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 51323 - Medical Transportation Services
Current through Register 2024 Notice Reg. No. 12, March 22, 2024
(a) Ambulance, litter van and wheelchair van medical transportation services are covered when the beneficiary's medical and physical condition is such that transport by ordinary means of public or private conveyance is medically contraindicated, and transportation is required for the purpose of obtaining needed medical care.
(b) Authorization shall be granted or Medi-Cal reimbursement shall be approved only for the lowest cost type of medical transportation that is adequate for the patient's medical needs, and is available at the time transportation is required.
(c) Medical transportation by air is covered under the following conditions:
1. New
subsection (d) filed 7-6-82 as an emergency; effective upon filing (Register
82, No. 28). A Certificate of Compliance must be transmitted to OAL within 120
days or emergency language will be repealed on 11-3-82. For prior history, see
Register 82, No. 18.
2. Certificate of Compliance as to 7-6-82 order
transmitted to OAL 11-3-82 and filed 12-3-82 (Register 82, No.
49).
3. Amendment of subsection (b) filed 4-11-84; effective
thirtieth day thereafter (Register 84, No. 15).
4. Repealer of
subsection (d) filed 8-9-85; effective thirtieth day thereafter (Register 85,
No. 32).
5. Amendment of subsection (b)(2)(C), designation of
portion of subsection (b)(2)(C) as new subsection (b)(2)(C)1. and amendment
thereof, new subsections (b)(2)(C)2.-3., and amendment of NOTE filed 4-1-96 as
an emergency; operative 4-1-96 (Register 96, No. 14). A Certificate of
Compliance must be transmitted to OAL by 9-30-96 pursuant to Welfare and
Institutions Code section
14132.22
or emergency language will be repealed by operation of law on the following
day.
6. Editorial correction of HISTORY 5 (Register 96, No.
35).
7. Amendment of subsection (b)(2)(C), designation of portion of
subsection (b)(2)(C) as new subsection (b)(2)(C)1. and amendment thereof, new
subsections (b)(2)(C)2.-3., and amendment of NOTE refiled 8-28-96 as an
emergency; operative 9-30-96 (Register 96, No. 35). A Certificate of Compliance
must be transmitted to OAL by 1-28-97 or emergency language will be repealed by
operation of law on the following day.
8. Editorial correction of
subsection (b)(2)(C)3. (Register 97, No. 11).
9. Certificate of
Compliance as to 8-28-96 order transmitted to OAL 1-23-97 and filed 3-10-97
(Register 97, No. 11).
10. Change without regulatory effect amending
subsection (b)(2)(C), repealing subsections (b)(2)(C)1.-3. and amending NOTE
filed 6-12-2006 pursuant to section
100, title 1, California Code of
Regulations (Register
2006,
No. 24).
11. Redesignation of former subsection (a)(2)(A) as new
subsection (a)(2)(A)1., new subsection (a)(2)(A)2., redesignation of former
subsection (a)(3)(B) as new subsection (a)(3)(B)1., new subsection (a)(3)(B)2.
and amendment of NOTE filed 12-10-2015; operative 4-1-2016 (Register 2015, No.
50).
Note: Authority cited: Section 20, Health and Safety Code; and Sections 10725, 14115.8, 14124.5 and 14132.06, Welfare and Institutions Code. Reference: Sections 14115.8, 14132, 14132.06 and 14136.3, Welfare and Institutions Code.