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 California Code of Regulations (Last Updated: August 6, 2014)
 Title 22. Social Security
 Division 3. Health Care Services
 Subdivision 1. California Medical Assistance Program
 Chapter 3. Health Care Services
 Article 2. Definitions

  § 51051. Provider.  

Latest version.
  • (a) “Provider” means any individual, partnership, group, association, corporation, institution, or entity, and the officers, directors, owners, managing employees, or agents of any partnership, group association, corporation, institution, or entity, that provides services, goods, supplies, or merchandise, directly or indirectly, to a Medi-Cal beneficiary, and that has been enrolled in the Medi-Cal program.
    (b) Providers include, but are not limited to:
    Acupuncturists
    Audiologists
    Blood Banks
    Child Health and Disability Prevention Providers
    Chiropractors
    Christian Science Facilities
    Christian Science Practitioners
    Clinical Laboratories or Laboratories
    Comprehensive Perinatal Providers
    Dental School Clinics
    Dentists
    Dispensing Opticians
    Durable Medical Equipment and Medical Supply Providers
    Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Providers
    EPSDT Supplemental Services Providers
    Fabricating Optical Laboratory
    Hearing Aid Dispensers
    Home Health Agencies Hospices
    Hospital Outpatient Departments
    Hospitals
    Intermediate Care Facilities
    Intermediate Care Facilities for the Developmentally Disabled
    Licensed Midwife
    Local Educational Agency Providers
    Nurse Anesthetists
    Nurse Midwives
    Nurse Practitioners
    Nursing Facilities
    Occupational Therapists
    Ocularists Optometrists
    Orthotists
    Organized Outpatient Clinics
    Outpatient Heroin Detoxification Providers
    Personal Care Service Providers
    Pharmacies/Pharmacists
    Physical Therapists
    Physicians
    Podiatrists
    Portable X-ray Services
    Prosthetists
    Providers of Medical Transportation
    Psychologists Rehabilitation
    Centers Renal Dialysis Centers and Community Hemodialysis Units
    Respiratory Care Practitioners
    Rural Health Clinics
    Short-Doyle Medi-Cal Providers
    Skilled Nursing Facilities
    Speech Therapists
    Targeted Case Management Providers
HISTORY
1. Amendment of subsection (b) filed 10-27-87 as an emergency; operative 10-27-87 (Register 87, No. 44). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-88. For prior history, see Register 87, No. 38.
2. Certificate of Compliance transmitted to OAL 2-24-88 and filed 3-22-88 (Register 88, No. 15).
3. Amendment filed 11-28-88 as an emergency; operative 11-28-88 (Register 89, No. 11). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-28-89.
4. Certificate of Compliance as to 11-28-88 order transmitted to OAL 3-27-89 and filed 4-26-89 (Register 89, No. 18).
5. Amendment of subsection (b) filed 10-1-90 as an emergency; operative 10-1-90 (Register 90, No. 45). A Certificate of Compliance must be transmitted to OAL by 1-29-91 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 10-1-90 order transmitted to OAL 1-29-91 and filed 2-28-91 (Register 91, No. 13).
7. Amendment of subsection (b) filed 5-24-91 as an emergency; operative 5-24-91 (Register 91, No. 26). A Certificate of Compliance must be transmitted to OAL by 9-23-91 or emergency language will be repealed by operation of law on the following day.
8. Amendment of subsection (b) filed 4-14-93 as an emergency; operative 4-14-93. Submitted to OAL for printing only pursuant to section 8, AB 1773 (Chapter 939, Statutes of 1992) (Register 93, No. 16).
9. Amendment of subsection (b) adding Local Educational Agency Providers filed 12-22-93 as an emergency; operative 12-22-93 (Register 93, No. 52). A Certificate of Compliance must be transmitted to OAL by 4-22-94 or emergency language will be repealed by operation of law on the following day.
