reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51215.8 - Pediatric Subacute Care Unit

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A pediatric subacute care unit means an
					 identifiable unit of a certified nursing facility licensed as a skilled nursing
					 facility and meeting the standards for participation as a provider under the
					 Medi-Cal program set forth in this section, accommodating beds including
					 contiguous rooms, a wing, a floor, or a building that is approved by the
					 Department for such purpose. In addition to the requirements set forth in this
					 section, a facility providing pediatric subacute care unit services shall
					 comply with all of the licensing requirements set forth in Title 22, Division
					 5, otherwise applicable to licensure as a skilled nursing facility.
(b) To the highest practicable extent, the
					 pediatric subacute unit shall provide a safe, clean, comfortable and nurturing
					 home-like environment designed to promote normal child development.
(c) Pediatric subacute beds shall not be dual
					 classified as swing beds as they are defined in Section
					 1339.5,
					 Health and Safety Code.
(d) The
					 facility shall accept and retain only those pediatric subacute patients for
					 whom it can provide appropriate care in accordance with this section, and as
					 defined in Section
					 51124.6(c)(1).
(e) The pediatric subacute care unit shall
					 house patients based on their ages, gender, and/or developmental levels, and/or
					 social needs in a manner planned to promote the growth and development of all
					 those housed together.
(f) The
					 facility shall provide for a comprehensive developmental assessment for each
					 pediatric subacute care patient who is under 36 months of age. The assessment
					 shall be performed by a qualified professional with training and expertise
					 specific to the assessment of, and program planning for, infant and child
					 development. The professional who performs the developmental assessment shall:
(1) Assess the patient's abilities and needs
					 in at least the following areas, where applicable, within 14 calendar days of
					 admission to the pediatric subacute care unit:
(A) Sensorimotor development including gross
					 motor skills, fine motor skills and visual motor perception;
(B) Social development and cognitive
					 development;
(C) Self-help
					 development including developmentally appropriate feeding, toileting, dressing,
					 and grooming;
(D) Language and
					 communication skills; and
(E) Play
					 and recreation needs.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51215.9 - Pediatric Subacute Care Unit -Physician Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Physician services shall be provided in a
					 pediatric subacute care unit in accordance with Section
					 72303, Title 22, California Code
					 of Regulations, with the exception of (b)(1) of that section, and in accordance
					 with (a) and (b) of this section.
(b) Each pediatric subacute patient's
					 attending physician shall perform an initial history and physical examination
					 of the patient and prepare a written report of the examination within 24 hours
					 of the patient's admission to the pediatric subacute care unit. In addition to
					 documentation of history and physical examination, this report shall include a
					 plan of treatment that addresses, at a minimum, the following areas:
(1) The patient's level of
					 function;
(2) History of dependence
					 on and potential for weaning from medical technology(ies);
(3) Nutritional status, including growth
					 history, anthropometric status and dietary needs; and
(4) Need for physical therapy, occupational
					 therapy or speech therapy assessment and services.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51215.10 - Pediatric Subacute Care Unit -Rehabilitation Therapy Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each pediatric
					 subacute care unit shall define, implement and maintain a system for assessing
					 and meeting patient needs for all appropriate physical, occupational and speech
					 therapy services including supportive and maintenance programs. The appropriate
					 therapist shall develop a plan of treatment, as specified in (g) or (j) of this
					 section, which shall be integrated into an individualized comprehensive plan of
					 care consistent with an interdisciplinary team approach in meeting each child's
					 needs.
(b) The following
					 definitions shall apply only to this section:
(1) "Physician" shall mean a licensed medical
					 doctor who is a pediatric physiatrist or a physician with knowledge and
					 experience in the rehabilitation of infants, children and
					 adolescents.
(2) "Therapist" shall
					 mean a licensed or registered physical therapist, occupational therapist or
					 speech pathologist with experience in pediatric rehabilitation
					 services.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51215.11 - Pediatric Subacute Care Unit -Ventilator Weaning

