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 51351.1 - Targeted Case Management Provider Contracts

Universal Citation: 22 CA Code of Regs 51351.1

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

(a) A targeted case management services provider may contract with a nongovernmental entity or the University of California, or both, to provide targeted case management services on its behalf, when the following conditions exist:

(1) The targeted case management services provider employs at least one case manager who provides all of the service components that constitute a targeted case management service, as described in Section 51351.

(2) The nongovernmental entity shall not be a local educational agency.

(b) If the targeted case management services provider has contracted with the same nongovernmental entity or the University of California, or both, to provide targeted case management services and perform and claim the costs of administrative activities pursuant to Welfare and Institutions Code, Section 14132.47, the following shall apply:

(1) The subcontract amount for targeted case management and the subcontract amount for administrative activities shall be separately identified in the agreement between the targeted case management service provider and the nongovernmental entity or the University of California, or both.

(2) Individual staff employed by the subcontractor shall only perform and claim the costs of targeted case management services or administrative activities, not both.

(3) Local governmental agency subcontractors shall not perform contract management, program planning and policy development, coordination of targeted case management data systems and claiming, targeted case management quality assurance and/or performance monitoring.

(c) All contracts between the targeted case management services provider and the nongovernmental entity or the University of California, or both, for the provision of targeted case management services under this section, shall be subject to the same terms and conditions as the contract between the department and the targeted case management services provider. The targeted case management services provider is liable for the acts and omissions of a subcontractor.

1. New section filed 7-1-96; operative 7-1-96. Submitted to OAL for printing only pursuant to Section 6, Chapter 305, Statutes of 1995 (Register 96, No. 27).
2. New section refiled 10-29-96 as an emergency; operative 10-29-96 (Register 96, No. 44). Submitted to OAL for printing only pursuant to Section 6, Chapter 305, Statutes of 1995. A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
3. Editorial correction of HISTORY 2 (Register 97, No. 15).
4. Repealed by operation of Government Code section 11346.1(g) (Register 97, No. 15).
5. New section filed 4-10-97; operative 4-10-97 pursuant to Government Code section 11343.4(d) (Register 97, No. 15).

Note: Authority cited: Sections 10725, 14105, 14124.5 and 14132.44, Welfare and Institutions Code. Reference: Section 14132.44, Welfare and Institutions Code.

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