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 51109 - Hospital

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Hospital" means any institution, place, building, or
						agency which meets the standards specified in Section
						51207 of these regulations and
						which maintains and operates organized facilities for one or more persons for
						the diagnosis, care and treatment of human illness, which may include
						convalescence and care during and after pregnancy, or which maintains and
						operates organized facilities for any such purpose, and to which persons may be
						admitted for overnight stay or longer.
1.
						Amendment filed 5-8-69; effective thirtieth day thereafter (Register 69, No.
						19).
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: 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 2 - Definitions › Section 51110 - Hospital Acute Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 "Hospital acute care" means those services provided by a hospital to patients
					 who need, or must have available the facilities, services, and equipment
					 described in Section
					 51207 for prevention, diagnosis,
					 or treatment of illness or injury.
(b) The determination of need for acute care
					 shall be made in accordance with Sections
					 51003 and
					 51327.
(c) An acute care patient able to reasonably
					 sustain a transport in an Emergency Medical Technician I (EMT-1) staffed
					 ambulance, with no expected increase in morbidity or mortality, shall be
					 considered stable for the purpose of transport.
1.
						Amendment filed 10-13-71 as an emergency; designated effective 10-13-71
						(Register 71, No. 42). For prior history, see Register 68, No.
						43.
2. Certificate of Compliance--Section
						11422.1,
						Gov. Code, filed 1-25-72 (Register 72, No. 5).
3. Amendment filed
						2-3-83 as an emergency; effective upon filing (Register 83, No. 12). A
						Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 6-3-83.
4. Certificate of
						Compliance transmitted to OAL 6-3-83 and filed 7-6-83 (Register 83, No.
						28).
5. Change without regulatory effect of NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  57(c), Chapter
						  328, and Section
						  87(c), Chapter
						  1594, Statutes of 1982. Reference: Sections
						  14081,
						  14087,
						  14110,
						  14132
						  and
						  14133.3,
						  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 51110.1 - Hospital Extended Care. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 10-13-71 as an emergency; designated effective 10-13-71
						(Register 71, No. 42). For prior history, see Register 68, No.
						43.
2. Certificate of Compliance--Section
						11422.1,
						Gov. Code, filed 1-25-72 (Register 72, No. 5).
3. Repealer filed
						7-16-75 as an emergency; effective upon filing (Register 75, No.
						29).
4. Certificate of Compliance filed 11-12-75 (Register 75, No.
						46).
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 51110.2 - Hospital Long-Term Care. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 10-13-71 as an emergency; designated effective 10-13-71
						(Register 71, No. 42). For prior history, see Register 68, No.
						43.
2. Certificate of Compliance--Section
						11422.1,
						Gov. Code, filed 1-25-72 (Register 72, No. 5).
3. Repealer filed
						7-16-75 as an emergency; effective upon filing (Register 75, No.
						29).
4. Certificate of Compliance filed 11-12-75 (Register 75, No.
						46).
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 51110.3 - Hospital Extended Care Facility. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section 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. Amendment
						filed 11-15-68; effective thirtieth day thereafter (Register 68, No.
						43).
4. Amendment of subsection (b) filed 1-18-74; effective
						thirtieth day thereafter (Register 74, No. 3).
5. Repealer filed
						7-16-75 as an emergency; effective upon filing (Register 75, No.
						29).
6. Certificate of Compliance filed 11-12-75 (Register 75, No.
						46).
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 51110.4 - Hospital Intermediate Care. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 3-30-72 as an emergency; effective upon filing (Register 72, No.
						15).
2. Certificate of Compliance filed 7-27-72 (Register 72, No.
						31).
3. Repealer filed 7-16-75 as an emergency; effective upon
						filing (Register 75, No. 29).
4. Certificate of Compliance filed
						11-12-75 (Register 75, No. 46).
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 51111 - Inpatient Hospital Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Inpatient Hospital Services" include the following
						services furnished by a hospital:
(a)
					 Bed and board;
(b) Nursing and
					 related services, use of hospital facilities, medical social services
					 ordinarily furnished by the hospital, and such drugs, biologicals, supplies,
					 appliances and equipment, as are ordinarily furnished by the
					 hospital;
(c) Other diagnostic and
					 therapeutic services ordinarily furnished by the hospital, exclusive of
					 physicians' services;
(d) Medical
					 and surgical services performed by interns and residents-in-training, as
					 defined in Section
					 1861(b) of Title
					 XVIII of the Federal Social Security Act; and
(e) Administrative services performed by
					 physicians for the hospital.