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each pediatric subacute care unit shall
					 define, implement and maintain a system for assessing, on admission and at
					 least quarterly, those pediatric patients who are dependent, in part or
					 completely, on mechanical ventilation for the appropriateness of reduction or
					 elimination of such dependence.
(b)
					 Ventilator weaning services performed in the pediatric subacute care unit shall
					 be covered separately for the purpose of decreasing or eliminating dependence
					 on mechanical ventilation, subject to the following criteria:
(1) The pediatric subacute care patient shall
					 be evaluated and deemed appropriate for a weaning trial by a physician with
					 knowledge of and experience in pediatric mechanical ventilation care and who
					 documents, at a minimum, the history of ventilator dependence, previous weaning
					 attempts, an a description of the weaning plan of treatment specifying
					 measurable functional goals within specified time frames and post-weaning
					 stabilization care intensity and duration.
(2) The appropriate health care professional,
					 as the result of a comprehensive patient assessment, shall develop a plan of
					 treatment which shall be integrated into an individualized comprehensive plan
					 of care consistent with an interdisciplinary team approach in meeting the
					 child's needs. A plan of treatment specifying measurable functional goals
					 within specified time frames shall include but not be limited to:
(A) A respiratory care practitioner's plan of
					 treatment that provides documentation of needed respiratory care practitioner
					 time greater than the three hours in a day, as required by Section
					 51215.8(t).
(B) A nursing plan of treatment that
					 documents the need for registered nurse assessments and subsequent skilled
					 nursing care interventions at specified intervals, but in any case, more than
					 three times in every 24 hours.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51216 - Transfer of Ownership

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In the case of a transfer of the ownership of an
						institutional provider of service (includes hospital, skilled nursing facility,
						intermediate care facility, and home health agency), the new owner shall not be
						considered as an eligible provider earlier than thirty days following notice of
						a change of ownership or proposed change of ownership. The notice shall be in
						writing and shall be submitted to the Department. If the interests of the state
						are adequately protected, the Department may authorize shortening the 30-day
						period or waiving the notice requirement.
1. New
						section filed 1-13-69; effective thirtieth day thereafter (Register 69, No.
						3).
2. Amendment filed 3-30-72 as an emergency; effective upon
						filing (Register 72, No. 15).
3. Certificate of Compliance filed
						7-27-72 (Register 72, No. 31).
4. Amendment filed 8-8-78; effective
						thirtieth day thereafter (Register 78, No. 32).
5. Change without
						regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Section
						  14030,
						  Welfare and Institutions Code. Reference: Section
						  14030,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51217 - Home Health Agency

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A home health agency shall:
(a) Be licensed by the Department according
					 to applicable laws and regulations and,
(b) Meet the standards for Medicare
					 participation in Title 42 Code of Federal Regulations, Part 405 Subpart L or be
					 certified under Title XVIII or XIX of the federal Social Security
					 Act.
1.
						Amendment of subsection (a) filed 12-28-73 as an emergency; designated
						effective 1-1-74. Certificate of Compliance included (Register 73, No. 52). For
						prior history, see Register 72, No. 40.
2. Amendment filed 7-7-86;
						effective thirtieth day thereafter (Register 86, No.
						28).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code; and Section
						  208,
						  Health and Safety Code. Reference: Section
						  14132,
						  Welfare and Institutions Code; and Section
						  1727,
						  Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51218 - Renal Dialysis Centers, Community Hemodialysis Units and Renal Homotransplantation Centers

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Renal dialysis centers, community hemodialysis units and
						renal transplantation centers shall:
(a) Be certified for and participate in the
					 Medicare program.
(b) Meet
					 standards established by the Department and be certified by the Department to
					 participate in the Medi-Cal program.
(c) Be recommended for certification by the
					 areawide comprehensive health planning agency on the basis of community
					 need.
1.
						Amendment filed 1-30-73; effective thirtieth day thereafter (Register 73, No.
						5). For prior history, see Register 72, No. 40.
2. Amendment filed
						12-28-73 as an emergency; designated effective 1-1-74. Certificate of
						Compliance included (Register 73, No. 52).
Note: Authority cited: Sections
						  14100,
						  14105
						  and
						  14106,
						  Welfare and Institutions Code. Reference: Sections
						  14019.5,
						  14053,
						  14059
						  and
						  14103,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51219 - Audiologist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An audiologist shall be licensed by the Speech Pathology
						and Audiology Examining Committee of the State Board of Medical Quality
						Assurance or similarly licensed by a comparable agency in the State in which he
						practices.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40). For
						history of prior section, see Register 72, No. 5.
2. Amendment filed
						11-4-76; effective thirtieth day thereafter (Register 76, No.
						45).
3. Change without regulatory effect adding NOTE (Regiser 86,
						No. 49).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51220 - Chiropractor