10. Amendment of subsection (b) and Note filed 1-20-94 as an emergency; operative 1-20-94 (Register 94, No. 3). A Certificate of Compliance must be transmitted to OAL by 5-20-94 or emergency language will be repealed by operation of law on the following day.
11. Amendment of subsection (b) adding Early and Periodic Screening, Diagnosis and Treatment, and Supplemental EPSDT Providers filed 4-4-94 as an emergency; operative 4-4-94 (Register 94, No. 14). A Certificate of Compliance must be transmitted to OAL by 8-2-94 or emergency language will be repealed by operation of law on the following day.
12. Certificate of Compliance as to 12-22-93 order transmitted to OAL 4-20-94 and filed 6-2-94 (Register 94, No. 22).
13. Certificate of Compliance as to 1-20-94 order transmitted to OAL 5-19-94 and filed 7-1-94 (Register 94, No. 26).
14. Amendment of subsection (b) adding Early and Periodic Screening, Diagnosis and Treatment and Supplemental EPSDT Providers refiled 8-1-94 as an emergency; operative 8-1-94 (Register 94, No. 31). A Certificate of Compliance must be transmitted to OAL by 11-29-94 or emergency language will be repealed by operation of law on the following day.
15. Amendment of subsection (b) adding Early and Periodic Screening, Diagnosis and Treatment and Supplemental EPSDT Providers refiled 10-24-94 as an emergency; operative 10-24-94 (Register 94, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-21-95 or emergency language will be repealed by operation of law on the following day.
16. Amendment of subsection (b) adding Early and Periodic Screening, Diagnosis and Treatment and Supplemental EPSDT Providers refiled 2-22-95; operative 2-22-95 (Register 95, No. 8). A Certificate of Compliance must be transmitted to OAL by 6-22-95 or emergency language will be repealed by operation of law on the following day.
17. Certificate of Compliance as to 2-22-95 order including amendment of section transmitted to OAL 3-16-95 and filed 4-27-95 (Register 95, No. 17).
18. Amendment of subsection (b) and Note filed 7-1-96; operative 7-1-96. Submitted to OAL for printing only pursuant to Section 6, Chapter 305, Statutes of 1995 (Register 96, No. 27).
19. Amendment of subsection (b) and Note refiled 10-29-96 as an emergency; operative 10-29-96 (Register 96, No. 44). Submitted to OAL for printing only pursuant to Section 6, Chapter 305, Statutes of 1995. A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
20. Editorial correction of History 19 (Register 97, No. 15).
21. Reinstatement of subsection (b) and Noteas they existed prior to emergency amendment filed 7-1-96 by operation of Government Code section 11346.1(f) (Register 97, No. 15).
22. Amendment of subsection (b) and Note filed 4-10-97; operative 4-10-97 pursuant to Government Code section 11343.4(d) (Register 97, No. 15).
23. Amendment of subsection (b) filed 6-23-97; operative 7-23-97 (Register 97, No. 26).
24. Amendment of subsection (b) filed 8-10-99 as an emergency; operative 8-10-99 (Register 99, No. 33). A Certificate of Compliance must be transmitted to OAL by 12-8-99 or emergency language will be repealed by operation of law on the following day.
25. Amendment of section heading, section and Note filed 9-28-99 as an emergency; operative 9-28-99 (Register 99, No. 40). A Certificate of Compliance must be transmitted to OAL by 3-27-2000 or emergency language will be repealed by operation of law on the following day. Submitted to OAL for printing only pursuant to section 78, AB 1107 (Chapter 146, Statutes of 1999).
26. Amendment of section heading, section and Note refiled 11-24-99 as an emergency; operative 11-24-99 (Register 99, No. 48). A Certificate of Compliance must be transmitted to OAL by 5-22-2000 or emergency language will be repealed by operation of law on the following day. Submitted to OAL for printing only pursuant to section 78, AB 1107 (Chapter 146, Statutes of 1999).
