California

Welfare and Institutions Code - WIC

7,184 sections, each with the official text and a plain-English explanation of what it means for you.

• § 14132.55 — For the purposes of reimbursement under the Medi-Cal program, a speech pathologist or audiologist shall be licensed by the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board or s
• § 14132.56 — (a) (1) Only to the extent required by the federal government and effective no sooner than required by the federal government, behavioral health treatment (BHT) shall be a covered Medi-Cal service for
• § 14132.57 — (a) (1) The department shall seek all necessary federal approvals to exercise the option described in Section 1396w-6 of Title 42 of the United States Code, to provide qualifying community-based mobil
• § 14132.58 — (a) The department shall file all necessary state plan amendments, as set forth in Section 457.
• § 14132.6 — External prostheses constructed of silicon or other comparable materials, prosthetic implants, and reconstructive surgery incident to mastectomy shall be deemed medically necessary and shall be covere
• § 14132.62 — (a) Reconstructive surgery shall be covered under this chapter, as defined in subdivision (c), when necessary to achieve the purposes specified in paragraphs (1) or (2) of subdivision (c).
• § 14132.63 — (a) An orthotist or prosthetist providing services under this chapter shall be required to be certified in orthotics or prosthetics by either the Board for Orthotist Certification or the American Boar
• § 14132.69 — (a) Notwithstanding any other provision of law, donor and recipient organ transplant surgeries are covered under the Medi-Cal program when an organ transplant is provided to a beneficiary who is eligi
• § 14132.70 — (a) A Medi-Cal beneficiary shall remain eligible to receive Medi-Cal coverage for antirejection medication for up to two years following an organ transplant, unless during that period the beneficiary
• § 14132.71 — (a) For purposes of donor and recipient organ transplant surgeries, the department shall establish standards as to both the circumstances and the criteria that the department will use for approving fa
• § 14132.72 — (a) For purposes of this section, the definitions in subdivision (a) of Section 2290.
• § 14132.723 — (a) (1) Notwithstanding any other law, neither face-to-face contact nor a patient’s physical presence on the premises shall be required for services provided by an enrolled community clinic to a Medi-
• § 14132.724 — (a) On or before July 1, 2020, the department shall issue, and shall publish on its internet website, guidance for enrolled community clinics and other enrolled fee-for-service Medi-Cal providers, cli
• § 14132.725 — (a) For purposes of this section, the following definitions apply: (1) “Border community” means border areas adjacent to the State of California where it is customary practice for California residents
• § 14132.726 — (a) (1) Commencing in 2028 and every two years thereafter, the department shall use Medi-Cal data and other data sources available to the department to produce analyses in a publicly available Medi-Ca
• § 14132.73 — The State Department of Health Care Services shall allow psychiatrists to receive fee-for-service Medi-Cal reimbursement for services provided through telehealth in accordance with the Medicaid state
• § 14132.731 — (a) A county that enters into a Drug Medi-Cal Treatment Program contract with the department in accordance with Section 14124.
• § 14132.74 — (a) The department, in consultation with interested stakeholders, shall develop, as a pilot project, a pediatric palliative care benefit to evaluate whether, and to what extent, such a benefit should
• § 14132.75 — (a) In enacting this section, it is the intent of the Legislature that palliative care include, but not be limited to, all of the following: (1) Specialized medical care and emotional and spiritual su
• § 14132.755 — (a) Commencing no sooner than July 1, 2022, dyadic behavioral health visits shall be a covered benefit under the Medi-Cal program, subject to utilization controls.
• § 14132.76 — (a) An individual who is determined to be eligible to receive hospice services prior to 21 years of age may continue to receive hospice services after 21 years of age when certified as eligible by a p
• § 14132.765 — (a) No treatment authorization request shall be required for the provision of prosthetic devices or for the replacement or repair of prosthetic devices, if the cost does not exceed five hundred dollar
• § 14132.77 — (a) (1) Any rural hospital may request to participate in a two-year pilot project to perform delegated acute inpatient hospital treatment authorization review under the Medi-Cal program.