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A chiropractor shall be licensed to practice by the
						California Board of Chiropractic Examiners or similarly licensed by a
						comparable agency in the state in which he practices.
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No.
						40).
2. Change without regulatory effect adding NOTE (Register 86,
						No. 49).
Note: Authority cited: Sections
						  10725,
						  14015
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51220.5 - Acupuncturist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An acupuncturist shall be certified to practice
						acupuncture in California by the Division of Allied Health Professions of the
						California Board of Medical Quality Assurance or be similarly certified by a
						comparable agency of the state in which the acupuncturist
						practices.
1. New
						section filed 4-30-81; effective thirtieth day thereafter (Register 81, No.
						18).
Note: Authority cited: Sections
						  10725
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14053
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51221 - Christian Science Facilities. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 9-27-72; designated effective 11-1-72 (Register 72, No. 40). For
						history of prior section, see Register 67, No. 15.
2. Change without
						regulatory effect adding NOTE (Register 86, o. 49).
3. Change
						without regulatory effect repealing section filed 10-8-2014 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2014, No. 41).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14019.5,
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51222 - Christian Science Practitioner. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						sections 51222 through
						51233 filed 9-27-72; designated
						effective 11-1-72 (Register 72, No. 40).
2. Change without
						regulatory effect adding NOTE (Register 86, No. 49).
3. Change
						without regulatory effect repealing section filed 10-8-2014 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2014, No. 41).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14019.5,
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51223 - Dentist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A dentist shall
					 be licensed to practice dentistry by the California Board of Dental Examiners
					 or similarly licensed by a comparable agency in the state in which he
					 practices.
(b) A qualified oral
					 surgeon shall be a dentist who meets the requirements of (1) and either (2) or
					 (3).
(1) Confines his practice to the
					 specialty of oral surgery.
(2) Has
					 successfully completed a course of advanced study in oral surgery of three
					 years or more in programs recognized by the Council on Dental Education of the
					 American Dental Association.
(3)
					 Has completed advanced training in oral surgery and meets both of the following
					 requirements:
(A) Has had advanced study and
					 hospital experience in performing oral surgery in maxillofacial deformities and
					 temporomandibular joint dysfunction.
(B) Is listed in the Directory of the
					 American Dental Association with the Specialty Code of 10, as defined in the
					 1977 issue.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51224 - Dental School Clinic

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A dental school clinic shall be under the direction of a
						dental school which has been approved by the California Board of Dental
						Examiners.
1. Change
						without regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14131
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51225 - Orthotist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An orthotist shall be certified in orthotics by either
						the American Board for Certification in Orthotics and Prosthetics or the Board
						for Orthotist/Prosthetist Certification.
1. Change
						without regulatory effect adding NOTE (Register 86, No. 49).
2.
						Amendment of section and NOTE filed 4-20-98; operative 5-20-98 (Register 98,
						No. 17).
Note: Authority cited: Sections
						  10725,
						  14105,
						  14124.5
						  and
						  14132.63,
						  Welfare and Institutions Code. Reference: Sections
						  14059,
						  14132(k)
						  and
						  14132.63,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51225.5 - Respiratory Care Practitioner

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A respiratory care practitioner shall:
(1) be licensed by the Respiratory Care Board
					 of California or similarly certified by a comparable agency in the state in
					 which he or she practices, and
(2)
					 have a Registered Respiratory Therapist credential from the National Board of
					 Respiratory Care.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51226 - Pharmacy

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A pharmacy shall have a valid permit issued by the
						California Board of Pharmacy pursuant to Sections
						4035
						and
						4035.1
						of the Business and Professions Code or have a similar permit issued by the
						state in which it is located.
1. Change
						without regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51227 - Pharmacist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A pharmacist shall hold a valid certificate issued by the
						California Board of Pharmacy pursuant to Section
						4085
						of the Business and Professions Code, or hold a similar valid certificate
						issued by the State in which he practices.
1. Change
						without regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51228 - Physician

