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 4 - Scope and Duration of Benefits
Section 51309 - Psychology, Physical Therapy, Occupational Therapy, Speech Pathology and Audiological Services
Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(a) Psychology, physical therapy, occupational therapy, speech pathology and audiological services are covered when provided by persons who meet the appropriate requirements specified in Article 2 and Article 3 of this Chapter.
The written prescription of a physician, dentist or podiatrist is required for physical therapy and occupational therapy services. Speech pathology and audiological services shall be provided only upon the written referral of a physician or dentist.
(b) Physical therapy services shall include physical therapy evaluation, treatment planning, treatment, instruction, consultative services, and application of topical medications. Services do not include the use of Roentgen rays or radioactive materials or the use of electricity for surgical purposes including cauterization. Services are limited to treatment immediately necessary to prevent or to reduce anticipated hospitalization or to continue a necessary plan of treatment after discharge from the hospital.
(c) Occupational therapy services shall include occupational therapy evaluation, treatment planning, treatment, instruction and consultative services.
(d) Such services, except physical therapy, are subject to the limitations set forth in Section 51304(a). Physical therapy services may be provided after prior authorization and approval of a treatment plan is obtained from the Medi-Cal consultant.
(e) Psychology services are not subject to the limitations set forth in Section 51304(a).
1.
Amendment filed 5-14-76 as an emergency; effective upon filing (Register 76,
No. 20). For prior history, see Register 72, No. 5.
2. Certificate
of Compliance filed 9-8-76 (Register 76, No. 37).
3. Amendment filed
9-4-80; effective thirtieth day thereafter (Register 80, No. 36).
4.
Amendment of subsections (b) and (d) filed 9-1-82 as an emergency; effective
upon filing (Register 82, No. 37). A Certificate of Compliance must be
transmitted to OAL within 120 days or emergency language will be repealed on
12-30-82.
5. Certificate of Compliance transmitted to OAL 12-30-82
(the portion pertaining to subsection (b) was withdrawn 1-28-83) and filed
2-7-83 (Register 83, No. 7).
6. Amendment of subsection (b) refiled
1-28-83 as an emergency; effective upon filing (Register 83, No. 7). (Corrected
copy of 1-28-83 emergency order refiled 2-16-83.) A Certificate of Compliance
must be transmitted to OAL within 120 days or emergency language will be
repealed on 5-28-83.
7. Editorial correction of HISTORY No. 6
(Register 83, No. 11).
8. Emergency language repealed by operation
of Government Code Section
11346.1(f)
(Register 83, No. 27).
9. Amendment of subsection (b) filed 6-29-83
as an emergency; effective upon filing (Register 83, No. 27). A Certificate of
Compliance must be transmitted to OAL within 120 days or emergency language
will be repealed on 10-27-83.
10. Certificate of Compliance as to
6-29-83 order filed 8-11-83 (Register 83, No. 33).
11. Amendment of
subsections (b) and (d) filed 6-22-87; operative 7-22-87 (Register 87, No.
27).
12. Change without regulatory effect adopting subsection (e)
and amending NOTE filed 8-18-2014 pursuant to section
100, title 1, California Code of
Regulations (Register 2014, No. 34).
Note: Authority cited: Sections 14105 and 14124.5, Welfare and Institutions Code; Section 20, Health and Safety Code; and Section 57(c), Chapter 328, Statutes of 1982. Reference: Sections 14132 and 14132.03, Welfare and Institutions Code; and Section 52, Chapter 328, Statutes of 1982.