reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 2 - Eligibility › Section 40115 - Advisory Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
						Each applicant shall form an advisory committee for the site. The advisory
						committee shall participate in all of the following:
(1) Planning services and personnel
						needed.
(2) Selecting Corps
						personnel to be assigned to the site.
(3) Planning and reviewing the budget for the
						site.
(4) Evaluating the
						effectiveness of the site and assigned Corps personnel.
(5) Proposing changes in the site and in the
						number and type of Corps personnel assigned.
(6) Developing a written plan for
						continuation of services after the assignment period of Corps personnel has
						ended, with self-sufficiency as a goal.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 2 - Eligibility › Section 40116 - Duplication

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
No funds provided by this part shall:
(a) Duplicate or replace any commitment made
						by the Federal government.
(b)
						Duplicate or replace county obligation to provide health care
						services.
(c) Be provided for types
						of services for which rural people are eligible under other programs and for
						which funds are available, including, but not limited to the following types of
						service:
(1) Family planning.
(2) Supplemental Feeding Program for Women,
						Infants and Children (WIC).
(3)
						Alcoholism and substance abuse.
(4)
						Hospitalization other than for emergency services.
(5) Maternal and Child Health.
(6) Crippled Children's Services.
(7) Community Mental Health Services
						Program.
(8) Regional Centers for
						the Developmentally Disabled.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40117 - Submission

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application for assignment of Corps personnel
						  shall be submitted to the Director at such time and in such form and manner as
						  the Director may require.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40119 - Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
						application for assignment of Corps personnel shall be prepared and signed by
						the applicant or by a person authorized to act for the applicant and to assume
						on behalf of the applicant any obligations imposed by law, by these
						regulations, or by contract.
(b)
						Nonprofit agency applicants shall submit a copy of articles of incorporation
						and minutes of board meetings authorizing application. The name, address and
						length of time in office of each board member shall be included.
(c) Public agency applicants shall submit a
						copy of the resolution of the governing body authorizing the
						application.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40121 - Geographic Area

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall define the boundaries of the
						  geographic area to be served by each site.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40122 - Needs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each applicant shall demonstrate the need for health
						  services in the geographic area defined based on criteria including but not
						  limited to:
(a) The number of
						individuals whose unmet needs for medical services would be serviced by the
						site,
(b) The unavailability and
						inaccessibility of the requested resources in the area to be served,
(c) The restrictive costs of receiving or
						providing health services in the area to be served,
(d) Isolation of the area to be served,
						and
(e) Health indicators or
						descriptions of health characteristics for the population to be served which
						demonstrate that the lack of services has had a significant detrimental effect
						on the population's health.
1.
						  Amendment filed 12-9-77; effective thirtieth day thereafter (Register 77, No.
						  50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40123 - Required Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall include objectives that, when
						  accomplished, would fulfill the specific needs of the service area. These
						  objectives shall be expressed in terms which can be measured; which relate to
						  the alleviation of the need as stated in Section
						  40122, and which will allow
						  assessment of the improvement in health of the population served by the
						  project.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40125 - Coordination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall show evidence of coordination
						  between the site and local health providers and services including preventive,
						  emergency medical, and disaster services.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40127 - Recommendations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall contain a letter of review and
						  recommendation from the local health officer based on the Health Systems Plan
						  and Annual Implementation Plan as required by
						  PL
						  93-641, or evidence that the health officer
						  received a copy of the application and did not respond within 30
						  days.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 3 - Application › Section 40131 - Technical Assistance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Upon request the Department may provide technical
						  assistance for the development of an application for assignment of Corps
						  personnel and for implementing and managing programs where Corps personnel are
						  assigned. Such technical assistance may be through the provision of the
						  services of physicians, dentists, nurses and other allied health professionals
						  and of other professionals such as lawyers and accountants.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 4 - Personnel › Section 40133 - Types of Personnel

