reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 1 - DEFINITIONS › Section 57021 - Three Most Recent Years

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Three most recent years" means the three most recent
						calendar years.
1. New
						section filed 10-5-89 as an emergency; operative 10-5-89 (Register 89, No. 41).
						A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-2-90.
2. New section filed
						2-9-90 as an emergency; operative 2-6-90 (Register 90, No. 11). A Certificate
						of Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 6-6-90.
3. Certificate of Compliance as to
						2-6-90 order including amendments transmitted to OAL 6-5-90 and filed 6-22-90
						(Register 90, No. 34).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14085.5,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 1 - DEFINITIONS › Section 57024 - Supplemental Reimbursement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Supplemental reimbursement" for the purposes of this
						chapter means reimbursement by the Department to an eligible hospital pursuant
						to the provisions of the Welfare and Institutions Code, section
						14085.5.
1. New
						section filed 10-5-89 as an emergency; operative 10-5-89 (Register 89, No. 41).
						A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-2-90.
2. New section filed
						2-9-90 as an emergency; operative 2-6-90 (Register 90, No. 11). A Certificate
						of Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 6-6-90.
3. Certificate of Compliance as to
						2-6-90 order including amendments transmitted to OAL 6-5-90 and filed 6-22-90
						(Register 90, No. 34).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14085.5,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 2 - ELIGIBILITY FOR CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Section 57027 - Hospital Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 In order to be considered eligible for supplemental reimbursement a hospital
					 shall be determined an eligible hospital.
(b) A hospital shall meet both of the
					 following conditions in order to be determined an eligible hospital:
(1) Be a disproportionate share hospital as
					 defined in section
					 57006 of article 1, for the three
					 most recent years, and
(2) Have
					 entered into a contract to provide Medi-Cal inpatient hospital services
					 pursuant to section
					 14082 of the Welfare and
					 Institutions (W&I) Code, have entered into a contract with a county
					 organized health system pursuant to section
					 14087.5 of W&I or participate
					 as a provider in a successor program.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 2 - ELIGIBILITY FOR CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Section 57030 - Capital Expenditure Project Certification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An eligible hospital's capital
					 expenditure project or portion thereof shall be certified by the Department
					 before supplemental reimbursement is made. In order to be certified or to
					 remain certified, the capital expenditure project shall satisfy the following
					 conditions:
(1) Final plans shall be submitted
					 to the Office of Statewide Health Planning and Development and to the Office of
					 the State Architect after July 1, 1989 and prior to June 30, 1994.
(2) Project funding shall be through the
					 issuance of new debt.
(3) The
					 hospital facilities being constructed, renovated, or replaced by the capital
					 expenditure project shall be related to a covered service reimbursable by the
					 Medi-Cal program and shall be available and accessible to Medi-Cal patients for
					 the duration of the project debt reimbursement period.
(4) The capital expenditure project shall be
					 for the construction, renovation, or replacement of the eligible hospital's
					 facilities.
(5) The total capital
					 expenditure project cost shall be not less than five million dollars
					 ($5,000,000) unless the eligible hospital provides evidence that the project is
					 necessary for the retention of federal and state licensing and certification
					 and for meeting fire and life safety, seismic, or other regulatory
					 standards.
(6) All supplemental
					 reimbursement received by the eligible hospital shall be placed in a special
					 account, the funds of which shall be used exclusively for the payment of debt
					 service issued to finance the project or to reimburse the eligible hospital for
					 debt service already paid for the project.