1.
						Sections 51111 and
						51113 refiled 6-5-67 as an
						emergency; effective upon filing. Certificate of Compliance filed 6-9-67
						(Register 67, No. 23).
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: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51112 - Hospital Outpatient Department

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Hospital outpatient department" means a hospital unit
						which provides services for the prevention, diagnosis, and treatment of
						disease, illness, or injury to outpatients.
1. New
						section filed 9-27-72; designated effective 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,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51113 - Hospital Outpatient Department Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Hospital outpatient department services" means
						diagnostic, preventive or therapeutic services furnished on an outpatient basis
						on the premises of a hospital. Hospital based home health agency services, home
						dialysis services, portable imaging services, and collection of laboratory
						specimens need not be furnished on the premises of the
						facility.
1.
						Amendment filed 9-30-71 as an emergency; designated effective 10-1-71 (Register
						71, No. 40). For prior history, see Register 70, No. 27.
2.
						Certificate of Compliance--Section
						11422.1,
						Gov. Code, filed 1-25-72 (Register 72, No. 5).
3. Change without
						regulatory effect adding NOTE (Register 86, No. 49).
4. Amendment of
						section and NOTE 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
						  14105,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51115 - Organized Outpatient Clinic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Organized outpatient clinic" means a
					 medical care facility that is established, organized, and licensed pursuant to
					 Section 406, Title 17, California
					 Administrative Code, and which provides services for the prevention, diagnosis
					 and treatment of disease, illness or injury on an outpatient basis, and which
					 is not part of a hospital.
(b)
					 "Organized outpatient clinic with surgical facilities" means an organized
					 outpatient clinic which conforms to the standards established in Title 17,
					 California Administrative Code, Section
					 425(c)(4)(A) and
					 (B).
1.
						Amendment filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40).
						For prior history, see Register 72, No. 5.
2. Amendment filed
						12-30-77; designated effective 2-1-78 (Register 77, No. 53).
3.
						Change without regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  14105
						  and
						  14124,
						  Welfare and Institutions Code. Reference: Sections
						  14100.1,
						  14105,
						  14124
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51115.1 - Organized Outpatient Clinic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Organized Outpatient Clinic Services"
					 means preventive, diagnostic, therapeutic, and rehabilitative services that
					 are:
(1) Provided to outpatients;
(2) Provided by a facility that is not part
					 of a hospital but is organized and operated to provide medical care to
					 outpatients; and
(3) Except in the
					 case of certified nurse-midwife services, furnished by or under the direction
					 of a physician or dentist.
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 51115.5 - Rural Health Clinic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Rural health clinic" means an organized outpatient
						clinic or hospital outpatient department, located in a rural shortage area,
						which has been certified by the Secretary, United States Department of Health
						and Human Services.
1. New
						section filed 8-1-78 as an emergency; effective upon filing (Register 78, No.
						31).
2. Certificate of Compliance transmitted to OAH 11-28-78 and
						filed 11-29-78 (Register 78, No. 48).
3. Amendment filed 6-22-87;
						operative 7-22-87 (Register 87, No. 27).
Note: Authority cited: Sections
						  14100.1,
						  14105
						  and
						  14124.5,
						  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 2 - Definitions › Section 51115.6 - Rural Health Clinic Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Rural health clinic services" means preventative,
						diagnostic, therapeutic, rehabilitative or treatment services, including, but
						not limited to, primary care services provided by a rural health
						clinic.
1. New
						section filed 8-1-78 as an emergency; effective upon filing (Register 78, No.
						31).
2. Certificate of Compliance transmitted to OAH 11-28-78 and
						filed 11-29-78 (Register 78, No. 48).
Note: Authority cited: Sections
						  14100.1,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14100.1,
						  14100.5,
						  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 2 - Definitions › Section 51115.7 - Rural Shortage Area

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Rural shortage area" means a census tract designated by
						the Secretary, Department of Health and Human Services, as rural and deficient
						in personal health services or primary medical manpower.
1. New
						section filed 8-1-78 as an emergency; effective upon filing (Register 78, No.
						31).
2. Certificate of Compliance transmitted to OAH 11-28-78 and
						filed 11-29-78 (Register 78, No. 48).