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The California Health Service Corps shall consist
						  of:
(a) Physicians or Surgeons. A
						physician or surgeon shall be licensed as a physician or surgeon by the
						California State Board of Medical Quality Assurance or by the Board of
						Osteopathic Examiners.
(b)
						Dentists. A dentist shall be licensed to practice dentistry by the California
						State Board of Dental Examiners.
(c) Optometrists. An optometrist shall be
						licensed to practice optometry by the California State Board of
						Optometry.
(d) Nurse Practitioners.
						A nurse practitioner shall be licensed to practice nursing by the California
						State Board of Registered Nursing and shall possess a valid California driver's
						license. In addition:
(1) A Nurse
						Practitioner I shall possess a baccalaureate degree in nursing from an
						accredited college or university and shall have completed an educational
						program preparing nurse practitioners for primary care which is affiliated with
						a school of medicine or a school of nursing or accredited by the National
						League for Nursing. A Nurse Practitioner I shall have two years of public
						health nursing experience or nursing experience in a community setting
						including direct patient care. A master's degree in nursing may be substituted
						for one year of the required experience. Additional experience may be
						substituted for up to two years of the required general education on a
						year-for-year basis.
(2) A Nurse
						Practitioner II shall meet all of the qualifications for Nurse Practitioner I
						and shall have an additional year of public health nursing experience or
						nursing experience in a community setting including direct patient
						care.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 4 - Personnel › Section 40135 - Salary Schedules

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Personnel under contract to the Corps shall be paid at
						  state civil service rates in the appropriate class, as follows:
(a) Physicians and Surgeons. A physician and
						surgeon shall be paid in accordance with the class "Physician and Surgeon,"
						class code number 7551.
(b)
						Dentists. A dentist shall be paid in accordance with the class "Dentist," class
						code number 7831.
(c) Optometrists.
						An optometrist shall be paid in accordance with the class "Consulting
						Optometrist I," class code number 7970, or "Consulting Optometrist II," class
						code number 7969.
(d) Nurse
						Practitioners. A Nurse Practitioner I shall be paid in accordance with the
						class "Public Health Nurse II," class code number 8210. A Nurse Practitioner II
						shall be paid in accordance with the class "Public Health Nurse IV," class code
						number 8211. Any subsequently established classes designed for nurse
						practitioners will take precedence.
(e) Physician Assistants. Physician
						assistants shall be paid in accordance with the class "Registered Nurse III,"
						class code number 8161 or with a subsequently established class designed for
						physician assistants.
(f)
						Registered Nurses. A registered nurse shall be paid in accordance with the
						class "Registered Nurse II," class code number 8164, "Registered Nurse III,"
						class code number 8161, "Public Health Nurse I," class code number 8213 or
						"Public Health Nurse II," class code number 8210.
(g) Dental Hygienists. A dental hygienist
						shall be paid in accordance with the class "Dental Hygienist," class code
						number 8128, or "Dental Hygienist Consultant," class code number
						8387.
(h) Dental Assistants. A
						dental assistant shall be paid in accordance with the class "Dental Assistant,"
						class code number 7911.
(i) Health
						Educators.
(1) A health educator shall be
						paid in accordance with the class "Health Education Consultant I," class code
						number 8333, or "Health Education Consultant II," class code number
						8331.
(2) A health education
						associate shall be paid in accordance with the "Health Program Technician I,"
						class code number 8342.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 4 - Personnel › Section 40137 - Conditions of Employment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
						Corps personnel shall be assigned to approved sites for periods of time to be
						determined by the Director.
(b) In
						no case shall Corps personnel engage in health care related activities outside
						of assigned working hours except as agreed between the Corps member and the
						site, with approval by the Department.
(c) Contracts and agreements between the
						Department and Corps personnel or the Department and the sites shall provide
						for periodic reports and evaluations of Corps personnel and for personnel
						grievance procedures.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 4 - Personnel › Section 40139 - Benefits and Additional Provisions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All Corps personnel shall receive current
						state civil service employee benefits or their monetary equivalent in addition
						to base salary.
(b) All Corps
						personnel shall benefit from state employee holidays or equivalent time off as
						agreed to with the site.
(c) All
						Corps personnel shall receive vacation time at the accrual rate of 
						5/6 days
						per month during the first three years of employment and at current state rates
						thereafter.
(d) All Corps personnel
						shall receive sick leave at the accrual rate of one day per month.
(e) All Corps personnel shall be eligible to
						use up to five days per year for continuing education.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 5 - Charges and Reimbursements › Section 40141 - Charges