(7) The capital expenditure project shall
					 finance the upgrading or construction of buildings and equipment to a level
					 required by currently accepted medical practice standards, including projects
					 designed to ensure that buildings and equipment meet the Joint Commission on
					 Accreditation of Hospitals and Health Systems fire and life safety, seismic, or
					 other related regulatory standards.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 3 - STANDARDS FOR SUPPLEMENTAL REIMBURSEMENT › Section 57033 - Supplemental Reimbursement Calculation

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The eligible hospital's supplemental
					 reimbursement for a capital expenditure project which has been certified under
					 section 57030 shall be calculated as
					 follows:
(1) For each year in which the
					 hospital is eligible to receive supplemental reimbursement, the hospital shall
					 report to the Department the amount of debt service incurred for that portion
					 of the capital expenditure project that represents the costs of the
					 construction, renovation, or replacement of hospital facilities, including
					 buildings and fixed equipment, which are available and accessible to Medi-Cal
					 patients and provides services that are related to a covered service and
					 reimbursable by the Medi-Cal program or successor program.
(2) The Department shall use the Medicaid
					 inpatient utilization rate formula as specified in the Medicaid State Plan
					 Attachment 4.19-A, pages 18-29, to determine the ratio of the hospital's total
					 paid Medi-Cal patient days to total paid patient days.
(3) The supplemental reimbursement to the
					 eligible hospital for each fiscal year shall equal the amount determined
					 annually in subsection (a)(1) multiplied by the percentage resulting from
					 dividing the number of Medi-Cal paid patient days by the total number of paid
					 patient days.
(4) The supplemental
					 reimbursement shall not be decreased by more than 10% of the initial ratio
					 derived under subsection (a)(2) prior to the retirement of the
					 debt.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 3 - STANDARDS FOR SUPPLEMENTAL REIMBURSEMENT › Section 57036 - Reimbursement Provisions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 If an eligible hospital's capital expenditure project has been certified
					 pursuant to section
					 57030 and if appropriations for
					 supplemental reimbursement of capital expenditure projects are available,
					 supplemental reimbursement to the eligible hospital shall commence no later
					 than 30 days after the department's receipt of the certificate of occupancy for
					 the hospital's capital expenditure project issued by the Office of Statewide
					 Health Planning and Development.
(1) In cases
					 where the hospital must obtain a certificate of occupancy, the Department shall
					 not be required to reimburse for debt service prior to its receipt of the
					 certificate of occupancy.
(2) The
					 frequency of the supplemental reimbursement shall correspond to the bond
					 repayment schedule, but in no case shall the hospital be reimbursed more than
					 twice per fiscal year.
(3)
					 Supplemental reimbursement combined with reimbursement from all other sources
					 dedicated exclusively for debt service shall be limited to no more than 100%
					 (percent) of the debt service.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 7 - CONSTRUCTION/RENOVATION REIMBURSEMENT PROGRAM › Article 3 - STANDARDS FOR SUPPLEMENTAL REIMBURSEMENT › Section 57039 - Continuing Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 A hospital shall maintain eligibility and the capital expenditure project shall
					 continue to meet the conditions set forth in 57030 for each year for which
					 reimbursement is sought.
(b) Thirty
					 (30) days prior to the anniversary of the certification date all documentation
					 necessary to substantiate continued hospital eligibility and to maintain
					 project certification, as required in this chapter, shall be submitted to the
					 Department by the eligible hospital. The State shall not render supplemental
					 reimbursement until all required documentation has been approved.
1. New
						section filed 10-5-89 as an emergency; operative 10-5-89 (Register 89, No. 41).
						A Certificate of Compliance must be transmitted to OAL within 120 days or
						emergency language will be repealed on 2-2-90.
2. New section filed
						2-9-90 as an emergency; operative 2-6-90 (Register 90, No. 11). A Certificate
						of Compliance must be transmitted to OAL within 120 days or emergency language
						will be repealed on 6-6-90.
3. Certificate of Compliance as to
						2-6-90 order including amendments transmitted to OAL 6-5-90 and filed 6-22-90
						(Register 90, No. 34).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14085.5,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58000 - Activities of Daily Living

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Activities of Daily Living" means the verbatim
						definitions of California Insurance Code Sections
						10232.8(f)
						and
						10232.8(g)
						which must be used verbatim in Partnership Policies.
