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 7 - California Children's Services
Chapter 3 - Client Application and Eligibility Requirements
Article 2 - Medical Eligibility
Section 41518.3 - Diseases of the Respiratory System

Universal Citation: 22 CA Code of Regs 41518.3

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

CCS applicants with at least one of the chronic conditions of the respiratory tract, such as the following conditions, shall be eligible for participation in the CCS program:

(a) Chronic pulmonary infections such as abscess or bronchiectasis;

(b) Cystic fibrosis;

(c) Chronic Lung Disease (CLD) of infancy, such as Bronchopulmonary Dysplasia (BPD), when either (1) or (2) below is met:

(1) History of care in a neonatal intensive care unit that includes all of the following:
(A) Mechanical ventilation for more than six days;

(B) Concentration of oxygen greater than 60 percent for more than four of the days of ventilation; and

(C) Need for supplemental oxygen for more than 30 days; or

(2) The presence in an infant of at least one of the following:
(A) Radiographic changes characteristic of CLD such as areas of hyperinflation, areas of radiolucency, and areas of radio density due to peribronchial thickening or patchy atelectasis;

(B) Impaired pulmonary function, as manifested by one or more of the following during a stable phase: increased airway resistance, increased residual capacity, decreased dynamic compliance, arterial CO2 tension (PaCO2) greater than 45 or arterial O2 tension (PaO2) less than 80; or

(C) Cardiovascular sequelae such as pulmonary or systemic hypertension or right or left ventricular hypertrophy.

(d) Asthma, when it has produced chronic lung disease;

(e) Chronic disorders of the lung that are the result of chemical injury, metabolic disorders, genetic defects, or immunologic disorders other than asthma;

(f) Respiratory failure requiring ventilatory assistance;

(g) Hyaline membrane disease; or

(h) Congenital anomalies of the respiratory system that meet the criteria of section 41518.8.

1. New section filed 5-6-99 as an emergency; operative 5-6-99 (Register 99, No. 19). A Certificate of Compliance must be transmitted to OAL by 9-3-99 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 9-7-99 as an emergency; operative 9-7-99 (Register 99, No. 37). A Certificate of Compliance must be transmitted to OAL by 1-5-2000 or emergency language will be repealed by operation of law on the following day.
3. New section refiled 12-23-99 as an emergency; operative 12-23-99 (Register 99, No. 52). A Certificate of Compliance must be transmitted to OAL by 4-21-2000 or emergency language will be repealed by operation of law on the following day.
4. New section refiled 4-18-2000 as an emergency; operative 4-18-2000 (Register 2000, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-16-2000 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 4-18-2000 order transmitted to OAL 5-24-2000 and filed 7-7-2000 (Register 2000, No. 27).
6. Change without regulatory effect renumbering former section 41518.3 to new section 41454 and renumbering former section 41848 to section 41518.3, including amendment of subsection (h) and NOTE, filed 1-28-2009 pursuant to section 100, title 1, California Code of Regulations (Register 2009, No. 5).

Note: Authority cited: Sections 20 and 100275, Health and Safety Code. Reference: Sections 123830 and 123835, Health and Safety Code.

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