California Code of Regulations › Title 9 - Rehabilitative and Developmental Services › Division 1 - Department of Mental Health › Chapter 11 - Medi-Cal Specialty Mental Health Services › Subchapter 3 - Specialty Mental Health Services Other than Psychiatric Inpatient Hospital Services › Article 2 - Provision of Services › Section 1830.225 - Initial Selection and Change of Person Providing Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Whenever
					 feasible, the MHP of the beneficiary, at the request of the beneficiary, shall
					 provide a beneficiary who has been determined by the MHP to meet the medical
					 necessity criteria for outpatient psychiatrist, psychologist, EPSDT supplemental
					 specialty mental health, rehabilitative or targeted case management services an
					 initial choice of the person who will provide the service to the beneficiary. At the
					 election of the MHP, the MHP may limit the beneficiary's choice to either a choice
					 between two of the individual providers contracting with the MHP, or a choice
					 between two of the persons providing services who are employed by, contracting with
					 or otherwise made available by the group or organizational provider to whom the MHP
					 has assigned the beneficiary.
(b)
					 Whenever feasible, the MHP of the beneficiary, at the request of the beneficiary,
					 shall provide beneficiaries an opportunity to change persons providing outpatient
					 psychiatrist, psychologist, EPSDT supplemental specialty mental health,
					 rehabilitative, or targeted case management services. At the election of the MHP,
					 the MHP may limit the beneficiary's choice of another person to provide services, to
					 either an individual provider contracting with the MHP, or to another person
					 providing services who is employed by, contracting with or otherwise made available
					 by the group or organizational provider to whom the MHP has assigned the
					 beneficiary.
1. New section
						filed 10-31-97 as an emergency; operative 11-1-97 (Register 97, No. 44). A
						Certificate of Compliance must be transmitted to OAL by 3-2-98 or emergency language
						will be repealed by operation of law on the following day.
2. New section
						refiled 3-2-98 as an emergency; operative 3-2-98 (Register 98, No. 10). A
						Certificate of Compliance must be transmitted to OAL by 6-30-98 or emergency
						language will be repealed by operation of law on the following day.
3.
						New section refiled 6-17-98 as an emergency; operative 6-30-98 (Register 98, No.
						25). Pursuant to Chapter 324 (Statutes of 1998) Item 4440-103-0001(4), a Certificate
						of Compliance must be transmitted to OAL by 7-1-99 or emergency language will be
						repealed by operation of law on the following day.
4. Editorial
						correction of HISTORY 3 (Register 98, No. 39).
5. Editorial correction
						extending Certificate of Compliance date to 7-1-2001 pursuant to Chapter 50
						(Statutes of 1999) Item 4440-103-0001(4) (Register 99, No. 33). Notwithstanding any
						other provision of law, emergency regulations adopted pursuant to Welfare and
						Institutions Code section
						14680
						to implement the second phase of mental health managed care as provided in this part
						shall remain in effect until permanent regulations are adopted, or June 30, 2006,
						whichever occurs first.
6. Editorial correction of HISTORY 5 (Register
						2000, No. 42).
7. Editorial correction of HISTORY 5 and repealer and new
						section filed 5-19-2006; operative 6-18-2006 (Register 2006, No. 20).
Note: Authority cited: Section
						  14680,
						  Welfare and Institutions Code. Reference: Sections
						  5777,
						  14681,
						  14683
						  and
						  14684,
						  Welfare and Institutions Code.