1. New
						chapter 8 (sections
						58000-58082), article and section
						filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58000 to section
						58001 and new section
						58000 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(c),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58001 - Adult Day Health/Social Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Adult Day Health/Social Care" means a structured,
						comprehensive program which provides a variety of community-based services
						including health, social, and related supportive services in a protective
						setting on a less than 24-hour basis. These community-based services are
						designed to meet the needs of functionally impaired adults through an
						individualized service plan, and include the following: personal care and
						supervision as needed, the provision of meals as long as the meals do not meet
						a full daily nutritional regimen, transportation to and from the service site,
						and social, health, and recreational activities.
In California, providers of Adult Day Health/Social Care
						may include Adult Day Care Facilities as defined in Health and Safety Code
						Section
						1502(a)(2),
						and Adult Social Day Care Facilities as defined in Health and Safety Code
						Section
						1502.2,
						which are licensed by the Department of Social Services; Adult Day Health Care
						Facilities licensed by the Department of Health Services, pursuant to Health
						and Safety Code Section
						1575
						et seq.; and Alzheimer Day Care Resource Centers administered by the Department
						of Health Services pursuant to Health and Safety Code Section
						1568.10
						et seq.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer of former section
						58001 and renumbering of former
						section 58000 to section
						58001 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(c),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58002 - Average Daily Private Pay Rate for Nursing Facilities

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Average Daily Private Pay Rate for Nursing Facilities"
						means the estimated average net revenue per patient day for intermediate and
						skilled nursing facility services for the current calendar year for patients
						not qualifying for Federal and State reimbursement. The net revenue per patient
						day is reported annually by each nursing facility to the Office of Statewide
						Health Planning and Development (OSHPD) and published annually in the OSHPD
						report entitled, "Aggregate Long Term Care Facility Financial Data". The
						published data lags the current year by two years. Therefore, the Department of
						Health Services will adjust the average net revenue per patient day for the
						most recent calendar year published by OSHPD to estimate the increase in net
						revenue per patient day for the two years for which data is not available and
						thus estimate the average net revenue per patient day for the current calendar
						year. The average rate of increase in the net revenue per patient day for the
						most recent five years for which published data is available will be used to
						make the adjustment. The resulting Average Daily Private Pay Rate for Nursing
						Facilities for the upcoming calendar year will be rounded to the nearest ten
						dollars ($10) and distributed by the Department of Health Services in the Long
						Term Care Issuers' Bulletin.
Charges for ancillary services such as physical therapy,
						speech therapy, audiology, laboratory, as well as charges for patient supplies
						and legend prescription drugs are not included in the calculation of Average
						Daily Private Pay Rate for Nursing Facilities.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order, including amendment of section, transmitted to OAL 12-30-93 and
						filed 1-28-94 (Register 94, No. 4).
3. Repealer of former section
						58002 and renumbering of former
						section 58003 to section
						58002 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a)(3),
						  Welfare and Institutions Code. Reference: Section
						  22005(b),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58003 - Benefit Eligibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Benefit Eligibility" in each Policy or Certificate is
						defined as follows:
(a) "How to
					 qualify for Benefits: We will pay for the Qualified Long-Term Care Services
					 covered by this policy if:
(1) The insured
					 becomes a Chronically Ill Individual, and
(2) The Services are prescribed for the
					 insured in a written Plan of Care.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58004 - California Partnership for Long-Term Care

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"California Partnership for Long-Term Care" means the
						program, authorized by Section
						22000, et seq. of the California
						Welfare and Institutions Code, between the State of California and
						participating insurance companies that offer long-term care insurance Policies
						[Certificates], and provide Medi-Cal Asset Protection, that are approved as
						Partnership Policies [Certificates].
