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 51190.4.1 - Local Educational Agency (LEA) Specialized Medical Transportation Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Local Educational Agency (LEA) Specialized Medical
						Transportation Services" means medical transportation services provided to an
						LEA eligible beneficiary who requires a specially adapted vehicle or use of
						specialized equipment, including but not limited to lifts, ramps or restraints,
						to accommodate the LEA eligible beneficiary's disability.
1. New
						section filed 12-10-2015; operative 4-1-2016 (Register
						2015,
						No. 50).
Note: Authority cited: Section
						  20, Health and Safety Code; and
						  Sections
						  10725,
						  14115.8,
						  14124.5
						  and
						  14132.06,
						  Welfare and Institutions Code. Reference: Sections
						  14115.8,
						  14132
						  and
						  14132.06,
						  Welfare and Institutions Code; Section
						  300.34, Title 34 Code of Federal
						  Regulations; and Sections
						  431.53 and
						  440.130, Title 42 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 51190.5 - Managed Care Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Managed Care Plan" means an entity contracting with the
						Department to provide health care services to enrolled Medi-Cal beneficiaries
						under Chapter 7, commencing with Section
						14000 or Chapter 8, commencing
						with Section
						14200 of Division 9, Part 3 of the
						Welfare and Institutions Code.
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						emergency language will be repealed by operation of law on the following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 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
						  14000 et seq., 14053, 14132, 14200
						  et seq., 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 51191 - Licensed Midwife

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Licensed Midwife" means an individual who holds a
						current, unrevoked, unsuspended license to practice midwifery under the
						Licensed Midwifery Practice Act of 1993, as set forth in Business and
						Professions Code Section
						2505,
						et seq., and the regulations adopted thereunder.
1. New
						section filed 9-3-2004; operative 10-3-2004 (Register 2004, No.
						36).
Note: Authority cited: Sections
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132.39,
						  Welfare and Institutions Code; and Sections
						  2505-
						  2521,
						  Business and Professions 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 51192 - Licensed Midwife Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Licensed midwife services means services rendered by a
						licensed midwife, which are performed in accordance with Section
						2507
						of the Business and Professions Code, and Section
						51356 of this
						Chapter.
1. New
						section filed 9-3-2004; operative 10-3-2004 (Register 2004, No.
						36).
Note: Authority cited: Sections
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132.39,
						  Welfare and Institutions Code; and Section
						  2507,
						  Business and Professions 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 51193.1 - Portable Imaging Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Portable imaging services" means diagnostic imaging
						examinations which utilize equipment that is transported to locations where
						these services are performed. These services include the following diagnostic
						examinations: radiological, ultrasound, echocardiographic, and non-invasive
						vascular.
1. New
						section filed 5-12-2015; operative 7-1-2015 (Register
						2015,
						No. 20).
Note: Authority cited: Section
						  20, Health and Safety Code; and
						  Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  1765.105,
						  Health and Safety Code; and 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 51193.3 - Portable Imaging Services Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Portable imaging services provider" means a provider who
						is enrolled in the Medi-Cal program and performs portable imaging
						services.
1. New
						section filed 5-12-2015; operative 7-1-2015 (Register
						2015,
						No. 20).
Note: Authority cited: Section
						  20, Health and Safety Code; and
						  Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  1765.105,
						  Health and Safety Code; and 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 3 - Standards for Participation › Section 51200 - Basic Requirement for Program Participation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) In addition to any other statutory or
					 regulatory conditions for participation in the Medi-Cal program and any federal
					 requirements for participation in Medicaid, as a condition for enrollment, or
					 continued enrollment, an applicant or provider also shall meet the standards
					 specified in this Article, applicable to their provider type, and the
					 requirements specified in Sections
					 51000.30 through
					 51000.55. Failure to meet
					 applicable standards for participation shall result in the denial of the
					 applicant's or provider's application for enrollment, or continued enrollment,
					 as specified in Section
					 51000.50.
(b) Any provider who violates any provision
					 of law or regulation that governs the Medi-Cal program shall be subject to
					 temporary or permanent suspension from the Medi-Cal program, as permitted by
					 Section 14123, Welfare and Institutions
					 (W&I) Code.
