  14000
						  and
						  14005,
						  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 1 - Application and Enrollment › Section 51000.5 - Capital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Capital" means the total of all money invested in, and
						property or services contributed to, an applicant's or provider's business
						enterprise for the purpose of starting, acquiring, equipping, and operating the
						applicant's or provider's business enterprise.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Section
						  14125.8,
						  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 1 - Application and Enrollment › Section 51000.6.1 - Deactivate

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Deactivate" means the provider's number, including all
						business addresses used by the provider to provide health care services, goods,
						supplies, or merchandise directly or indirectly to Medi-Cal beneficiaries shall
						no longer be used to bill the Medi-Cal Program on or after the effective date
						of the deactivation.
1. New
						section filed 11-10-2005; operative 11-10-2005 pursuant to Government Code
						section
						11343.4
						(Register
						2005,
						No. 45).
2. Change without regulatory effect amending section and
						NOTE filed 1-23-2009 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2009, No. 4).
Note: Authority cited: Section
						  20, Health and Safety Code; and
						  Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14043.2,
						  14043.36,
						  14043.37,
						  14043.45,
						  14043.62
						  and
						  14043.7,
						  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 1 - Application and Enrollment › Section 51000.8 - Group Provider Number

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Group Provider Number" means the unique identification
						number used by a provider group applicant to obtain reimbursement from the
						Medi-Cal program.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register
						2000,
						No. 18). A Certificate of Compliance must be transmitted to OAL by 9-19-2000 or
						emergency language will be repealed by operation of law on the following
						day.
4. New section refiled 8-28-2000 as an emergency; operative
						9-6-2000 (Register 2000, No. 35). A Certificate of Compliance must be
						transmitted to OAL by 1-4-2001 or emergency language will be repealed by
						operation of law on the following day.
5. Certificate of Compliance
						as to 8-28-2000 order transmitted to OAL 12-26-2000 and filed 2-8-2001
						(Register 2001, No. 6).
6. Change without regulatory effect amending
						section and NOTE filed 1-23-2009 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2009, No. 4).
Note: Authority cited: Section
						  20, Health and Safety Code; and
						  Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Section
						  14043.45,
						  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 1 - Application and Enrollment › Section 51000.9 - Indirect Ownership Interest

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Indirect Ownership Interest" means an
					 ownership interest in any entity that has an ownership interest in the
					 applicant or provider. This term includes an ownership interest in any entity
					 that has an indirect ownership interest in the applicant or provider.
(b) The amount of indirect ownership interest
					 is determined by multiplying the percentages of ownership in each entity. For
					 example, if A owns 10 percent of the stock in a corporation which owns 80
					 percent of the stock of the applicant or provider, A's interest equates to an 8
					 percent indirect ownership interest in the applicant or provider and shall be
					 reported pursuant to Section
					 51000.35. Conversely, if B owns 80
					 percent of the stock of a corporation which owns 5 percent of the stock of the
					 applicant or provider, B's interest equates to a 4 percent indirect ownership
					 interest in the applicant or provider and need not be reported.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Section
						  14043.2,
						  Welfare and Institutions Code; 42, U.S.C., Sections
						  1320 a-3, 1320a-7, 1396a(a)(38),
						  1396b(i)(2); and 42, Code of Federal Regulations, Part
						  455.
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 1 - Application and Enrollment › Section 51000.9.5 - Licensed Substance Use Disorder Treatment Professional