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A physician shall be licensed as a physician and surgeon
						by the California Board of Medical Quality Assurance or the California Board of
						Osteopathic Examiners or similarly licensed by a comparable agency of the state
						in which he practices.
1.
						Amendment filed 8-8-78; effective thirtieth day thereafter (Register 78, No.
						32).
2. Change without regulatory effect adding NOTE (Register 86,
						No. 49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51229 - Podiatrist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A podiatrist shall be licensed to practice podiatry by
						the California Board of Medical Quality Assurance, or shall be similarly
						licensed by a comparable agency of the state in which he
						practices.
1.
						Amendment filed 8-8-78; effective thirtieth day thereafter (Register 78, No.
						32).
2. Change without regulatory effect adding NOTE (Register 86,
						No. 49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51230 - Prosthetist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A prosthetist shall be certified in prosthetics by either
						the American Board for Certification in Orthotics and Prosthetics or the Board
						for Orthotist/Prosthetist Certification.
1. Change
						without regulatory effect adding NOTE (Register 86, No. 49).
2.
						Amendment of section and NOTE filed 4-20-98; operative 5-20-98 (Register 98,
						No. 17).
Note: Authority cited: Sections
						  10725,
						  14105,
						  14124.5
						  and
						  14132.63,
						  Welfare and Institutions Code. Reference: Sections
						  14059,
						  14132
						  and
						  14132.63,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51231 - Ambulance Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Ambulances shall be licensed, operated and equipped in accordance with
					 applicable federal, state and local statutes, ordinances and
					 regulations.
(b) Ambulances
					 operated in other states shall comply with applicable federal, state and local
					 statutes, ordinances and regulations.
1.
						Amendment filed 5-22-80; effective thirtieth day thereafter (Register 80, No.
						21). For prior history see 73, No. 5.
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Section
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51231.1 - Litter Van Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Litter vans shall be operated by a certified driver and an attendant.
(1) These persons shall:
(A) Possess a current California driver's
					 license or a current California Ambulance Driver Certificate issued by the
					 State Department of Motor Vehicles.
(B) Be at least 18 years of age.
(C) Possess at least a current American Red
					 Cross Standard First Aid and Personal Safety Certificate or
					 equivalent.
(D) Have passed a
					 physical examination within the past two years and possess a current Department
					 of Motor Vehicle form DL-51, Medical Examination Report, which is specifically
					 incorporated herein by reference.
(E) Not act in the capacity of a driver or
					 attendant when such person:
1. Is required by
					 law to register as a sex offender for any offense involving force, duress,
					 threat or intimidation.
2.
					 Habitually or excessively uses or is addicted to narcotics or dangerous drugs,
					 or has been convicted during the preceding seven years of any felony offense
					 relating to the use, sale, possession or transportation of narcotics, addictive
					 or dangerous drugs or alcohol.
3.
					 Habitually or excessively uses intoxicating
					 beverages.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51231.2 - Wheelchair Van Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Wheelchair vans shall be operated by a certified driver and, where applicable,
					 an attendant.
(1) These persons shall:
(A) Possess a current California driver
					 license or a current California Ambulance Driver Certificate issued by the
					 State Department of Motor Vehicles.
(B) Be at least 18 years of age.
(C) Possess at least a current American Red
					 Cross Standard First Aid and Personal Safety Certificate or
					 equivalent.
(D) Have passed a
					 physical examination within the past two years and possess a current Department
					 of Motor Vehicle form DL-51, Medical Examination Report, which is specifically
					 incorporated herein by reference.
(E) Not act in the capacity of a driver or
					 attendant when such person:
1. Is required by
					 law to register as a sex offender for any offense involving force, duress,
					 threat or intimidation.
2.
					 Habitually or excessively uses or is addicted to narcotics or dangerous drugs,
					 or has been convicted during the preceding seven years of any felony offense
					 relating to the use, sale, possession or transportation of narcotics, addictive
					 or dangerous drugs or alcohol.
3.
					 Habitually or excessively uses intoxicating
					 beverages.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51232 - Psychologist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A psychologist shall be licensed by the Psychology
						Examining Committee of the State Board of Medical Quality Assurance or be
						similarly licensed by a comparable agency in the State in which he
						practices.
1.
						Amendment filed 11-4-76; effective thirtieth day thereafter (Register 76, No.
						45).
2. Change without regulatory effect adding NOTE (Register 86,
						No. 49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51233 - Optometrist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An optometrist shall be licensed by the California Board
						of Optometry to practice optometry, or be similarly licensed by a comparable
						agency of the state in which he practices.
1. Change
						without regulatory effect adding NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14131
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51234 - Psychiatric Technician. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 1-30-73; effective thirtieth day thereafter (Register 73, No.
						5).
2. Repealer filed 6-22-87; operative 7-22-87 (Register 87, No.
						27).
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51235 - Dietitian. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1. New
						section filed 1-30-73; effective thirtieth day thereafter (Register 73, No.
						5).
2. Repealer filed 6-22-87; operative 7-22-87 (Register 87, No.
						27).
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51236 - Radiological and Radioisotope Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Diagnostic and therapeutic radiological and radioisotope
						services shall only be provided pursuant to the registration or licensing
						provisions of Chapter 5, subchapters 4, and 4.5 of Title 17, California
						Administrative Code, or with similar registration or licensing provisions of a
						similar agency of the state in which the service is rendered.
1. New
						section filed 5-2-73; effective thirtieth day thereafter (Register 73, No.
						18).
2. Change without regulatory effect adding NOTE (Register 86,
						No. 49).
Note: Authority cited: Sections
						  10725,
						  14105
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference: Sections
						  14019.5,
						  14059
						  and
						  14132,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51237 - Nurse Anesthetist