(c) All providers
					 shall be subject to temporary suspension, including temporary deactivation of
					 all provider numbers used by the provider to obtain reimbursement from the
					 Medi-Cal program, under any of the following circumstances:
(1) The provider has failed to disclose all
					 information required in federal Medicaid regulations or any other information
					 required by the Department, or has disclosed false information, as specified in
					 Section 14043.2, W&I Code.
(2) The provider is discovered to be under
					 investigation for fraud or abuse, as specified in Section
					 14043.36.
(3) The provider has failed to remediate
					 discrepancies that are discovered as a result of an unannounced visit to the
					 provider, as specified in Section
					 14043.7, W&I
					 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 3 - Standards for Participation › Section 51200.01 - Established Place of Business. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 2-3-2003 as an emergency; operative 2-3-2003 (Register 2003, No.
						6). Emergency adoption exempt from OAL review pursuant to Welfare and
						Institutions Code section
						14043.75.
						Adoption to remain in effect for 180 days pursuant to section
						78, chapter 146, Statutes of 1999
						(AB 1107). A Certificate of Compliance must be transmitted to OAL by 8-4-2003
						or emergency language will be repealed by operation of law on the following
						day.
2. New section refiled 8-5-2003 as an emergency; operative
						8-5-2003 (Register 2003, No. 32). Emergency adoption exempt from OAL review
						pursuant to Welfare and Institutions Code section
						14043.75.
						Adoption to remain in effect for 180 days pursuant to section
						78, chapter 146, Statutes of 1999
						(AB 1107). A Certificate of Compliance must be transmitted to OAL by 2-2-2004
						or emergency language will be repealed by operation of law on the following
						day.
3. New section refiled 2-3-2004 as an emergency; operative
						2-3-2004 (Register 2004, No. 6). Emergency adoption exempt from OAL review
						pursuant to Welfare and Institutions Code section
						14043.75.
						A Certificate of Compliance must be transmitted to OAL by 6-2-2004 or emergency
						language will be repealed by operation of law on the following
						day.
4. Repealed by operation of Government Code section
						11346.1(g)
						(Register 2004, No. 24).
5. New section refiled 6-8-2004 as an
						emergency; operative 6-8-2004 (Register 2004, No. 24). A Certificate of
						Compliance must be transmitted to OAL by 10-6-2004 or emergency language will
						be repealed by operation of law on the following day.
6. Repealed by
						operation of Government Code section
						11346.1(g)
						(Register 2004, No. 41).
Note: Authority cited: Sections
						  10725,
						  14043.75
						  and
						  14124.5,
						  Welfare and Institutions Code; Section
						  700,
						  Insurance 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 3 - Standards for Participation › Section 51201 - Physical Therapy. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Repealer filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40). For
						prior history, see Register 72, No. 31.
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 3 - Standards for Participation › Section 51201.1 - Physical Therapist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A physical therapist shall be licensed as a Registered
						Physical Therapist by the California Board of Medical Quality Assurance, or
						similarly registered or licensed by a comparable agency in the state in which
						the therapist practices, and shall be a graduate of a program in physical
						therapy approved by the agency or organization recognized by the Council on
						Post Secondary Accreditation or the U.S. Department of Education, or its
						equivalent. Physical therapists certified by the Physical Therapy Examining
						Committee may perform tissue penetration for the purpose of evaluating
						neuromuscular performance.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Amendment filed 8-8-78; effective thirtieth day thereafter
						(Register 78, No. 32).
3. Amendment filed 6-22-87; operative 7-22-87
						(Register 87, No. 27).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059,
						  14105
						  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 3 - Standards for Participation › Section 51202 - Speech Pathologist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A speech therapist shall be licensed by the Speech
						Pathology and Audiology Examining Committee of the State Board of Medical
						Quality Assurance or similarly licensed by a comparable agency in the state in
						which he practices.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Amendment filed 11-4-76; effective thirtieth day thereafter
						(Register 76, No. 45).
3. Amendment filed 9-4-80; effective
						thirtieth day thereafter (Register 80, No. 36).