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The applicant
						shall bill all third-party carriers including Medi-Cal, Medicare and private
						insurance carriers and shall facilitate participation in such insurance
						programs for all eligible persons.
(b) Charges for services by Corps personnel
						shall be set at a rate designed to recover the cost of services. Each person
						receiving services from assigned Corps personnel and not covered by a
						third-party carrier shall be charged according to a sliding fee schedule based
						on ability to pay. No person shall be refused needed service because of
						inability to pay. The schedule of charges for each site shall be subject to
						approval by the Department. Preadmission cash deposits shall not be
						required.
1.
						  Amendment of subsection (b) filed 12-9-77; effective thirtieth day thereafter
						  (Register 77, No. 50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 5 - Charges and Reimbursements › Section 40143 - Reimbursement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All reimbursement for the services of Corps personnel
						  shall be dispersed by either of the following methods as agreed upon by the
						  Director and the site:
(a) The site
						may return reimbursements to the Department for up to the Department's actual
						costs.
(b) The funds may be
						expended by the site for authorized support expenses. All authorized support
						expenses shall be detailed in a budget approved by the Director. The Director
						may set ceilings on any individual expense item or group of items. Authorized
						support expenses may include support personnel salaries, operating expenses,
						administrative costs, and costs of medical and dental supplies and
						equipment.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 5 - Charges and Reimbursements › Section 40145 - Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each contract shall require the applicant to provide
						  written reports to the Department detailing data to evaluate the services
						  provided, and including measurement of the extent to which the applicant's
						  objectives stated pursuant to Section
						  40123 were accomplished and the
						  health of the population served by the project was affected, and detailing all
						  billings and revenue collected. The Director shall have complete access to all
						  fiscal records and audits of the project and to such records as may indicate
						  the quality of care being provided.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 6 - Recipient Rights › Section 40147 - Nondiscrimination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
No person shall be excluded from participation in, be
						  denied the benefits of, or be subjected to discrimination in any Corps site on
						  the basis of race, color, national origin, age, sex, creed or marital status or
						  on the basis of physical or mental disability unless medically
						  indicated.
1.
						  Amendment filed 12-9-77; effective thirtieth day thereafter (Register 77, No.
						  50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 6 - Recipient Rights › Section 40149 - Confidentiality

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) All files and
						information pertaining to a person received the services of any Corps member
						shall be held confidential and shall not be divulged without the written
						consent of the individual or his/her authorized representative (or the parent
						or guardian, in the case of a minor), except as may be necessary to provide
						emergency services to the individual, to file a claim for benefits on behalf of
						the individual, as required by the Department to administer this program, or as
						otherwise required by law. Information may be disclosed in summary, statistical
						or other form which does not identify the particular individual.
(b) Notwithstanding, any patient shall have
						the right to access to his/her own file, except when contravening to the
						provisions of Section
						5328
						of the Welfare and Institutions Code. This shall not apply retroactively to
						records established prior to funding under this program nor to records from
						other facilities or institutions.
1.
						  Amendment of subsection (a) filed 12-9-77; effective thirtieth day thereafter
						  (Register 77, No. 50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 6 - Recipient Rights › Section 40151 - Right to be Informed

