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 7 - Payment for Services and Supplies
- Section 51501 - General
- Section 51502 - Billing Requirements
- Section 51502.1 - Requirements for Electronic Claims Submission
- Section 51503 - Physician Services
- Section 51503.1 - Reimbursement for Services Rendered by a Nonphysician Medical Practitioner
- Section 51503.2 - Reimbursement for Services Rendered by a Nurse Midwife, a Certified Family Nurse Practitioner, or a Certified Pediatric Nurse Practitioner
- Section 51503.3 - Reimbursement for Sign Language Interpreter Services
- Section 51504 - Comprehensive Perinatal Services
- Section 51504.1 - Reimbursement for Services Rendered by a Licensed Midwife
- Section 51505 - Other Professional Services. [Repealed]
- Section 51505.1 - Podiatry Services
- Section 51505.2 - Nurse Anesthetist Services
- Section 51505.3 - Psychology Services
- Section 51506 - Dental Services
- Section 51506.1 - Maxillofacial Dental Services
- Section 51506.2 - Orthodontic Dental Services. [Repealed]
- Section 51507 - Physical Therapy
- Section 51507.1 - Occupational Therapy
- Section 51507.2 - Speech Therapy and Audiology
- Section 51507.3 - Respiratory Care Practitioner
- Section 51508 - Hospital Inpatient Services Reimbursement. [Repealed]
- Section 51508.1 - Extraordinary Administrative Adjustments. [Repealed]
- Section 51508.2 - Definitions. [Repealed]
- Section 51508.3 - Application. [Repealed]
- Section 51508.4 - Review of Application. [Repealed]
- Section 51508.5 - Criteria for Review. [Repealed]
- Section 51508.6 - Recommendation. [Repealed]
- Section 51508.7 - Action by the Director. [Repealed]
- Section 51508.8 - Conditional Administrative Adjustments. [Repealed]
- Section 51508.9 - Medi-Cal Hospital Payment Rate Exception. [Repealed]
- Section 51509 - Hospital Outpatient Departments
- Section 51509.1 - Organized Outpatient Clinics
- Section 51509.2 - Chronic Hemodialysis Services
- Section 51509.3 - Rural Health Clinic Reimbursement. [Repealed]
- Section 51510 - Nursing Facility Level A Services
- Section 51510.1 - Intermediate Care Services for the Developmentally Disabled
- Section 51510.2 - Intermediate Care Services for the Developmentally Disabled-Habilitative
- Section 51510.3 - Intermediate Care Services for the Developmentally Disabled-Nursing
- Section 51511 - Nursing Facility Level B Services
- Section 51511.1 - Special Program Services for the Mentally Disordered
- Section 51511.2 - Uniform Accounting and Cost Reporting System for Skilled Nursing Facilities and Intermediate Care Facilities
- Section 51511.3 - Transitional Inpatient Care Services Reimbursement. [Repealed]
- Section 51511.5 - Nursing Facility Services - Subacute Care Reimbursement
- Section 51511.6 - Nursing Facility Services - Pediatric Subacute Care Reimbursement
- Section 51512 - Certified Outpatient Rehabilitation Centers
- Section 51513 - Pharmaceutical Services and Prescribed Drugs
- Section 51513.1 - Average Wholesale Price (AWP). [Repealed]
- Section 51513.2 - Establishment of Maximum Allowable Ingredient Cost. [Repealed]
- Section 51513.3 - Maximum Allowable Ingredient Cost. [Repealed]
- Section 51513.4 - Maximum Allowable Cost. [Repealed]
- Section 51513.5 - Estimated Acquisition Cost. [Repealed]
- Section 51513.6 - Prudent Purchase of Drugs Program
- Section 51514 - Chiropractic Services
- Section 51514.5 - Acupuncture Services
- Section 51515 - Reimbursement for Prosthetic and Orthotic Appliances and Repairs. [Repealed]
- Section 51516 - Reimbursement for Short-Doyle/Medi-Cal Services
- Section 51516.1 - Reimbursement Rates for Drug Medi-Cal Substance Abuse Program Services
- Form Adp 6065
- Section 51517 - Hearing Aids
- Section 51518 - Optometry Services
- Section 51519 - Eye Appliances
- Section 51519.1 - Dispensing Fees for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract
- Section 51519.2 - Reimbursement Rates for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract
- Section 51520 - Medical Supplies
- Section 51520.1 - Establishment of Maximum Allowable Product Cost for Medical Supplies. [Repealed]
- Section 51520.2 - List of Generic Medical Supply Types. [Repealed]
- Section 51521 - Durable Medical Equipment
- Section 51522 - Hearing and Speech Centers. [Repealed]
- Section 51523 - Home Health Agency Services
- Section 51524 - In-Home Medical Care Waiver Services and Nursing Facility Waiver Services
- Section 51525 - Blood and Blood Derivatives
- Section 51526 - Incontinence Medical Supplies
- Section 51527 - Medical Transportation Services
- Section 51528 - Paramedic Ambulance Services. [Repealed]
- Section 51529 - Pathology Services
- Section 51531 - Payment for Portable Imaging Services
- Section 51532 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services
- Section 51532.1 - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Supplemental Services Provided by Registered Nurses, Licensed Vocational Nurses and Certified Home Health Aides
- Section 51532.2 - Early and Periodic, Screening, Diagnosis, and Treatment (EPSDT) Supplemental Services: Onsite Investigation to Detect the Source of Lead Contamination
- Section 51532.3 - EPSDT Supplemental Services Provider -Pediatric Day Health Care Facility Reimbursement
- Section 51533 - Outpatient Heroin Detoxification Services
- Section 51534 - Home and Community-Based Services. [Repealed]
- Section 51535 - Leave of Absence
- Section 51535.1 - Bed Hold for Acute Hospitalization
- Section 51535.2 - Reimbursement Rates for Personal Care Services Program
- Section 51535.5 - Local Educational Agency (LEA) Services
- Section 51535.6 - Reimbursement for Directly Observed Therapy (DOT)
- Section 51535.7 - Targeted Case Management Services Reimbursement
Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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