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A nurse anesthetist shall be licensed as a registered
						nurse by the California Board of Registered Nursing, or similarly registered or
						licensed by a comparable agency in the state in which he practices, and
						certified by the American Association of Nurse Anesthetists.
1. New
						section filed 5-1-75 as an emergency; effective upon filing (Register 75, No.
						18).
2. Certificate of Compliance filed 8-19-75 (Register 75, No.
						34).
3. Amendment filed 2-5-88; operative 3-6-88 (Register 88, No.
						8).
Note: Authority cited: Sections
						  14105,
						  14115.3
						  and
						  14124.5,
						  Welfare and Institutions Code. Reference Section
						  14115.3,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51238 - Short-Doyle Medi-Cal Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A Short-Doyle Medi-Cal provider shall be approved by the
						Department to participate in the Short-Doyle Medi-Cal
						program.
1. New
						section filed 9-29-75 as an emergency; effective upon filing (Register 75, No.
						40).
2. Certificate of Compliance filed 1-8-76 (Register 76, No.
						2).
3. Change without regulatory effect of NOTE (Register 86, No.
						49).
Note: Authority cited: Sections
						  14124.5
						  and
						  14131,
						  Welfare and Institutions Code. Reference: Section
						  14131,
						  Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51239 - Outpatient Heroin Detoxification Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Outpatient heroin detoxification services
					 shall be provided only by or through one of the following:
(1) Persons or facilities approved to provide
					 such treatment under the provisions of Subchapter 6, Title 9, California
					 Administrative Code.
(2) Persons or
					 facilities approved to conduct research programs under the provisions of
					 Section
					 11481,
					 Health and Safety Code, and Subsection
					 4351(a),
					 Welfare and Institutions Code.
(3)
					 Organized outpatient clinics appropriately licensed under the provisions of
					 Section 400, Title 17, California
					 Administrative Code.
(4) Hospital
					 outpatient departments appropriately licensed under the provision of Section
					 70103, Title 22, California
					 Administrative Code.
(5) Physicians
					 providing office heroin detoxification services.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51240 - Utilization of Nonphysician Medical Practitioners

