 |
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 7. Payment for Services and Supplies |
| § 51501. General. |
| § 51502. Billing Requirements. |
| § 51502.1. Requirements for Electronic Claims Submission. |
| § 51503. Physician Services. |
| § 51503.1. Reimbursement for Services Rendered by a Nonphysician Medical Practitioner. |
| § 51503.2. Reimbursement for Services Rendered by a Nurse Midwife, a Certified Family Nurse Practitioner, or a Certified Pediatric Nurse Practitioner. |
| § 51503.3. Reimbursement for Sign Language Interpreter Services. |
| § 51504. Comprehensive Perinatal Services. |
| § 51504.1. Reimbursement for Services Rendered by a Licensed Midwife. |
| § 51505. Other Professional Services. |
| § 51505.1. Podiatry Services. |
| § 51505.2. Nurse Anesthetist Services. |
| § 51505.3. Psychology Services. |
| § 51506. Dental Services. |
| § 51506.1. Maxillofacial Dental Services. |
| § 51506.2. Orthodontic Dental Services. [Repealed] |
| § 51507. Physical Therapy. |
| § 51507.1. Occupational Therapy. |
| § 51507.2. Speech Therapy and Audiology. |
| § 51507.3. Respiratory Care Practitioner. |
| § 51508. Hospital Inpatient Services Reimbursement. [Repealed] |
| § 51508.1. Extraordinary Administrative Adjustments. [Repealed] |
| § 51508.2. Definitions. [Repealed] |
| § 51508.3. Application. [Repealed] |
| § 51508.4. Review of Application. [Repealed] |
| § 51508.5. Criteria for Review. [Repealed] |
| § 51508.6. Recommendation. [Repealed] |
| § 51508.7. Action by the Director. [Repealed] |
| § 51508.8. Conditional Administrative Adjustments. [Repealed] |
| § 51508.9. Medi-Cal Hospital Payment Rate Exception. [Repealed] |
| § 51509. Hospital Outpatient Departments. |
| § 51509.1. Organized Outpatient Clinics. |
| § 51509.2. Chronic Hemodialysis Services. |
| § 51509.3. Rural Health Clinic Reimbursement. [Repealed] |
| § 51510. Nursing Facility Level a Services. |
| § 51510.1. Intermediate Care Services for the Developmentally Disabled. |
| § 51510.2. Intermediate Care Services for the Developmentally Disabled-Habilitative. |
| § 51510.3. Intermediate Care Services for the Developmentally Disabled-Nursing. |
| § 51511. Nursing Facility Level B Services. |
| § 51511.1. Special Program Services for the Mentally Disordered. |
| § 51511.2. Uniform Accounting and Cost Reporting System for Skilled Nursing Facilities and Intermediate Care Facilities. |
| § 51511.3. Transitional Inpatient Care Services Reimbursement. [Repealed] |
| § 51511.5. Nursing Facility Services - Subacute Care Reimbursement. |
| § 51511.6. Nursing Facility Services - Pediatric Subacute Care Reimbursement. |
| § 51512. Certified Outpatient Rehabilitation Centers. |
| § 51513. Pharmaceutical Services and Prescribed Drugs. |
| § 51513.1. Average Wholesale Price (Awp). [Repealed] |
| § 51513.2. Establishment of Maximum Allowable Ingredient Cost. [Repealed] |
| § 51513.3. Maximum Allowable Ingredient Cost. [Repealed] |
| § 51513.4. Maximum Allowable Cost. [Repealed] |
| § 51513.5. Estimated Acquisition Cost. [Repealed] |
| § 51513.6. Prudent Purchase of Drugs Program. |
| § 51514. Chiropractic Services. |
| § 51514.5. Acupuncture Services. |
| § 51515. Reimbursement for Prosthetic and Orthotic Appliances and Repairs. [Repealed] |
| § 51516. Reimbursement for Short-Doyle/Medi-Cal Services. |
| § 51516.1. Reimbursement Rates for Drug Medi-Cal Substance Abuse Program Services. |
| § 51517. Hearing Aids. |
| § 51518. Optometry Services. |
| § 51519. Eye Appliances. |
| § 51519.1. Dispensing Fees for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract. |
| § 51519.2. Reimbursement Rates for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract. |
| § 51520. Medical Supplies. |
| § 51520.1. Establishment of Maximum Allowable Product Cost for Medical Supplies. [Repealed] |
| § 51520.2. List of Generic Medical Supply Types. [Repealed] |
| § 51521. Durable Medical Equipment. |
| § 51522. Hearing and Speech Centers. [Repealed] |
| § 51523. Home Health Agency Services. |
| § 51524. In-Home Medical Care Waiver Services and Nursing Facility Waiver Services. |
| § 51525. Blood and Blood Derivatives. |
| § 51526. Incontinence Medical Supplies. |
| § 51527. Medical Transportation Services. |
| § 51528. Paramedic Ambulance Services. [Repealed] |
| § 51529. Pathology Services. |
| § 51531. X-Ray Services. |
| § 51532. Early and Periodic Screening, Diagnosis, and Treatment (Epsdt) Services. |
| § 51532.1. Early and Periodic Screening, Diagnosis and Treatment (Epsdt) Supplemental Services Provided by Registered Nurses, Licensed Vocational Nurses and Certified Home Health Aides. |
| § 51532.2. Early and Periodic, Screening, Diagnosis, and Treatment (Epsdt) Supplemental Services: Onsite Investigation to Detect the Source of Lead Contamination. |
| § 51532.3. Epsdt Supplemental Services Provider -Pediatric Day Health Care Facility Reimbursement. |
| § 51533. Outpatient Heroin Detoxification Services. |
| § 51534. Home and Community-Based Services. [Repealed] |
| § 51535. Leave of Absence. |
| § 51535.1. Bed Hold for Acute Hospitalization. |
| § 51535.2. Reimbursement Rates for Personal Care Services Program. |
| § 51535.5. Local Educational Agency (Lea) Services. |
| § 51535.6. Reimbursement for Directly Observed Therapy (Dot). |
| § 51535.7. Targeted Case Management Services Reimbursement. |