• § 14132.8 — Services covered under this chapter shall include rehabilitative services for the physically or cognitively impaired stroke patient, or a patient who has brain injury for whom the medical prognosis an
• § 14132.81 — (a) The purchase of identification bracelets for eligible recipients under the Medi-Cal program who have Alzheimer’s Disease or some other cognitive defect, or medication allergies that could be life
• § 14132.85 — (a) For purposes of this section, the following definitions apply: (1) “Complex needs patient” means an individual with a diagnosis or medical condition that results in significant physical impairment
• § 14132.86 — (a) Notwithstanding subdivision (ab) of Section 14132, effective May 1, 2014, purchase of prescribed enteral nutrition products is covered, subject to the Medi-Cal list of enteral nutrition products p
• § 14132.88 — (a) Notwithstanding subdivision (h) of Section 14132 and to the extent funds are made available in the annual Budget Act for this purpose, the following are covered benefits for beneficiaries 21 years
• § 14132.89 — (a) Notwithstanding subdivision (h) of Section 14132, effective May 1, 2014, or the effective date of any necessary federal approvals as required by subdivision (d), all of the following are covered b
• § 14132.9 — Notwithstanding subdivision (h) of Section 14132, any utilization controls imposed under such subdivision shall not include mandatory examination by any person not licensed as a dentist under the Dent
• § 14132.905 — (a) Day care habilitative services, pursuant to subdivision (c) of Section 14021, shall be provided only to alcohol- and drug-exposed pregnant women and women in the postpartum period, or as required
• § 14132.91 — (a) Subject to the availability of funding, the department shall conduct a dental outreach and education program for Medi-Cal beneficiaries.
• § 14132.915 — (a) (1) The department shall establish a list of performance measures to ensure the dental fee-for-service program meets quality and access criteria required by the department.
• § 14132.92 — (a) Notwithstanding subdivision (a) of Section 4512, or any other provision of this chapter or Chapter 8 (commencing with Section 14200), services provided on or after July 1, 2000, by facilities defi
• § 14132.925 — (a) (1) Notwithstanding any other provision of law or regulation to the contrary, to the extent federal financial participation is available, in furtherance of Section 14105.
• § 14132.93 — It is the intent of the Legislature that if services meeting the conditions of subdivision (a) of Section 14132.
• § 14132.94 — (a) Subject to approval by the Centers for Medicare and Medicaid Services of a medicaid state plan amendment electing the Programs of All-Inclusive Care for the Elderly (PACE) as a state medicaid opti
• § 14132.95 — (a) Personal care services, when provided to a categorically needy person as defined in Section 14050.
• § 14132.951 — (a) It is the intent of the Legislature that the State Department of Health Services seek approval of a Medicaid waiver under the federal Social Security Act in order that the services available under
• § 14132.952 — (a) The department shall seek approval of an amendment to the Medicaid state plan pursuant to Section 1396n(j) of Title 42 of the United States Code to provide self-directed personal assistance servic
• § 14132.955 — Personal care services that are provided pursuant to Section 14132.
• § 14132.956 — (a) The department shall assess and determine whether it would be cost efficient for the state to exercise the option made available under Section 1915(k) of the federal Social Security Act (42 U.
• § 14132.96 — Medi-Cal personal care services provider rates established as provided in the state plan under Subchapter 19 (commencing with Section 1396) of Chapter 7 of Title 42 of the United States Code, by an in
• § 14132.966 — (a) Services provided by a physician assistant are a covered benefit under this chapter to the extent authorized by federal law and subject to utilization controls.
• § 14132.968 — (a) (1) Pharmacist services are a benefit under the Medi-Cal program, subject to approval by the federal Centers for Medicare and Medicaid Services.
• § 14132.969 — (a) Subject to an annual appropriation for this express purpose, the department shall implement a medication therapy management (MTM) reimbursement methodology for covered pharmacist services related
• § 14132.97 — (a) (1) For purposes of this section, “waiver personal care services” means personal care services authorized by the department for persons who are eligible for either nursing or model nursing facilit
• § 14132.971 — (a) The county, or the public authority or nonprofit consortium established pursuant to Section 12301.