27. Certificate of Compliance as to 8-10-99 order transmitted to OAL 12-7-99 and filed 1-14-2000 (Register 2000, No. 2).
28. Amendment of section heading, section and Note refiled 5-5-2000 as an emergency; operative 5-22-2000 (Register 2000, No. 18). A Certificate of Compliance must be transmitted to OAL by 9-19-2000 or emergency language will be repealed by operation of law on the following day.
29. Amendment of section heading, section and Note refiled 8-28-2000 as an emergency; operative 9-6-2000 (Register 2000, No. 35). A Certificate of Compliance must be transmitted to OAL by 1-4-2001 or emergency language will be repealed by operation of law on the following day.
30. Amendment of subsection (b) and amendment of Note filed 10-24-2000 as an emergency and submitted to OAL for printing only pursuant to Section 78, Chapter 146, Statutes of 1999; operative 10-24-2000 (Register 2000, No. 43). A Certificate of Compliance must be transmitted to OAL by 4-23-2001 or emergency language will be repealed by operation of law on the following day.
31. Certificate of Compliance as to 8-28-2000 order transmitted to OAL 12-26-2000 and filed 2-8-2001 (Register 2001, No. 6).
32. Editorial correction of History 30 (Register 2001, No. 14).
33. Amendment of subsection (b) and amendment of Note refiled 4-4-2001 as an emergency and submitted to OAL for printing only pursuant to Section 78, Chapter 146, Statutes of 1999; operative 4-4-2001 (Register 2001, No. 14). A Certificate of Compliance must be transmitted to OAL by 8-2-2001 or emergency language will be repealed by operation of law on the following day.
34. Certificate of Compliance as to 4-4-2001 order transmitted to OAL 7-31-2001 and filed 9-5-2001 (Register 2001, No. 36).
35. Amendment of subsection (b) and amendment of Note filed 9-3-2004; operative 10-3-2004 (Register 2004, No. 36).
36. Amendment of subsection (a) and Note filed 9-29-2004 as an emergency; operative 10-7-2004 (Register 2004, No. 41). A Certificate of Compliance must be transmitted to OAL by 2-4-2005 or emergency language will be repealed by operation of law on the following day. Deemed emergency exempt from OAL pursuant to Welfare and Institutions Code section 14043.75.
37. Amendment of subsection (a) and Note refiled 1-27-2005 as an emergency; operative 2-5-2005 (Register 2005, No. 4). A Certificate of Compliance must be transmitted to OAL by 6-6-2005 or emergency language will be repealed by operation of law on the following day. Deemed emergency exempt from OAL review pursuant to Welfare and Institutions Code section 14043.75.
38. Amendment of subsection (a) and Note refiled 6-2-2005 as an emergency; operative 6-7-2005 (Register 2005, No. 22). A Certificate of Compliance must be transmitted to OAL by 10-5-2005 or emergency language will be repealed by operation of law on the following day. Deemed emergency exempt from OAL review pursuant to Welfare and Institutions Code section 14043.75.
39. Certificate of Compliance as to 6-2-2005 order, including further amendment of subsection (a), transmitted to OAL 9-29-2005 and filed 11-10-2005 (Register 2005, No. 45).

Note

Note: Authority cited: Sections 10725, 14043.75, 14100.1, 14015 and 14124.5, Welfare and Institutions Code; Section 87, Chapter 1594, Statutes of 1982; and Section 13, Chapter 502, Statutes of 1990. Reference: Sections 14043, 14043.1, 14043.15, 14043.26, 14043.27, 14043.36, 14100.1, 14105, 14105.3, 14115.6, 14124.5, 14132, 14132.39, 14132.4, 14132.44 and 14134.5, Welfare and Institutions Code; Section 33, Chapter 456, Statutes of 1990; Section 1250(k), Health and Safety Code; Section 1206, Business and Professions Code; and Title 42 United States Code, Section 263a.