Note: Authority cited: Sections
						  14105
						  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 3 - Standards for Participation › Section 51202.5 - Sign Language Interpreters

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Individuals who provide sign language interpreter services shall possess the
					 ability to communicate effectively, accurately and impartially both receptively
					 and expressively in a health care setting, and either;
(1) Hold a current certification by one of
					 the following:
(A) The National Registry of
					 Interpreters for the Deaf (RID);
(B) The National Association of the Deaf
					 (NAD)/California Association of the Deaf (CAD) at a competency Level IV or V
					 only; or
(C) The California
					 Department of Rehabilitation at a competency Level III and possess a
					 certificate from RID, NAD/CAD at a competency Level IV or V only;
					 or
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 3 - Standards for Participation › Section 51203 - Occupational Therapy. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. Refiled
						6-5-67 as an emergency; effective upon filing. Certificate of Compliance filed
						6-9-67 (Register 67, No. 23).
2. Amendment filed 3-30-72 as an
						emergency; effective upon filing (Register 72, No. 15).
3.
						Certificate of Compliance filed 7-27-72 (Register 72, No. 31).
4.
						Repealer filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
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 3 - Standards for Participation › Section 51203.1 - Occupational Therapist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An occupational therapist shall be a graduate of a
						curriculum in occupational therapy approved by the Council on Education of the
						American Medical Assocition in collaboration with the American Occupational
						Therapy Association, and shall be registered by the American Occupational
						Therapy Association.
1. New
						section filed 9-27-72; designated effective date 11-1-72 (Register 72, No.
						40).
2. Change without regulatory effect adding NOTE (Register 86,
						No. 49).
Note: Authority cited: Sections
						  10725,
						  14105
						  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 3 - Standards for Participation › Section 51204 - Personal Care Services Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All providers of personal care program services must be
						approved by Department of Health Services and shall sign the "Personal Care
						Program Provider/Enrollment Agreement" form [SOC 426(1/93)] designated by the
						Department agreeing to comply with all applicable laws and regulations
						governing Medi-Cal and the providing of personal care services. Beneficiaries
						shall be given a choice of service provider.
(a) Individual providers will be selected by
					 the beneficiary, by the personal representative of the beneficiary, or in the
					 case of a minor, the legal parent or guardian. The beneficiary or the
					 beneficiary's personal representative, or in the case of a minor, the legal
					 parent or guardian shall certify on the provider enrollment document that the
					 provider, in the opinion of the beneficiary, is qualified to provide personal
					 care so long as the person signing is not the provider.
(b) Contract agency personal care providers
					 shall be selected in accordance with Welfare and Institutions Code section
					 12302.1.
					 The contract agency shall certify to the designated county department that the
					 workers it employs are qualified to provide the personal care services
					 authorized.
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 3 - Standards for Participation › Section 51205 - Prosthetic and Orthotic Appliance Facilities. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 6-23-66 as an emergency; effective upon filing; Certificate of
						Compliance included (Register 66, No. 19).
2. Amendment filed
						9-27-72; designated effective 11-1-72 (Register 72, No. 40).
3.
						Change without regulatory effect adding NOTE (Register 86, No.
						49).
4. Repealer filed 4-20-98; operative 5-20-98 (Register 98, No.
						17).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132(k),
						  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 3 - Standards for Participation › Section 51206 - Hospitals, Home Health Agencies and Laboratories. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Repealer filed 4-30-74; effective thirtieth day thereafter (Register 74, No.
						18). For prior history, see Register 73, No.
						52.
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 3 - Standards for Participation › Section 51207 - Hospitals

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A hospital, to
					 be eligible for participation in the program, shall:
(1) Be certified, or meet the requirements
					 for certification under Title XVIII of the Federal Social Security
					 Act.
(2) Be licensed pursuant to
					 the provisions of Chapter 2 of the Health and Safety Code.
(3) Have an organized medical staff that has
					 promulgated medical staff by-laws, rules, and regulations which include
					 provisions that assure correct utilization and high quality of professional
					 services rendered to Medi-Cal beneficiaries in the hospital.
(4) Take timely and definitive action,
					 including initiating proceedings to suspend or terminate hospital privileges,
					 against medical staff members who provide inappropriate or excessive services,
					 or services of inferior quality to Medi-Cal beneficiaries.
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 3 - Standards for Participation › Section 51208 - Dispensing Optician

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A dispensing optician shall have a permit as a registered
						dispensing optician issued by the California Board of Medical Quality Assurance
						or shall hold a permit issued by a comparable agency in the state in which he
						practices.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Amendment filed 8-8-78; effective thirtieth day thereafter
						(Register 78, No. 32).