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
						Prior to receiving treatment, each project shall inform each patient of all
						known risks, benefits and alternatives to any and all treatment. Each patient
						shall sign an affirmation that his/her right to be informed of all known risks,
						benefits and alternatives to any and all proposed treatment has been explained
						in his/her native language, and that he/she understands this right. This
						requirement may be waived in the case of emergencies, that is, treatment which
						if delayed could immediately jeopardize the life of the person involved or
						could immediately result in a severe physical disability.
(b) In the case of minors, the right to be
						informed affirmation shall be signed by parent or guardian except in those
						cases specifically exempted by law.
(c) No recipient shall be denied site health
						care benefits for failure to accept any offered treatment.
1.
						  Amendment of subsection (a) filed 12-9-77; effective thirtieth day thereafter
						  (Register 77, No. 50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 1 - California Health Services Corps › Article 6 - Recipient Rights › Section 40152 - Recipient Grievance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each site shall provide for a grievance procedure for
						  recipients of health care. The advisory committee shall review each grievance
						  and the action taken on each grievance. Any recipient who is dissatisfied with
						  the action of the advisory committee may appeal the grievance to the
						  Department. Recipients may petition directly to the Department if they choose
						  not to go through the project grievance procedures. The project shall make
						  provisions to inform all recipients of the grievance
						  procedure.
1.
						  Amendment filed 12-9-77; effective thirtieth day thereafter (Register 77, No.
						  50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40201 - Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Agency" means a private, nonprofit corporation formed
						  for the provision of health or welfare services or a public agency or a group
						  identified in Section
						  1187.1
						  of the Health and Safety Code.
1. New
						  Chapter 2 (Sections
						  40201-40245, not consecutive)
						  filed 4-11-77 as an emergency; effective upon filing (Register 77, No.
						  16).
2. Certificate of Compliance filed 8-5-77 (Register 77, No.
						  32).
Note: Authority cited for Chapter 2 (Sections
							 40201-40245, not consecutive):
							 Sections
							 102
							 and
							 208,
							 Health and Safety Code. Reference: Sections
							 1185-1188.7, Chapter 1196, Part 4,
							 Division 1, Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40203 - Consumer

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Consumer," for the purposes of participation in the
						  project advisory committee, as set forth in Section
						  1187.7
						  of the Health and Safety Code, means a person who resides in and is a recipient
						  of health services in the project area and who has not been a provider of
						  health care as defined by Section
						  40210 within the twelve months
						  preceding appointment to the project advisory committee. Appointment to a
						  project advisory committee shall not alter consumer status.
"Department" means the State Department of Health
						  Services.
1.
						  Amendment filed 6-30-78 as an emergency; designated effective 11:59 p.m. on
						  6-30-78 (Register 78, No. 26).
2. Certificate of Compliance
						  transmitted to OAH 10-27-78; filed 10-31-78 (Register 78, No.
						  44).
Note: Authority cited: Sections
							 102
							 and
							 208,
							 Health and Safety Code. Reference: Chapter 1252, Statutes of
							 1977.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40207 - Director

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Director" means the Director of Health
						  Services.
1.
						  Amendment filed 6-30-78 as an emergency; designated effective 11:59 p.m. on
						  6-30-78 (Register 78, No. 26).
2. Certificate of Compliance
						  transmitted to OAH 10-27-78; filed 10-31-78 (Register 78, No.
						  44).
Note: Authority cited: Sections
							 102
							 and
							 208,
							 Health and Safety Code. Reference: Chapter 1252, Statutes of
							 1977.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40208 - Health Care Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Health care services" means any of those services
						  listed as elements in Section
						  1187.5
						  of the Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40209 - Health Services Development Project

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Health Services Development Project" means any project
						  receiving funds from the Department for purposes of demonstrating or testing
						  effective ways of providing health care services in underserved rural
						  areas.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40210 - Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Provider" means an individual:
(a) Who is a direct provider of health care
						(including a physician, dentist, nurse, podiatrist or physician's assistant) in
						that the individual's primary current activity is the provision of health care
						to individuals or the administration of health facilities or institutions
						(including hospitals, long-term care facilities, out-patient facilities and
						health maintenance organizations) in which such care is provided and, when
						required by state law, the individual has received professional training in the
						provision of such care or in such administration and is licensed or certified
						for such provision or administration or;
(b) Who is an indirect provider in that the
						individual:
(1) Holds a fiduciary position in,
						or has a fiduciary interest in, any entity described in subclause (B) or (D) of
						clause (2);
(2) Receives (either
						directly or through his/her spouse) more than 1/10 of his/her gross annual
						income from any one or combination of the following:
(A) Fees or other compensation for research
						into or instruction in the provision of health care.
(B) Entities engaged in the provision of
						health care or in such research or instruction.
(C) Producing or supplying drugs or other
						articles for use in the provision of or in research into or instruction in the
						provision of health care.
(D)
						Entities engaged in producing drugs or such other articles.
(3) Is a member of the immediate family of an
						individual described in (a) or (b) or;
(4) Is engaged in insuring any policy or
						contract of individual or group health insurance or hospital or medical
						benefits.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 1 - Definitions › Section 40211 - Rural