3. Amendment filed 6-22-87;
						operative 7-22-87 (Register 87, No. 27).
Note: Authority cited: Sections
						  14100.1,
						  14105
						  and
						  14124.5,
						  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 2 - Definitions › Section 51116 - Outpatient Heroin Detoxification Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Outpatient detoxification services"
					 means the administering or furnishing by a physician, or under the ongoing
					 supervision of a physician, either of the following:
(1) Methadone as a substitute narcotic drug
					 in decreasing doses to reach a diminished or drug free state in a period not to
					 exceed 21 days.
(2) Nonnarcotic
					 drugs to reduce or eliminate, over a period not to exceed 21 days, an
					 individual's dependence on heroin or other morphine-like
					 drugs.
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 51117 - Rehabilitation Center

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Rehabilitation center" means a facility which provides
						an integrated multidisciplinary program of restorative services designed to
						upgrade or maintain the physical functioning of patients.
1. New
						section filed 12-24-71, as an emergency; effective upon filing (Register 71,
						No. 52). For history of former section, See Register 71, No. 40.
2.
						Certificate of Compliance--Section
						11422.1,
						Gov. Code, as to 9-30-71 filing, filed 1-25-72 (Register 72, No.
						5).
3. Certificate of Compliance as to 12-24-71 filing, filed
						4-19-72 (Register 72, No. 18).
4. Amendment filed 9-27-72;
						designated effective 11-1-72 (Register 72, No. 40).
5. Change
						without regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51118 - Intermediate Care Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Intermediate care facility" means a facility which is
						licensed as such by the Department or is a hospital or skilled nursing facility
						which meets the standards specified in Section
						51212 and has been certified by
						the Department for participation in the Medi-Cal program.
1. New
						section filed 3-30-72 as an emergency; effective upon filing (Register 72, No.
						15).
2. Certificate of Compliance filed 7-27-72 (Register 72, No.
						31).
3. Amendment filed 1-18-74; effective thirtieth day thereafter
						(Register 74, No. 3).
4. Amendment filed 7-16-75 as an emergency;
						effective upon filing (Register 75,No. 29).
5. Certificate of
						Compliance filed 11-12-75 (Register 75, No. 46).
6. Change without
						regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  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 2 - Definitions › Section 51119 - Rehabilitation Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Sections 51119 and
						51121 refiled 6-5-67 as an
						emergency; effective upon filing. Certificate of Compliance filed 6-9-67
						(Register 67, No. 23).
2. Repealer 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, as to 9-30-71 filing, 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 2 - Definitions › Section 51120 - Intermediate Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Intermediate care services means services
					 provided in hospitals, skilled nursing facilities or intermediate care
					 facilities to patients who:
(1) Require
					 protective and supportive care, because of mental or physical conditions or
					 both, above the level of board and care.
(2) Do not require continuous supervision of
					 care by a licensed registered or vocational nurse except for brief spells of
					 illness.
(3) Do not have an
					 illness, injury, or disability for which hospital or skilled nursing facility
					 services are required.
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 51120.5 - Nursing Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Nursing facility means a facility that is licensed as
						either a skilled nursing facility or an intermediate care
						facility.
1. New
						section filed 10-1-90 as an emergency (Register 90, No. 45). A Certificate of
						Compliance must be transmitted to OAL by 1-29-91 or emergency language will be
						repealed by operation of law on the following day.
2. Certificate of
						Compliance as to 10-1-90 order transmitted to OAL 1-29-91, filed 2-28-91
						(Register 91, No. 13).
Note: Authority cited: Section
						  14105,
						  Welfare and Institutions Code; and Section
						  13, Chapter 502, Statutes of 1990.
						  Reference: Section
						  1250(k),
						  Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51121 - Skilled Nursing Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Skilled nursing facility means any institution, place, building, or agency
					 which is licensed as a skilled nursing facility by the Department or is a
					 distinct part or unit of a hospital, meets the standard specified in section
					 51215 of these regulations (except
					 that the distinct part of a hospital does not need to be licensed as a skilled
					 nursing facility) and has been certified by the Department for participation as
					 a skilled nursing facility in the Medi-Cal program.
(b) As used in this chapter and defined in
					 this section, the term "skilled nursing facility" shall include the terms
					 "skilled nursing home," "convalescent hospital," "nursing home," or "nursing
					 facility."