3. Change without regulatory effect adding
						NOTE (Register 86, No. 49).
Note: Authority cited: Section
						  14015,
						  Welfare and Institutions Code. Reference: Sections
						  14059,
						  14131
						  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 3 - Standards for Participation › Section 51208.1 - Fabricating Optical Laboratory

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A fabricating optical laboratory, as defined in Section
						51162.1, shall meet all of the
						following conditions:
(a) Be licensed
					 by the Department as a device manufacturer, in accordance with Section
					 10376, Title 17, California Code
					 of Regulations; and
(b) Meet the
					 quality standards for prescription ophthalmic appliances as specified in the
					 American National Standards Institute (ANSI) Standard Z80.1, copyright 1972,
					 published by the American National Standards Institute, 1430 Broadway, New
					 York, NY 10018; and
(c) Enter into
					 an exclusive area negotiated contract for ophthalmic appliances with the
					 Department of Health Services.
1. New
						section filed 11-28-88 as an emergency; operative 11-28-88 (Register 89, No.
						11). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 3-28-89.
2. Certificate of
						Compliance as to 11-28-88 order transmitted to OAL 3-27-89 and filed 4-26-89
						(Register 89, No. 18).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  87, Chapter 1594, Statutes of
						  1982. Reference: Sections
						  14105.3
						  and
						  14132,
						  Welfare and Institutions Code; Section
						  26685,
						  Health and Safety Code; and Sections
						  2541.3
						  and
						  2541.6,
						  Business and Professions 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 3 - Standards for Participation › Section 51209 - Hospital Outpatient Department

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A hospital outpatient department shall be operated by a
						hospital certified for participation in the Medi-Cal Program and shall be
						staffed by personnel who meet the standards of Division 3, Chapter 3, Article 3
						of Title 22, California Administrative Code when providing services outlined in
						Section 51331.
1. Refiled
						6-5-67 as an emergency; effective upon filing. Certificate of Compliance filed
						6-9-67 (Register 67, No. 23).
2. Amendment filed 9-30-71 as an
						emergency; designated effective 10-1-71 (Register 71, No. 40).
3.
						Certificate of Compliance--Section
						11422.1,
						Gov. Code, filed 1-25-72 (Register 72, No. 5).
4. Amendment filed
						9-27-72; designated effective 11-1-72 (Register 72, No. 40).
5.
						Amendment filed 6-22-87; operative 7-22-87 (Register 87, No.
						27).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14019.5,
						  14059,
						  14110
						  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 3 - Standards for Participation › Section 51210 - Blood Banks

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Blood banks shall be licensed by the Department in
						accordance with the provisions of Division 2, Chapter 4, Sections
						1600 to
						1623 inclusive, of the Health and
						Safety Code.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Amendment filed 1-18-74; effective thirtieth day thereafter
						(Register 74, No. 3).
3. Change without regulatory effect adding
						NOTE (Register 86, No. 49).
Note: Authority cited: sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14110 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 3 - Standards for Participation › Section 51211 - Other Organized Outpatient Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 2-23-67 as an emergency; effective upon filing (Register 67,
						No. 8).
2. Certificate of Compliance--Section
						11422.1,
						Government Code--filed 4-12-67 (Register 67, No. 15).
3. Repealer
						filed 9-30-71 as an emergency; designated effective 10-1-71 (Register 71, No.
						40).
4. Certificate of Compliance--Section
						11422.1,
						Gov. Code, filed 1-25-72 (Register 72, No.
						5).
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 3 - Standards for Participation › Section 51211.1 - Organized Outpatient Clinic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An organized outpatient clinic shall be a clinic, or an
						establishment for handicapped persons, which is so licensed by and which meets
						the standards for such licensure of the Department, or is similarly licensed by
						a comparable agency in the state in which it is located, or is exempt from
						licensure under the provisions of Section
						1206 or Section
						1505
						of the California Health and Safety Code.
(a) In any organized outpatient clinic which
					 provides physical therapy services, there shall be at least one physical
					 therapist who meets the standards of Section
					 51201.1, and such other properly
					 trained and supervised physical therapy personnel as are necessary to meet the
					 needs of the organized outpatient clinic.