• § 14132.98 — (a) For a beneficiary diagnosed with cancer and accepted into a phase I, phase II, phase III, or phase IV clinical trial for cancer or for any other qualifying clinical trial, as defined by Section 13
• § 14132.985 — For services provided pursuant to Chapter 7 (commencing with Section 14000) of Part 3 of Division 9, Section 14499.
• § 14132.99 — (a) For the purposes of this section, “facility residents” means individuals who are currently residing in a nursing facility and whose care is paid for by Medi-Cal either with or without a long-term
• § 14132.991 — (a) When renewing the Nursing Facility/Acute Hospital Transition and Diversion Waiver, as authorized by subdivision (t) of Section 14132, the director may take the following actions, among others: (1)
• § 14132.993 — (a) This section applies to the Home- and Community-Based Alternatives Waiver (HCBA), the Assisted Living Waiver (ALW), and, to the extent that the dependent child or spouse of an active duty military
• § 14132.994 — A Medi-Cal managed care plan, as defined in subdivision (j) of Section 14184.
• § 14132.995 — (a) Notwithstanding any other law, vaccines and immunizations are covered in accordance with a recommendation from the Advisory Committee on Immunization Practices of the federal Centers for Disease C
• § 14132aa — (a) Services provided by facilities licensed as congregate living health facilities to individuals diagnosed as having acquired immune deficiency syndrome (AIDS), are a covered benefit under this chap
• § 14133 — Utilization controls that may be applied to the services set forth in Section 14132 which are subject to utilization controls shall be limited to: (a) Prior authorization, which is approval by a depar
• § 14133.01 — (a) Notwithstanding any other law, the director or his or her designee may apply prior authorization by designing a sampling methodology that will result in a generally acceptable audit standard for a
• § 14133.05 — (a) Notwithstanding any other provision of law, a request for a treatment authorization received by the department shall be reviewed for medical necessity only.
• § 14133.07 — (a) A doctor of podiatric medicine shall not be required to submit prior authorization for podiatric services rendered in either an outpatient or inpatient basis if a physician and surgeon providing t
• § 14133.1 — (a) The director shall determine which of the utilization controls in Section 14133 shall be applied to any specific service or group of services which are subject to utilization controls.
• § 14133.10 — (a) Where it is expected to be cost-effective, the director may, in conducting Medi-Cal acute care inpatient hospital utilization control, establish a program of aggressive case management of elective
• § 14133.12 — (a) The director shall apply utilization controls to continuous skilled nursing care services provided pursuant to the pilot program established under Section 14495.
• § 14133.14 — The criteria that the department shall use to identify providers to be placed on prior authorization for noninvasive testing procedures shall include, but not be limited to, Medi-Cal trend analysis, p
• § 14133.15 — (a) The provision of services to beneficiaries eligible for medical assistance benefits may be subject to utilization controls, as provided for in Section 50793 of Title 22 of the California Administr
• § 14133.16 — (a) Notwithstanding subdivision ( l ) of Section 14132, hearing aids are covered when supplied by a hearing aid dispenser on prescription of an otolaryngologist, or the attending physician where there
• § 14133.2 — (a) The director shall include in the Medi-Cal list of contract drugs any drug approved for the treatment of cancer by the federal Food and Drug Administration, so long as the manufacturer has execute
• § 14133.225 — Notwithstanding any other law, the department shall not provide or pay for any prescription drug or other therapy to treat erectile dysfunction for any person who is required to register pursuant to S
• § 14133.23 — (a) To the extent that federal financial participation is not available, the provision of drug benefits under this chapter to full-benefit dual eligible beneficiaries who are eligible for drug benefit
• § 14133.25 — (a) The director shall identify those surgical and medical procedures capable of outpatient performance and establish conditions for assuring performance in an outpatient rather than inpatient setting
• § 14133.3 — (a) The director shall require fully documented medical justification from providers that the requested services are medically necessary or a medical necessity, as defined in Section 14059.
• § 14133.37 — For drugs covered under this chapter requiring prior authorization, the department shall ensure the timely and efficient processing of authorization requests by doing all of the following: (a) Providi
• § 14133.4 — Notwithstanding any other provision of law, utilization controls adopted by the State Department of Health Services shall not include prior authorization for portable X-ray services provided in nursin
• § 14133.45 — (a) Utilization controls adopted by the department shall not include prior authorization for renal dialysis treatment provided to eligible recipients for the treatment of end stage renal disease.