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each primary care physician, organized
					 outpatient clinic or hospital outpatient department which utilizes a qualified
					 nonphysician medical practitioner shall complete a "Medi-Cal Nonphysician
					 Medical Practitioner and Licensed Midwife Application," DHS 6248 (Rev. 07/05)
					 for enrollment in the Medi-Cal program pursuant to Section
					 51000.30.
(b) The number of nonphysician medical
					 practitioners who may be supervised by a single primary care physician shall be
					 in accordance with applicable professional licensing statutes and
					 regulations.
(c) A primary care
					 physician, an organized outpatient clinic or a hospital outpatient department
					 shall not utilize more nonphysician medical practitioners than can be
					 supervised within the limits stated in (b).
(d) Each primary care physician organized
					 outpatient clinic or hospital outpatient department which utilizes a
					 nonphysician medical practitioner shall develop a Physician-Practitioner
					 Interface specifically establishing the scope and limits of services to be
					 rendered by, and related to the functions of, each nonphysician medical
					 practitioner.
(1) A Physician-Practitioner
					 Interface includes the following:
(A) In the
					 case of registered nurses, standardized procedures, as required by Title 16,
					 Article 7, Division 14, California Code of Regulations, commencing with Section
					 1470.
(B) In the case of physician assistants, a
					 written delegation of medical services and written supervisory guidelines, as
					 required by Section
					 1399.540 and Section
					 1399.545(e),
					 Title 16, California Code of Regulations.
(C) All written protocols issued by
					 collaboration between the physician and the nonphysician medical
					 practitioner.
(D) All written
					 standing orders of the physician.
(E) All written special orders given by the
					 physician.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51241 - Physician Relationship to Nonphysician Medical Practitioners

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The
					 relationship between the physician and the nonphysician medical practitioner
					 shall be that of a shared and continuing responsibility to follow the progress
					 of the patient in a manner which assures the nonphysician medical
					 practitioner's adherence to the limits of the specific professional practice
					 established by law and regulations, while maximizing patient safety, health and
					 well-being.
(b) The supervising
					 physician shall be available to the nonphysician medical practitioners in
					 person or through electronic means to provide supervision to the extent
					 required by California professional licensing laws, necessary instruction in
					 patient management, consultation and referral to appropriate care and services
					 by specialist physicians or other licensed health care professionals, as may be
					 required in each case.
(c) In cases
					 of emergencies as defined in Section
					 51056, the nonphysician medical
					 practitioner, to the extent permitted by the laws relating to license or
					 certificate involved, may render emergency services to a patient pending
					 establishment of contact with the physician.
(d) In all cases, the nonphysician medical
					 practitioner shall be responsible to maintain reasonable communication with the
					 physician, to keep the physician informed, to follow instructions and, in any
					 case of doubt, to seek assistance or additional instructions.
1. New
						section filed 8-1-78 as an emergency; effective upon filing (Register 78, No.
						31).
2. Certificate of Compliance filed 8-9-78 (Register 78, No.
						31).
Note: Authority cited: Sections
						  14053,
						  14105,
						  14124.5
						  and
						  14132,
						  Welfare and Institutions Code. Reference: Article 12.5 of Chapter 5, Articles 2
						  and 2.5 of Chapter 6, and Chapter 7.7, Business and Professions
						  Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51242 - EPSDT Diagnosis and Treatment Provider and EPSDT Supplemental Services Provider

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An EPSDT
					 diagnosis and treatment provider shall meet the requirements for participation
					 in the Medi-Cal program as specified in this chapter, excepting the
					 requirements specified in subsection (b).
(b) A provider seeking to provide EPSDT
					 supplemental services, who is not enrolled as a provider pursuant to subsection
					 (a), shall first submit a provider enrollment application to the department to
					 become an EPSDT supplemental services provider. The application shall be
					 accompanied by a request for prior authorization, pursuant to Section
					 51340(c), for the
					 initial service the provider seeks to provide.
(c) An EPSDT case manager, defined in Section
					 51184(h)(4),
					 seeking to provide EPSDT case management services shall be considered to be an
					 EPSDT supplemental services provider and shall comply with the requirements of
					 this section.
(d) In order to be
					 approved as an EPSDT supplemental services provider for the particular service
					 sought, the provider shall supply documentation or other evidence which the
					 Department determines establishes that both of the following conditions are
					 met:
(1) The services to be provided meet the
					 standard of medical necessity set forth in Section
					 51340(e).
(2) The provider is licensed, certified, or
					 otherwise recognized or authorized under state law governing the healing arts
					 to provide the service pursuant to Division 2 (commencing with section
					 500) of the Business and
					 Professions Code or is a licensed pediatric day health and respite care
					 facility pursuant to Section
					 1760
					 of the Health and Safety Code, and meets any applicable requirements in federal
					 Medicaid law to provide the particular service requested.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51242.1 - EPSDT Supplemental Services Provider -Pediatric Day Health Care Facility