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58004 to section
						58005 and new section
						58004 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(c),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58005 - Care Management/Care Coordination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Care Management/Care Coordination" includes, but is not
						limited to the following:
(a) the
					 performance of a comprehensive individualized face-to-face assessment conducted
					 in the client's place of residence;
(b) the development of a Plan of
					 Care;
(c) the performance of a
					 comprehensive, individualized reassessment at least every six months;
(d) when desired by the individual and
					 determined necessary by the Care Management Provider Agency, coordination of
					 appropriate services and ongoing monitoring of the delivery of such services;
					 and
(e) the development of a
					 discharge plan when the Care Management Provider Agency services, or the Policy
					 benefits, are about to be terminated and if further care is needed. If the
					 insured is immediately eligible for Medi-Cal, the Care Management Provider
					 Agency shall prepare a transition plan.
Care Management/Care Coordination takes an all-inclusive
						look at a person's total needs and resources, and links the person to a full
						range of appropriate services using all available funding
						sources.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58005 to section
						58006 and renumbering of former
						section 58004 to section
						58005, including amendment of
						section heading and section, filed 10-1-98 as an emergency; operative 10-1-98.
						Submitted to OAL for printing only pursuant to Welfare and Institutions Code
						section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Sections
						  22005(a)
						  and
						  22006(b),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58006 - Care Management Provider Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Care Management Provider Agency" means an agency or
						other entity that provides Care Management/Care Coordination and meets the
						standards set forth in Article 5.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58006 to section
						58007 and renumbering and
						amendment of former section
						58005 to section
						58006 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Sections
						  22005(a)
						  and
						  22006(b),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58007 - Care Management Supervisor

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Care Management Supervisor" means a person who is an
						experienced Care Manager/Coordinator and is responsible for directing and
						supervising other Care Managers/Coordinators and undertaking duties as
						described in Section
						58069.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order, including amendment of section, transmitted to OAL 12-30-93 and
						filed 1-28-94 (Register 94, No. 4).
3. Renumbering of former section
						58007 to section
						58008 and renumbering and
						amendment of former section
						58006 to section
						58007 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Sections
						  22005(a)
						  and
						  22006(b),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58008 - Care Manager/Coordinator

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Care Manager/Coordinator" means a person who, either
						alone or as part of a team, is responsible for performing assessments and
						reassessments, developing Plans of Care, coordinating the provision of care,
						and monitoring the delivery of services.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58008 to section
						58009 and renumbering and
						amendment of former section
						58007 to section
						58008 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Sections
						  22005(a)
						  and
						  22006(b),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58009 - Certificate

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Certificate" means any certificate of coverage issued
						under a group long-term care insurance policy, which policy has been approved
						for delivery in the State of California.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer of former section
						58009 and renumbering of former
						section 58008 to section
						58009 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22005,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58011 - Formal Long-Term Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Formal Long-Term Care Services" means long-term care
						services for which the provider is paid.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer of former section
						58011 and renumbering of former
						section 58015 to new section
						58011 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(a),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58012 - Hands-On Assistance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Hands-on Assistance" means the physical assistance of
						another person without which the insured would be unable to perform the
						Activity of Daily Living.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer and new section filed 10-1-98 as an emergency;
						operative 10-1-98. Submitted to OAL for printing only pursuant to Welfare and
						Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(c),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58013 - Home Health Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Home Health Care Services" means skilled nursing or
						other professional services in the residence, including, but not limited to,
						part-time and intermittent skilled nursing services, home health aide services,
						physical therapy, occupational therapy, or speech therapy and audiology
						services, and medical social services by a social worker.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer of former section
						58013 and renumbering of former
						section 58016 to new section
						58013, including amendment of
						section and NOTE, filed 10-1-98 as an emergency; operative 10-1-98. Submitted
						to OAL for printing only pursuant to Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a)(3),
						  Welfare and Institutions Code. Reference: Section
						  10232.9,
						  Insurance Code; Section
						  22006(c),
						  Welfare and Institutions Code; and
						  42 United States Code
						  Section
						  1395x(o).