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Licensed Substance Use Disorder Treatment Professional"
						means an individual that provides medically necessary, clinical services
						prescribed for beneficiaries admitted, registered, or accepted for care by the
						substance use disorder clinic and is either:
(a) A physician licensed by the Medical Board
					 of California or by the Osteopathic Medical Board of California; or
(b) A psychologist licensed by the Board of
					 Psychology; or
(c) A clinical
					 social worker or marriage family therapist licensed by the California Board of
					 Behavioral Sciences.
1. New
						section filed 8-17-2015 as a deemed emergency exempt from OAL review pursuant
						to Welfare and Institutions Code section
						14043.75;
						operative 8-17-2015 (Register
						2015,
						No. 34). A Certificate of Compliance must be transmitted to OAL by 2-16-2016 or
						emergency language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 8-17-2015 order transmitted
						to OAL 12-30-2015 and filed 2-11-2016 (Register 2016, No.
						7).
Note: Authority cited: Section
						  20, Health and Safety Code;
						  Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14021,
						  14021.3,
						  14021.5,
						  14021.6,
						  14021.33,
						  14021.51,
						  14043.7,
						  14107,
						  14124.1,
						  14124.2,
						  14124.24,
						  14124.25,
						  14131,
						  14133
						  and
						  14133.1,
						  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 1 - Application and Enrollment › Section 51000.10 - Line of Credit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Line of Credit" means a right granted by an applicant or
						provider to any other person or entity to defer payment to applicant or
						provider for the purchase of services, goods, supplies, or merchandise, from
						applicant or provider up to a predetermined number or amount of services,
						goods, supplies, or merchandise, or a predetermined amount of
						money.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Section
						  14125.8,
						  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 1 - Application and Enrollment › Section 51000.10.1 - Location

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Location" means a street, city, or rural route address
						or a site or place within a street, city, or rural route address, and the city,
						county, state, and nine digit ZIP Code. A post office box or commercial box is
						not a location.
1. New
						section filed 9-29-2004 as an emergency; operative 10-7-2004 (Register 2004,
						No. 41). A Certificate of Compliance must be transmitted to OAL by 2-4-2005 or
						emergency language will be repealed by operation of law on the following day.
						Deemed emergency exempt from OAL pursuant to Welfare and Institutions Code
						section
						14043.75.
2.
						New section refiled 1-27-2005 as an emergency; operative 2-5-2005 (Register
						2005, No. 4). A Certificate of Compliance must be transmitted to OAL by
						6-6-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
3.
						New section refiled 6-2-2005 as an emergency; operative 6-7-2005 (Register
						2005, No. 22). A Certificate of Compliance must be transmitted to OAL by
						10-5-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
4.
						Certificate of Compliance as to 6-2-2005 order transmitted to OAL 9-29-2005 and
						filed 11-10-2005 (Register 2005, No. 45).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14043.1
						  and
						  14043.62,
						  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 1 - Application and Enrollment › Section 51000.11 - Mailing Address

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Mailing address" means the address at which the
						applicant or provider wishes to receive general program correspondence, such as
						bulletin articles and Provider Manual updates. The mailing address includes the
						post office box number, or the street number and name, room or suite number or
						letter, and the city, state and 9-digit zip code.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  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 1 - Application and Enrollment › Section 51000.12 - Managing Employee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Managing employee" means a general manager, business
						manager, administrator, director, or other individual who exercises operational
						or managerial control over, or who directly or indirectly conducts the
						day-to-day operation of an applicant or provider.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Section
						  14043.2,
						  Welfare and Institutions Code; 42, U.S.C., Sections
						  1320 a-3, 1320a-7, 1396a(a)(38),
						  1396b(i)(2); and 42, Code of Federal Regulations, Part
						  455.
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 1 - Application and Enrollment › Section 51000.13 - Ownership Interest

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Ownership interest" means the possession of equity in
						the capital, the stock, or the profits of the applicant or
						provider.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Section
						  14043.2,
						  Welfare and Institutions Code; 42, U.S.C., Sections
						  1320 a-3, 1320a-7, 1396a(a)(38),
						  1396b(i)(2); and 42, Code of Federal Regulations, Part
						  455.
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 1 - Application and Enrollment › Section 51000.14 - Pay To Address

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Pay to address" means the address at which the applicant
						or provider wishes to receive payment for the provision of healthcare services,
						equipment or supplies to Medi-Cal beneficiaries. The pay to address includes
						the post office box number, or the street number and name, room or suite number
						or letter, the city, state and 9-digit zip code.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  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 1 - Application and Enrollment › Section 51000.15 - Person with an Ownership or Control Interest