(b) In any organized outpatient clinic which
					 provides occupational therapy services, there shall be at least one registered
					 occupational therapist who meets the standards of Section
					 51203.1 and such other properly
					 trained and supervised occupational therapy personnel as are necessary to meet
					 the needs of the organized outpatient clinic.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Amendment filed 1-18-74; effective thirtieth day thereafter
						(Register 74, No. 3).
3. Amendment filed 5-25-76; effective
						thirtieth day thereafter (Register 76, No. 22).
4. Change without
						regulatory effect adding NOTE (Register 86, No. 49).
5. Change
						without regulatory effect amending first paragraph filed 10-30-95 pursuant to
						section 100, title 1, California Code of
						Regulations (Register 95, No. 44).
Note: Authority cited: Section
						  14105,
						  Welfare and Institutions Code. Reference: Sections
						  14100.1,
						  14105
						  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 3 - Standards for Participation › Section 51211.2 - Laboratory or Clinical Laboratory

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A laboratory or clinical laboratory in
					 California or receiving biological specimens (as defined in Business and
					 Professions Code section
					 1206)
					 originating in California shall:
(1) Be
					 operated under a current, unrevoked and unsuspended clinical laboratory license
					 or registration issued by the department pursuant to division 2, chapter 3,
					 (commencing with section
					 1200) of the Business and
					 Professions Code; or a current, unrevoked and unsuspended certificate of
					 approval issued by the department pursuant to sections
					 1000-1003 inclusive of the Health
					 and Safety Code; or be exempt from licensure and registration under Business
					 and Professions Code section
					 1241
					 or
					 1244;
					 and
(2) Have a current, unrevoked
					 and unsuspended, certificate appropriate for the type and complexity of
					 clinical laboratory tests or examinations performed, issued pursuant to the
					 federal Clinical Laboratory Improvement Amendments (CLIA) of 1988,
					 42 United States Code
					 section 263a;
					 P.L.
					 100-578 and its implementing regulations, 42, Code
					 of Federal Regulations part 493. If the United States Department of Health and
					 Human Services (HHS) exempts clinical laboratories, laboratories or public
					 health laboratories licensed, registered or otherwise approved by the
					 department from the requirements of CLIA pursuant to (p) of section
					 263 a of title 42 of the United
					 States Code and section
					 493.513 of title 42 of the Code of
					 Federal Regulations, this subsection's requirements regarding a CLIA
					 certificate shall not apply, but only to those clinical laboratories,
					 laboratories or public health laboratories exempted by HHS and only for the
					 period of such exemption.
(3) If
					 providing services to persons who are Medicare eligible, be certified or meet
					 the requirements for certification under title XVIII of the Federal Social
					 Security Act, and have elected to provide services under title XVIII,
					 or
(4) If providing services to
					 persons who are not Medicare eligible, be certified or meet the requirements
					 for certification under title XVIII of the Federal Social Security
					 Act.
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 3 - Standards for Participation › Section 51211.5 - Rural Health Clinic Standards for Participation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each rural health clinic shall:
(1) Be licensed or exempt from licensure
					 under Chapter 1, Division 2, California Health and Safety Code.
(2) Be located in a rural shortage area at
					 the time of initial certification or be a private, nonprofit facility that
					 meets all other conditions except for location in a shortage area and was
					 operating in a rural area on July 1, 1977 that was subsequently determined by
					 the Secretary, Department of Health and Human Services, to have an insufficient
					 supply of physicians to meet the needs of the area served.
(3) Be certified and continue to meet the
					 standards for certification as a rural health clinic established by the
					 Secretary, Department of Health and Human Services.
(4) Provide that a physician or nonphysician
					 medical practitioner be available to furnish patient care services at all hours
					 of clinic operation. A nonphysician medical practitioner shall be available to
					 furnish patient care services at least 60 percent of the hours of clinic
					 operation.
(5) Execute a provider
					 participation agreement with the Director containing, but not limited to, the
					 following provisions:
(A) The participation
					 agreement shall be subject to the same terms and conditions, and be coterminous
					 with the period of eligibility, specified by the Secretary, Department of
					 Health and Human Services.
