§ 51526. Incontinence Medical Supplies.

(a) Manufacturers and principal labelers shall report to the Department, at least annually, their median prices charged for all their Medi-Cal covered products.

(b) The Department shall update the median prices charged within sixty (60) days after receipt from the manufacturer or principal labeler subject to the Department's verification of the accuracy of the median price charged data.

(c) For purposes of reporting the median price charged and calculating the maximum estimated acquisition cost for Incontinence Medical Supplies, the major product categories are:

(1) Disposable Diapers and Briefs

(A) Economy

(1) Infant, large

(2) Infant, extra large

(3) Youth, small

(4) Youth, medium

(5) Youth, large

(6) Adult, small

(7) Adult, medium

(8) Adult, large

(9) Adult, extra large

(B) Premium

(1) Infant, large

(2) Infant, extra large

(3) Youth, small

(4) Youth, medium

(5) Youth, large

(6) Adult, small

(7) Adult, medium

(8) Adult, large

(9) Adult, extra large

(2) Underpads

(A) Economy

(1) Small

(2) Medium

(3) Large

(4) Tuckable

(B) Premium

(1) Small

(2) Medium

(3) Large

(4) Tuckable

(3) Undergarments

(A) Economy

(B) Premium

(4) Liners and Pads

(A) Small

(B) Medium

(C) Large

(5) Adult pant systems

(A) Mesh

(B) Pants

(6) Barrier Creams for the skin

(7) Incontinence washes

(d) The major product categories defined in this section may be, but are not required to be, the same categories used for negotiating contract prices for incontinence medical supplies. The Department may contract for products in all or any portion of these categories or in other categories as it decides are necessary.

(e) Notwithstanding the listing of major product categories in subsection (c), the establishment of a major product category or the inclusion of a product within a major product category does not mean the product or the category are a Medi-Cal program benefit.

HISTORY

1. New section 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 A Certificate of Compliance must be transmitted to OAL by 9-23-91 or emergency language will be repealed by operation of law on the following day.

2. Amendment of subsection (b) filed 8-1-84 as an emergency; effective upon filing (Register 84, No. 31). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-84.

Note

Note: Authority cited: Sections 14105, 14125.1(c), 14125.4, 14125.5 and 14125.9, Welfare and Institutions Code; and Section 36, Chapter 456, Statutes of 1990. Reference: Section 14132, Welfare and Institutions Code; and Section 33, Chapter 456, Statutes of 1990.