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Person with an ownership or control
					 interest" means a person or corporation that:
(1) Has an ownership interest totaling 5
					 percent or more in an applicant or provider.
(2) Has an indirect ownership interest equal
					 to 5 percent or more in an applicant or provider.
(3) Has a combination of direct and indirect
					 ownership interests equal to 5 percent or more in an applicant or
					 provider.
(4) Owns an interest of 5
					 percent or more in any mortgage, deed of trust, note, or other obligation
					 secured by the applicant or provider if that interest equals at least 5 percent
					 of the value of the property or assets of the applicant or provider.
(5) Is an officer or director of an applicant
					 or provider that is organized as a corporation.
(6) Is a partner in an applicant or provider
					 that is organized as a partnership.
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 1 - Application and Enrollment › Section 51000.15.1 - Preenrollment Period or Preenrollment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Preenrollment period" or "preenrollment" includes the
						period of time during which an application package for enrollment, continued
						enrollment, or for the addition of or change in a location is pending with the
						Department.
1. New
						section filed 9-29-2004 as an emergency; operative 10-7-2004 (Register 2004,
						No. 41). A Certificate of Compliance must be transmitted to OAL by 2-4-2005 or
						emergency language will be repealed by operation of law on the following day.
						Deemed emergency exempt from OAL pursuant to Welfare and Institutions Code
						section
						14043.75.
2.
						New section refiled 1-27-2005 as an emergency; operative 2-5-2005 (Register
						2005, No. 4). A Certificate of Compliance must be transmitted to OAL by
						6-6-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
3.
						New section refiled 6-2-2005 as an emergency; operative 6-7-2005 (Register
						2005, No. 22). A Certificate of Compliance must be transmitted to OAL by
						10-5-2005 or emergency language will be repealed by operation of law on the
						following day. Deemed emergency exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
4.
						Certificate of Compliance as to 6-2-2005 order transmitted to OAL 9-29-2005 and
						filed 11-10-2005 (Register 2005, No. 45).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14043.1,
						  14043.26
						  and
						  14043.4,
						  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 1 - Application and Enrollment › Section 51000.15.5 - Perinatal Residential Substance Use Disorder Services Program

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Perinatal Residential Substance Use Disorder Services
						Program" has the same meaning as the term used in Section
						51341.1(b)(20).
1. New
						section filed 8-17-2015 as a deemed emergency exempt from OAL review pursuant
						to Welfare and Institutions Code section
						14043.75;
						operative 8-17-2015 (Register
						2015,
						No. 34). A Certificate of Compliance must be transmitted to OAL by 2-16-2016 or
						emergency language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 8-17-2015 order transmitted
						to OAL 12-30-2015 and filed 2-11-2016 (Register 2016, No.
						7).
Note: Authority cited: Section
						  20, Health and Safety Code;
						  Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14021,
						  14021.3,
						  14021.5,
						  14021.6,
						  14021.33,
						  14043.7,
						  14053,
						  14107,
						  14124.1,
						  14124.2,
						  14124.24,
						  14124.25,
						  14131,
						  14132.21,
						  14132.905,
						  14133
						  and
						  14133.1,
						  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 1 - Application and Enrollment › Section 51000.17 - Provider Group Applicant

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Provider Group Applicant" means more than one individual
						rendering provider applying to be enrolled as a provider
						group.
1. New
						section filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40).
						A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or
						emergency language will be repealed by operation of law on the following day.
						Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
2. New section refiled 11-24-99 as an emergency; operative
						11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted
						to OAL by 5-22-2000 or emergency language will be repealed by operation of law
						on the following day. Submitted to OAL for printing only pursuant to section
						78, AB 1107 (Chapter 146, Statutes
						of 1999).
3. New section refiled 5-5-2000 as an emergency; operative
						5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be
						transmitted to OAL by 9-19-2000 or emergency language will be repealed by
						operation of law on the following day.
4. New section refiled
						8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A
						Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 8-28-2000 order transmitted
						to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No.
						6).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  78, Chapter 146, Statutes of 1999.
						  Reference: Sections
						  14043
						  and
						  14043.1,
						  Welfare and Institutions Code.