1.
						Amendment filed 7-1-70; designated effective 8-1-70; Register 70, No.,
						27).
2. Amendment of subsection (a) and new subsection (b) filed
						7-13-73; effective thirtieth day thereafter (Register 73, No.
						28).
3. Amendment filed 7-16-75 as an emergency; effective upon
						filing (Register 75, No. 29).
4. Certificate of Compliance filed
						11-12--75 (Register 75, No. 46).
5. Change without regulatory effect
						adding NOTE (Register 86, No. 49).
6. Amendment of subsection (b)
						filed 10-1-90 as an emergency; operative 10-1-90 (Register 90, No. 45). A
						Certificate of Compliance must be transmitted to OAL by 1-29-91 or emergency
						language will be repealed by operation of law on the following
						day.
7. Certificate of Compliance as to 10-1-90 order transmitted to
						OAL 1-29-91, filed 2-28-91 (Register 91, No. 13).
8. Change without
						regulatory effect amending section heading and subsection (a) filed 3-27-2017
						pursuant to section
						100, title 1, California Code of
						Regulations (Register 2017, No. 13).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code: and Section
						  13, Chapter 502, Statutes of 1990.
						  Reference: Sections
						  14110
						  and
						  14132,
						  Welfare and Institutions Code; and Section
						  1250(k),
						  Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51123 - Skilled Nursing Facility Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Skilled nursing facility services
					 include:
(1) Room and board.
(2) Nursing and related care
					 services.
(3) Commonly used items
					 of equipment, supplies and services used for the medical and nursing benefit of
					 patients as set forth in 51511 (b).
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 51124.1 - Transitional Inpatient Level of Care. [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 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 new subsection (a)(4) and amendment of subsection (c)(2)(A),
						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,
						  14105.981
						  and
						  14132.22,
						  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 2 - Definitions › Section 51124.2 - Medi-Cal Care Coordinator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Medi-Cal Care Coordinator" means the designated Medi-Cal
						consultant who authorizes, reauthorizes, and coordinates, as required,
						medically necessary services for a beneficiary. The Medi-Cal Care Coordinator
						shall be a physician or registered nurse. The extent of the participation of
						the Medi-Cal Care Coordinator is determined by the complexity and multiplicity
						of service needs of the patient. The Medi-Cal Care Coordinator shall work, as
						required, with the physicians, the facility discharge coordinators,
						preadmission screeners and other facility personnel, as required, to coordinate
						and authorize those services needed by the patient and which are authorized by
						the Medi-Cal Program.
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 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
						transmitted to OAL 1-23-97 and filed 3-10-97 (Register 97, No.
						11).
Note: Authority cited: Sections
						  10725,
						  14105.981
						  and
						  14132.22,
						  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 2 - Definitions › Section 51124.5 - Subacute Level of Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Subacute level of care means a level of care needed by a patient who does not
					 require hospital acute care but who requires more intensive licensed skilled
					 nursing care than is provided to the majority of patients in a skilled nursing
					 facility.
(b) To be eligible for
					 subacute level of care a patient's condition shall meet all of the criteria as
					 provided for in the Subacute Level of Care Criteria contained in the Manual of
					 Criteria for Medi-Cal Authorization referenced in Title 22, California Code of
					 Regulations (CCR), Section
					 Title 22,
					 California Code of Regulations (CCR), Section
					 51003(e) as determined by
					 the patient's attending physician and as approved by the appropriate Medi-Cal
					 field office medical consultant or equivalent authorizing agent, who is
					 responsible for authorizing the level of care.
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
						amendment filed 1-20-87 (Register 87, No. 4).
4. Amendment of
						subsection (b) filed 10-27-88 as an emergency; operative 10-27-88 (Register 88,
						No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days
						or emergency language will be repealed on 2-24-89.
5. Certificate of
						Compliance transmitted to OAL 2-24-89 and filed 3-27-89 (Register 89, No.
						13).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132.25,
						  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 2 - Definitions › Section 51124.6 - Pediatric Subacute Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Pediatric subacute care services are the
					 health care services needed by a person under 21 years of age who uses a
					 medical technology that compensates for the loss of a vital bodily
					 function.