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A rural area is:
(a) a County Census Division or aggregate of
						County Census Divisions with a density of less than 250 persons per square mile
						according to the latest decennial census conducted by the U.S. Bureau of
						Census, and in which the principal city has a population of no more than 20,000
						persons according to said census.
(b) An area designated by the Health Manpower
						Commission as a rural area with unmet priority needs for medical service as
						specified in Section
						1188.4
						of the Health and Safety Code.
1.
						  Amendment of subsection (b) filed 12-9-77; effective thirtieth day thereafter
						  (Register 77, No. 50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 2 - Applicants › Section 40213 - Applicant

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Any agency may apply for assistance for the provision
						  of health care services in underserved rural areas. Any existing applicant
						  agency shall have the demonstrated ability to provide health services to
						  medically underserved rural areas and rural populations based on:
(a) Adequate and appropriate health
						personnel.
(b) Sufficient operating
						expenses.
(c) Adequate and
						appropriate management systems and personnel.
Newly formed applicant agencies shall adequately
						  describe appropriate methods for providing for the criteria identified
						  above.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 2 - Applicants › Section 40215 - Advisory Committee

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
						Each applicant shall form an advisory committee for the project separate from
						the policy board as set forth in Section
						1187.7
						of the Health and Safety Code.
(b)
						The project advisory committee shall have at least five members, none of whom
						shall serve more than four years. At least twenty-five percent of the
						membership of the committees shall change at each election. Members of the
						Project Agency Board of Directors may be members of the advisory committee but
						shall not constitute more than one-third of the committee membership. At least
						50 percent of the members shall be consumers.
(c) The committee shall meet at least
						quarterly, prepare and maintain minutes of meetings, appoint subcommittees as
						needed, elect its own chairperson and other officers.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 3 - Types of Assistance › Section 40217 - Types of Assistance

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pursuant to Division 1, Part 4, commencing with Section
						  1185
						  of the Health and Safety Code, the Department may provide the following types
						  of assistance:
(a) Financial
						assistance in the form of a grant or loan provided under contract for the
						provision of specified health services and support as well as for equipment,
						minor capital outlay such as additions to existing structures or mobile units,
						minor renovations of buildings, start-up funds for services, or other uses
						determined appropriate by the Director.
(b) Technical assistance for the development
						or implementation of a grant proposal or in the management or provision of
						services for the project, through the provision of the services of physicians,
						dentists, nurses and other allied health professionals and of other
						professionals such as lawyers and accountants.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 3 - Types of Assistance › Section 40219 - Duplication

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
No funds provided by this part shall:
(a) Duplicate or replace any commitment made
						by the Federal Government.
(b)
						Duplicate or replace county obligations to provide health care
						services.
(c) Be provided for types
						of services for which rural people are eligible under other programs and for
						which funds are available, including, but not limited to the following types of
						service:
(1) Family planning.
(2) Supplemental Feeding Program for Women,
						Infants and Children (WIC).
(3)
						Alcoholism and substance abuse.
(4)
						Hospitalization other than for emergency services.
(5) Maternal and Child Health.
(6) Crippled Children's Services.
(7) Community Mental Health Services
						Program.
(8) Regional Centers for
						the Developmentally Disabled.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 3 - Types of Assistance › Section 40221 - State Responsibility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Neither the approval of any project nor any financial
						  assistance shall commit the State of California in any way to make any
						  addition, supplement or continuation of another financial assistance award with
						  respect to any approved project or portion thereof.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40223 - Submission

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application for financial assistance shall be
						  submitted to the Director at such time and in such form and manner as the
						  Director may prescribe.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40225 - Authority