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A
					 pediatric day health care facility, as defined in Section
					 51184(k)(2),
					 seeking to provide pediatric day health care EPSDT services shall be considered
					 to be an EPSDT supplemental services provider and shall comply with the
					 provisions specified in this section and in Section
					 51242, except the provisions of
					 subsections (a), (c) and (e). In addition, the pediatric day health care
					 facility shall maintain documentation available for Department review
					 substantiating compliance with all of the provisions of this section.
(b) The pediatric day health care facility
					 shall provide the required EPSDT services specified in Section
					 1760.6
					 of the Health and Safety Code, with the exception of Section
					 1760.6(b)(5).
(c) The pediatric day health care facility
					 shall comply with the personnel requirements specified in Section
					 1267.13
					 of the Health and Safety Code. Such personnel, as required to provide the
					 services pursuant to paragraph (b) of this section, shall be:
(1) Licensed, certified or credentialed
					 health professionals acting within their scope of practice who meet the
					 experience requirements specified in this section; and
(2) Present in the facility in sufficient
					 numbers, as determined under the patient classification system defined in Title
					 22, California Code of Regulations, Section
					 70053.2, during all hours of
					 facility operation to provide services as prescribed by the attending physician
					 and documented in the individual plan of treatment and to address projected
					 admissions, terminations and emergencies.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51243 - Intermediate Care Facility for the Developmentally Disabled

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An intermediate care facility for the developmentally
						disabled as defined in Section
						51164 shall meet each of the
						following requirements:
(a) Be
					 licensed by the Department of Health Services as any of the following:
(1) A hospital pursuant to the provisions of
					 Sections 70101 through
					 70137 of Title 22 of the
					 California Administrative Code.
(2)
					 A psychiatric hospital pursuant to the provisions of Sections
					 71101 through
					 71135 of Title 22 of the
					 California Administrative Code.
(3)
					 A skilled nursing facility pursuant to the provisions of Sections
					 72201 through
					 72241 of Title 22 of the
					 California Administrative Code.
(4)
					 An intermediate care facility pursuant to the provisions of Sections
					 73201 through
					 73241 of Title 22 of the
					 California Administrative Code.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51243.1 - Intermediate Care Facility for the Developmentally Disabled Habilitative

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An intermediate
					 care facility for the developmentally disabled habilitative as defined in
					 Section 51164.1 shall:
(1) Be licensed by the Department as an
					 intermediate care facility for the developmentally disabled habilitative
					 pursuant to the provisions of Sections
					 76800 through
					 76962 of Title 22 of the
					 California Administrative Code.
(2)
					 Be certified by the Department as meeting the standards and conditions
					 specified in Title 42, Code of Federal Regulations, Sections
					 440.150,
					 442.100 through
					 442.115, and
					 442.400 through
					 442.516.
California Code of Regulations › Title 22 - Social Security › Division 3 - Health Care Services › Subdivision 1 - California Medical Assistance Program › Chapter 3 - Health Care Services › Article 3 - Standards for Participation › Section 51243.2 - Intermediate Care Facility for the Developmentally Disabled-Nursing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An intermediate
					 care facility for the developmentally disabled-nursing as defined in Section
					 51164.2 shall:
(1) Be licensed by the Department as an
					 intermediate care facility for the developmentally disabled-nursing pursuant to
					 the provisions of Sections
					 73846 through
					 73855, Title 22, California Code
					 of Regulations.
(2) Be certified by
					 the Department as meeting the applicable standards and conditions specified in
					 Title 42, Code of Federal Regulations, Sections
					 440.150,
					 442.100 through
					 422.112 and Part 483, Support
					 D.