(b) Medical necessity for
					 pediatric subacute care services shall be substantiated by any one of the
					 following items in (1) through (4) below:
(1)
					 A tracheostomy with dependence on mechanical ventilation for a minimum of six
					 hours each day;
(2) Dependence on
					 tracheostomy care requiring suctioning at least every six hours, and room air
					 mist or oxygen as needed, and dependence on one of the four treatment
					 procedures listed in (B) through (E) below:
(A) Dependence on intermittent suctioning at
					 least every eight hours, and room air mist or oxygen as needed;
(B) Dependence on continuous intravenous
					 therapy including administration of therapeutic agents necessary for hydration
					 or of intravenous pharmaceuticals; or intravenous pharmaceutical administration
					 of more than one agent, via a peripheral or central line, without continuous
					 infusion;
(C) Dependence on
					 peritoneal dialysis treatments requiring at least four exchanges every 24
					 hours;
(D) Dependence on tube
					 feeding, naso-gastric or gastrostomy tube;
(E) Dependence on other medical technologies
					 required continuously, which in the opinion of the attending physician and the
					 Medi-Cal consultant require the services of a professional
					 nurse.
(3) Dependence on
					 total parenteral nutrition or other intravenous nutritional support, and
					 dependence on one of the five treatment procedures listed in (b)(2)(A) through
					 (E) above;
(4) Dependence on
					 skilled nursing care in the administration of any three of the five treatment
					 procedures listed in (b)(2)(A) through (E) above.
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 51124.7 - Preceptorship

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Preceptorship", as referenced in Section
						51215.8(k), means
						a one-to-one teaching relationship wherein a registered nurse meeting the
						qualifications specified in Section
						51215.8(j) works
						with a licensed nurse, as specified in Section
						51215.8(k)(2), to
						enhance the licensed nurse's clinical competency in providing nursing services
						to the types of pediatric patients with technology dependency for whom the
						facility provides care.
1. New
						section filed 10-20-94; operative 10-20-94 (Register 94, No. 42).
2.
						Editorial correction of HISTORY 1 (Register 95, No.
						14).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14114
						  and
						  14132.25,
						  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 2 - Definitions › Section 51125 - Home Health Agency. [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 7-1-70; designated
						effective 8-1-70 (Register 70, No. 27).
3. Repealer filed 7-7-86;
						effective thirtieth day thereafter (Register 86, No.
						28).
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 51127 - Coordinated Home Care. [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. 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 2 - Definitions › Section 51128 - Specialized Rehabilitative Services in Skilled Nursing Facilities or Intermediate Care Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Specialized rehabilitative services" means physical
						therapy, occupational therapy, speech therapy or audiology services furnished
						to inpatients of skilled nursing or intermediate care facilities by providers
						meeting the standards set forth in Article 3 of these
						regulations.
1. New
						section filed 9-12-75 as an emergency; effective upon filing (Register 75, No.
						37).
2. Certificate of Compliance filed 1-8-76 (Register 76, No.
						2).
3. Change without regulatory effect of NOTE (Register 86, No.
						49).
Note: Authority cited: Section
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51129 - Home Health Agency Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 1-30-73; effective thirtieth day thereafter (Register 73, No.
						5). For prior history, see Register 72, No. 5.
2. Amendment filed
						5-14-76 as an emergency; effective upon filing (Register 76, No.
						20).
3. Certificate of Compliance filed 9-8-76 (Register 76, No.
						37).
4. Repealer filed 7-7-86; effective thirtieth day thereafter
						(Register 86, No. 28).
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 51131 - Home Nursing Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 8-1-78 as an emergency; effective upon filing (Register 78, No.
						31). For history of former Section
						51131, see Register 72, No.
						40.
2. Certificate of Compliance transmitted to OAH 11-28-78 and
						filed 11-29-78 (Register 78, No. 48).
3. Repealer filed 7-7-86;
						effective thirtieth day thereafter (Register 86, No.
						28).
Note: Authority cited: Sections
						  14100.1,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14100.1,
						  14105
						  and
						  141245,
						  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 51132 - Short-Doyle Medi-Cal Providers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Short-Doyle Medi-Cal providers" means any agency,
						individual, organization, or facility which has been approved by the Department
						to participate in the Short-Doyle Medi-Cal program.
1. New
						section filed 9-29-75 as an emergency; effective upon filing (Register 75, No.
						40).
2. Certificate of Compliance filed 1-8-76 (Register 76, No.
						2).