(B) The
					 participation agreement, including that of a provider who voluntarily withdraws
					 from participation in Medicare, shall continue to be valid only if the provider
					 continues to be certified as meeting the standards as a rural health clinic
					 established by the Secretary, Department of Health and Human
					 Services.
(C) The provider may
					 terminate the participation agreement by filing a written notice with the
					 Director stating the effective date of termination. The Director may approve:
1. The date selected by the clinic.
2. A date that is six months after the date
					 on which the clinic filed notice.
3. A date that is less than six months after
					 the date on which the clinic filed notice if the Director determines that
					 termination on that date would not unduly disrupt service to the community
					 served or interfere with the administration of the Medi-Cal
					 program.
(D) A clinic
					 that ceases to furnish services to the community shall be deemed to have
					 voluntarily terminated the participation agreement, effective on the last day
					 of service.
(6) Maintain
					 any records and accounts required by the Director in accordance with State and
					 Federal law.
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 3 - Standards for Participation › Section 51212 - Intermediate Care Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An intermediate care facility as defined
					 in section
					 51118 shall:
(1) Be licensed by the Department of Health
					 Services as an intermediate care facility unless exempt under state law from
					 licensure. (Facilities which are licensed by the Department of Health services
					 as a hospital or skilled nursing facility may also provide intermediate care
					 services if they meet all the requirements of this section.)
(2) Be certified to participate in the
					 Medi-Cal program as a provider of intermediate care services and execute a
					 provider participation agreement with the Department, and be in compliance with
					 the requirements contained in title XIX of the Social Security Act and
					 regulations promulgated pursuant thereto. The certification notice shall be
					 conspicuously posted in the facility on a public bulletin board in the area
					 open to and usually frequented by patients, physicians, and visitors.
(3) Assure that Medi-Cal beneficiaries in the
					 facility are visited by their attending physicians in accordance with section
					 51334(f) of this
					 chapter.
(4) Grant access to
					 Medi-Cal beneficiaries and their records to authorized personnel of the
					 Department.
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 3 - Standards for Participation › Section 51213 - Rehabilitation Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
					 rehabilitation center shall be certified by the Department as meeting the
					 requirements of this section, shall be approved by the Department and shall
					 meet the requirements of either (b) or (c) and all the other provisions of this
					 section.
(b) Such rehabilitation
					 center shall be a hospital, which meets the standards for participation set
					 forth in Section
					 51207 and which is currently
					 participating in the program and which was an organized outpatient department,
					 and which
(1) Has an organized rehabilitation
					 service, and
(2) Has as chief of
					 the rehabilitation service a physician who has the necessary training and
					 experience to assure proper patient assessment and care.
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 3 - Standards for Participation › Section 51214 - Hearing Aid Dispenser

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A Hearing Aid Dispenser shall be licensed as a hearing
						aid dispenser by the California Board of Medical Quality
						Assurance.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40). For
						history of prior section see Register 72, No. 5.
2. Amendment filed
						11-21-77; effective thirtieth day thereafter (Register 77, No.
						48).
3. Amendment filed 8-8-78; effective thirtieth day thereafter
						(Register 78, No. 32).
4. Amendment filed 6-22-87; operative 7-22-87
						(Register 87, No. 27).
Note: Authority cited: Sections
						  10725,
						  14105
						  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 3 - Standards for Participation › Section 51215 - Skilled Nursing Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 A skilled nursing facility, as defined in section
					 51121, shall:
(1) Be licensed by the Department of Health
					 Services unless exempt under state laws from licensure. (facilities which are
					 licensed by the Department of Health Services as hospitals may also provide
					 skilled nursing facility services if they meet all of the requirements of this
					 section.
(2) Be certified to
					 participate in the Medi-Cal program as a provider of skilled nursing facility
					 services by being in compliance with the Medicare and Medicaid requirements of
					 Titles XVIII and XIX of the Social Security Act and regulations promulgated
					 pursuant thereto.