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58014 - Elimination Period. [Renumbered]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58014 to new section
						58010 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22005(b),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58015 - Formal Long-Term Care Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58015 to new section
						58011 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(a),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58016 - Home Health Care Services. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Renumbering of former section
						58016 to new section
						58013 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a)(3),
						  Welfare and Institutions Code. Reference: Section
						  22006(c),
						  Welfare and Institutions Code; and
						  42 United States Code
						  Section
						  1395x(o).
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58017 - Homemaker Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Homemaker Services" means assistance with activities
						necessary to or consistent with the insured's ability to remain in his or her
						residence, that is provided by a skilled or unskilled person under a plan of
						care developed by a Licensed Health Care Practitioner.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Amendment of section and NOTE filed 10-1-98 as an emergency;
						operative 10-1-98. Submitted to OAL for printing only pursuant to Welfare and
						Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  10232.9,
						  Insurance Code; Section
						  22006(c),
						  Welfare and Institutions Code; and
						  42 United States Code
						  Section 488.1 et
						  seq.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58018 - Hospice Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Hospice services" are outpatient services not paid by
						Medicare, that are designed to provide palliative care, alleviate the physical,
						emotional, social, and spiritual discomforts of an individual who is
						experiencing the last phases of life due to the existence of a terminal
						disease, and to provide supportive care to the primary care giver and the
						family. Care may be provided by a skilled or unskilled person under a plan of
						care developed by a physician or a multidisciplinary team under medical
						direction.
1.
						Certificate of Compliance as to 8-30-93 order transmitted to OAL 12-30-93 and
						filed 1-28-94 (Register 94, No. 4).
2. Renumbering of former section
						58018 to section
						58019 and new section
						58018 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
3. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  10232,
						  Insurance Code; Section
						  22006(a),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58019 - Informal Long-Term Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Informal Long-Term Care Services" means long-term care
						services for which the provider is not paid.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer of former section
						58019 and renumbering of former
						section 58018 to section
						58019 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Section
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22006(c),
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 8 - CALIFORNIA PARTNERSHIP FOR LONG-TERM CARE › Article 1 - DEFINITIONS › Section 58020 - Issuer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Issuer" means an entity delivering or issuing for
						delivery in this State, Partnership Long-Term Care Insurance Policies or
						Certificates, as follows:
(a)
					 insurers, as defined in Section
					 23,
					 California Insurance Code;
(b)
					 fraternal benefit societies, as defined in Section
					 10990,
					 California Insurance Code;
(c) any
					 similar organization regulated by the Commissioner of the Department of
					 Insurance pursuant to Section
					 12921,
					 California Insurance Code; or
(d)
					 The California Public Employees' Retirement System Board of
					 Administration.
1. New
						section filed 8-30-93 as an emergency; operative 8-30-93 (Register 93, No. 36).
						Submitted for printing only pursuant to section
						22009,
						Welfare and Institutions Code.
2. Certificate of Compliance as to
						8-30-93 order transmitted to OAL 12-30-93 and filed 1-28-94 (Register 94, No.
						4).
3. Repealer of former section
						58020 and renumbering and
						amendment of former section
						58022 to section
						58020 filed 10-1-98 as an
						emergency; operative 10-1-98. Submitted to OAL for printing only pursuant to
						Welfare and Institutions Code section
						22009(d)
						(Register 98, No. 41). A Certificate of Compliance must be transmitted to OAL
						by 1-29-99 or emergency language will be repealed by operation of law on the
						following day.
4. Certificate of Compliance as to 10-1-98 order
						transmitted to OAL 1-28-99 and filed 3-15-99 (Register 99, No.
						12).
Note: Authority cited: Sections
						  22005(f)
						  and
						  22009(a),
						  Welfare and Institutions Code. Reference: Section
						  22013,
						  Welfare and Institutions Code.