3. Change without regulatory effect of NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14021,
						  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 51133 - Home Health Aide Services. [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. Repealer 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).
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 51134 - Short-Doyle Medi-Cal Provider Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Short-Doyle Medi-Cal provider services means those
						community mental health services covered by the Short-Doyle Act which are
						provided by a Short-Doyle Medi-Cal provider.
1. New
						section filed 9-29-75 as an emergency; effective upon filing (Register 75, No.
						40).
2. Certificate of Compliance filed 1-8-76 (Register 76, No.
						2).
Note: Authority cited: Section
						  14131,
						  Welfare and Institutions Code. Reference: Section
						  14021,
						  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 51135 - Healing by Prayer or Spiritual Means

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Healing by prayer or spiritual means" means services
						furnished in religious nonmedical health care institutions.
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 8-25-67 as an
						emergency; designated effective 9-1-67 (Register 67, No. 34). Certificate of
						Compliance filed 8-30-67.
3. Amendment filed 9-27-72; designated
						effective 11-1-72 (Register 72, No. 40).
4. Change without
						regulatory effect adding NOTE (Register 86, No. 49).
5. Change
						without regulatory effect amending section filed 10-8-2014 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2014, No. 41).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 2 - Definitions › Section 51136 - Christian Science Facility. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Repealer filed 6-22-87; operative 7-22-87 (Register 87, No.
						27).
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 51137 - Laboratory. [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 68, No. 43.
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 51137.1 - Clinical Laboratory or Laboratory

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Clinical Laboratory" or "Laboratory" means any place
						used, organized, or operated, for the examination, detection, identification,
						measurement, or enumeration of any particular entity or substance, which
						consists of materials derived from the human body for the purpose of providing
						information for diagnosis, prevention, or treatment of any disease or
						impairment of, or the assessment of the health of, human beings, or used as an
						aid in the prevention, prognosis, monitoring, or treatment of a physiological
						or pathological condition in a human being.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Amendment filed 8-6-76; effective thirtieth day thereafter
						(Register 76, No. 32).
3. Change without regulatory effect adding
						NOTE (Register 86, No. 49).
4. Amendment of section heading, text
						and NOTE filed 1-20-94 as an emergency; operative 1-20-94 (Register 94, No. 3).
						A Certificate of Compliance must be transmitted to OAL by 5-20-94 or emergency
						language will be repealed by operation of law on the following
						day.
5. Certificate of Compliance as to 1-20-94 order transmitted to
						OAL 5-19-94 and filed 7-1-94 (Register 94, No.
						26).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code; Section
						  1206,
						  Business and Professions Code; and Title
						  42 United States Code,
						  Section
						  263a.
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 51137.2 - Clinical Laboratory or Laboratory Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Clinical laboratory or laboratory services" include the
						biological, microbiological, serological, chemical, immunohematological,
						hematological, biophysical, cytological, pathological, or other types of
						examination of materials derived from the human body, for purposes of
						diagnosis, prevention, or treatment of any disease or impairment of, or the
						assessment of the health of, human beings.
1. New
						section filed 1-20-94 as an emergency; operative 1-20-94 (Register 94, No. 3).
						A Certificate of Compliance must be transmitted to OAL by 5-20-94 or emergency
						language will be repealed by operation of law on the following
						day.
2. Certificate of Compliance as to 1-20-94 order transmitted to
						OAL 5-19-94 and filed 7-1-94 (Register 94, No.
						26).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code; Section
						  1206,
						  Business and Professions Code; and Title
						  42 United States Code,
						  Section
						  263a.
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 51139 - Radiological and Radioisotope Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Radiological and Radioisotope Services means diagnostic
						and therapeutic X-ray and radioisotope services.
1.
						Amendment filed 6-23-66 as an emergency; effective upon filing; Certificate of
						Compliance included (Register 66, No. 19).
2. Amendment filed
						11-15-68; effective thirtieth day thereafter (Register 68, No.
						43).
3. Repealer and new section filed 5-2-73; effective thirtieth
						day thereafter (Register 73, No. 18).
4. Change without regulatory
						effect adding NOTE (Register 86, No. 49).
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 2 - Definitions › Section 51141 - Outpatient Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Sections 51141,
						51143 and
						51145 refiled 6-5-67 as an
						emergency; effective upon filing. Certificate of Compliance filed 6-9-67
						(Register 67, No. 23).
2. Repealer 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).