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each
						application for financial assistance shall be prepared and signed by the
						applicant or a person authorized to act for the applicant and to assume on
						behalf of the applicant any obligations imposed by law, by these regulations or
						by contract.
(b) Nonprofit agency
						applicants shall submit a copy of articles of incorporation and minutes of
						board meetings authorizing application. The name, address, and length of time
						in office of each board member shall be included.
(c) Public agency applicants shall submit a
						copy of the resolution of the governing body authorizing the
						application.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40227 - Geographic Area

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall define the boundaries of the
						  geographic area to be served by each site.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40228 - Needs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each applicant shall demonstrate the need for health
						  services in the geographic area defined based on criteria including but not
						  limited to:
(a) The number of
						individuals whose unmet needs for medical services would be serviced by the
						site.
(b) The unavailability and
						inaccessibility of the requested resources in the area to be served.
(c) The restrictive costs of receiving or
						providing health services in the area to be served.
(d) Isolation of the area to be
						served.
(e) Health indicators or
						descriptions of health characteristics for the population to be served which
						demonstrate that the lack of services has had a significant detrimental effect
						on the population's health.
1.
						  Amendment filed 12-9-77; effective thirtieth day thereafter (Register 77, No.
						  50).
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40229 - Required Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall include objectives that, when
						  accomplished, would fulfill the specific needs of the service area. These
						  objectives shall be expressed in terms which can be measured; which relate to
						  the alleviation of the need as stated in Section
						  40228, and which will allow
						  assessment of the improvement in health of the population served by the
						  project.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40231 - Coordination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall show evidence of coordination
						  between the project and local health providers and services including
						  preventive, emergency medical and disaster services.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 4 - Application for Financial Assistance › Section 40233 - Recommendations

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each application shall contain a letter of review and
						  recommendations from the local health officer based on the Health Systems Plan
						  and Annual Implementation Plan as required by
						  P.L.
						  93-641, or evidence that the local health officer
						  received a copy of the application and did not respond within 30
						  days.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 5 - Charges and Reimbursements › Section 40235 - Charges

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The applicant
						shall bill all third-party carriers including Medi-Cal, Medicare and private
						insurance carriers and shall facilitate participation in such insurance
						programs for all eligible persons.
(b) Charges for services by project personnel
						shall be set at a rate designed to recover the cost of services. Each person
						receiving services from project personnel and not covered by a third-party
						carrier shall be charged according to a sliding fee schedule based on ability
						to pay. No person shall be refused needed service because of inability to pay.
						The schedule of charges for each project shall be subject to approval by the
						Department.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 5 - Charges and Reimbursements › Section 40237 - Reimbursement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
All reimbursement for the services of a funded project
						  shall be dispersed by either of the following methods as agreed upon by the
						  Director and the site:
(a) The site
						may return reimbursements to the Department for up to its actual
						costs.
(b) The funds may be
						expended by the site for authorized support expenses. All authorized support
						expenses shall be detailed in a budget approved by the Director. The Director
						may set ceilings on any individual expense item or group of items. Authorized
						support expenses may include support personnel salaries, operating expenses,
						administrative costs, and costs of medical and dental supplies and
						equipment.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 5 - Charges and Reimbursements › Section 40238 - Reports

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each contract shall require the applicant to provide
						  written reports to the Department detailing data to evaluate the services
						  provided, and including measurement of the extent to which the applicant's
						  objectives stated pursuant to Section
						  40123 were accomplished and the
						  health of the population served by the project was affected, and detailing all
						  billings and revenue collected. The Director shall have complete access to all
						  fiscal records and audits of the project and to such records as may indicate
						  the quality of care being provided.
California Code of Regulations › Title 22 - Social Security › Division 2 - Department of Social Services-Department of Health Services › Part 2 - Health and Welfare Agency-Department of Health Services Regulations › Subdivision 6 - Preventive Medical Services › Chapter 2 - Rural Health Services Development Projects › Article 6 - Recipient Rights › Section 40239 - Nondiscrimination

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
No person shall be excluded from participation in, be
						  denied the benefits of or be subjected to discrimination in any funded program
						  on the basis of race, color, national origin, age, sex, creed or marital status
						  or on the basis of physical or mental disability unless medically
						  indicated.
1.
						  Amendment filed 12-9-77; effective thirtieth day thereafter (Register 77, No.
						  30).