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 51331.5 - Rural Health Clinic Services

Universal Citation: 22 CA Code of Regs 51331.5

Current through Register 2024 Notice Reg. No. 12, March 22, 2024

The following services are covered as rural health clinic services when provided by a rural health clinic in accordance with the requirements of this chapter:

(a) Physicians services.

(b) Primary care services when provided by a nonphysician medical practitioner.

(c) Services and supplies incident to the services provided under (a) and (b).

(d) Home nursing services, in those areas designated by the Secretary, Department of Health and Human Services as having a shortage of Home Health Agencies when provided in accordance with the following:

(1) The services are furnished by a registered nurse or licensed vocational nurse who is compensated by the clinic.

(2) The services are furnished to a homebound patient.

(3) The services are furnished in accordance with a written treatment plan established by a physician or nonphysician medical practitioner.

(4) The treatment plan is approved and subsequently reviewed at least every 60 days by the supervising physician employed by the clinic.

(5) The services do not include the preparation of meals, housecleaning, or other nonmedical services not covered by this chapter.

(6) The services are documented in accordance with standards specified in Title 22, California Administrative Code, Sections 75054 and 75056 regarding clinical and administrative record keeping.

(7) The services are provided on a part-time or intermittent basis unless provided to patients who are approved in advance by the Department for in-home medical care which is described in Section 14132(t) of the Welfare and Institutions Code. If patients are approved for in-home medical care, services can be provided on any Department approved basis.

(e) Any other outpatient services, supplies, equipment and drugs.

1. New section filed 8-1-78 as an emergency; effective upon filing (Register 78, No. 31).
2. Certificate of Compliance transmitted to OAH 11-28-78 and filed 11-29-78 (Register 78, No. 48).
3. Amendment filed 7-7-86; effective thirtieth day thereafter (Register 86, No. 28).

Note: Authority cited: Sections 10725, 14100.1, 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14100.1, 14105, 14124.5 and 14132, Welfare and Institutions Code.

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