(3) Execute a
					 provider participation agreement with the Department of Health Services for
					 participation in the Medi-Cal program. Facilities participating in both the
					 Medicare and Medicaid programs shall be subject to the same terms and
					 conditions, and be coterminous with the period of approval of eligibility,
					 specified by the United States Department of Health and Human Services pursuant
					 to title XVIII of the Social Security Act. Upon notification that a provider
					 participation agreement with a facility under title XVIII of the Act has been
					 terminated, the Department may take appropriate action to deny or terminate the
					 facility's participation under Medi-Cal. A facility whose agreement under title
					 XVIII has been canceled or otherwise terminated shall not be issued another
					 provider participation agreement until the reasons which caused the
					 cancellation or termination have been removed and a reasonable assurance
					 provided the survey agency that they will not recur.
(4) Assure that Medi-Cal beneficiaries in the
					 facility are visited by their attending physicians in accordance with section
					 51335(f) of this
					 chapter.
(5) Notify the Medi-Cal
					 consultant's office within 48 hours of all discharges and deaths of Medi-Cal
					 beneficiaries in that facility.
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 3 - Standards for Participation › Section 51215.4 - Transitional Inpatient Care Unit. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 4-1-96 as an emergency; operative 4-1-96 (Register 96, No. 14). A
						Certificate of Compliance must be transmitted to OAL by 9-30-96 pursuant to
						Welfare and Institutions Code section
						14132.22
						or emergency language will be repealed by operation of law on the following
						day.
2. Editorial correction of subsections (l)-(n) and (o)(5) and
						HISTORY 1 (Register 96, No. 35).
3. New section refiled 8-28-96 as
						an emergency; operative 9-30-96 (Register 96, No. 35). A Certificate of
						Compliance must be transmitted to OAL by 1-28-97 or emergency language will be
						repealed by operation of law on the following day.
4. Certificate of
						Compliance as to 8-28-96 order, including amendment of section, transmitted to
						OAL 1-23-97 and filed 3-10-97 (Register 97, No. 11).
5. Change
						without regulatory effect repealing section filed 6-12-2006 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2006, No. 24).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14105.981
						  and
						  14132.22,
						  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 3 - Standards for Participation › Section 51215.5 - Subacute Care Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
					 subacute care unit means an identifiable unit of a skilled nursing facility
					 accommodating beds including contiguous rooms, a wing, a floor, or a building
					 that is approved by the Department for such purpose.
(b) In addition to the requirements set forth
					 in subsections (c) through (
l
) a subacute care unit shall
					 comply with all of the licensing and certification requirements set forth in
					 Title 22, Division 5, otherwise applicable to a skilled nursing
					 facility.
(c) The facility shall
					 accept and retain only those subacute patients for whom it can provide adequate
					 care.
(d) Subacute beds shall not
					 be dual classified as swing beds as they are defined in Section
					 1339.5
					 of the Health and Safety Code.
(e)
					 Subacute care units shall employ sufficient nursing staff as follows:
					 freestanding SNFs shall provide a minimum daily average of 3.8 actual licensed
					 nursing hours per patient day and 2.0 actual certified nurse assistant (CNA)
					 hours per patient day; distinct part SNF's shall provide a minimum daily
					 average of 4.0 actual licensed nursing hours per patient day and 2.0 actual CNA
					 hours per patient day. Subacute units that do not utilize CNAs shall employ
					 sufficient licensed nursing staff to provide 4.8 actual licensed nursing hours
					 per patient day.
(f) In providing
					 for the licensed nursing hours requirement in accordance with subsection (e)
					 above, each subacute care unit shall have a minimum of one registered nurse
					 (RN) per shift.
(g) Each RN and LVN
					 shall upon hire provide to the employer evidence of the following:
(1) A minimum of six months experience within
					 the past two years working in a general acute care facility; or
(2) An acquired equivalent competency
					 appropriate to the type of subacute patient the facility provides care
					 for.
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 3 - Standards for Participation › Section 51215.7 - Application for Subacute Care Contract. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 6-3-86 as an emergency; effective upon filing (Register 86, No.
						23). A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 10-1-86.
2. Section refiled
						11-3-86 as an emergency; effective 10-1-86 (Register 86, No. 45). A Certificate
						of Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 1-29-87.
3. Certificate of Compliance including
						renumbering and amendment of former Section
						51215.7 to Section
						51215.6(b)-(d)
						filed 1-20-87; effective upon filing (Register 87, No. 4).
4.
						Editorial correction of HISTORY 2 (Register 95, No.
						45).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132.25,
						  Welfare and Institutions Code.