• § 14133.6 — In acting upon prior authorization requests for nonemergency medical transportation services, the department shall consider all relevant information in its possession regarding the beneficiary for who
• § 14133.65 — Prior authorization for the use of nonemergency medical transportation services by patients to and from dialysis treatment shall be approved for a period of up to one year when the patient has receive
• § 14133.7 — The department shall not require emergency certification statements for hospital inpatient claims which have been reviewed and approved by the department for appropriateness of emergency admission or
• § 14133.8 — (a) A bone marrow transplant for the treatment of cancer for beneficiaries who are eligible for full-scope benefits under this chapter, shall be reimbursable under this chapter, when all of the follow
• § 14133.85 — (a) (1) Except as otherwise provided in this subdivision, prior authorization shall not be required for hospice services.
• § 14133.9 — The implementation of prior authorization permitted by subdivision (a) of Section 14133 shall be subject to all of the following provisions: (a) The department shall secure a toll free phone number fo
• § 14134.2 — The reimbursement rate for any three or more laboratory services for the same patient on the same day, which are commonly performed in an automated manner, as defined by the department, shall be reimb
• § 14134.25 — (a) Tobacco cessation services are covered benefits under the Medi-Cal program, subject to utilization controls.
• § 14134.5 — All of the following requirements apply to the provision of services pursuant to subdivision (u) of Section 14132: (a) “Comprehensive perinatal provider” means any general practice physician, family p
• § 14134.55 — The department shall streamline and simplify existing Medi-Cal program procedures in order to improve access to lactation supports and breast pumps among Medi-Cal recipients.
• § 14134.6 — Long-term health care facilities may charge a resident only the actual price paid by the facility for goods and services actually supplied to the resident and may not charge for hospital gowns.
• § 14135 — To assure maximum federal financial participation under this chapter, the director shall establish an enrollment fee, premium or similar charge to the extent required by federal law.
• § 14136 — (a) No city or county shall establish equipment and personnel standards for the furnishing of nonemergency medical transportation services for eligible Medi-Cal beneficiaries which are in conflict wit
• § 14136.1 — It is the intent of the Legislature that, in order for payment to be made to a medical transportation service provider, a patient who requires continuous intravenous medication, medical monitoring, or
• § 14136.3 — No prior authorization shall be necessary for the provision of nonemergency medical transportation services to Medi-Cal beneficiaries when the beneficiary is being transported from an acute care hospi
• § 14136.4 — A written treatment authorization request for nonemergency medical transportation services for which a department employed medical consultant had provided conditional prior authorization to the provid
• § 14136.5 — No entity which has received funds under paragraph (2) of subsection (b) of Section 1601 of the federal Urban Mass Transportation Act shall receive reimbursement for medical transportation services re
• § 14136.8 — No reimbursement shall be made for medical transportation services provided pursuant to subdivision (i) of Section 14132 when the services are prescribed or ordered by a person who has a significant b
• § 14137 — The State Department of Health Services, following review and approval from the State Health and Welfare Agency, shall seek all necessary waivers from the United States Department of Health and Human
• § 14137.6 — (a) Notwithstanding any other provision of law, and subject to federal financial participation, covered services under this chapter shall include, subject to utilization controls, medically necessary
• § 14137.8 — Approval of a request for acute inpatient care shall be solely dependent upon the medical necessity for this care, as documented in the proposed treatment plan.
• § 14138 — (a) To the extent permitted by federal law, the department shall purchase vaccines and biological products in bulk from the Centers for Disease Control or any other sources at the lowest cost possible
• § 14138.1 — For purposes of this article, the following definitions apply: (a) “Alternative encounter” means an encounter provided by the participating FQHC that is approved by the department for the APM project,
• § 14138.10 — The Legislature finds and declares all of the following: (a) Health care today is more than a face-to-face visit with a provider, but rather a whole-person approach, often including a physician, a car
• § 14138.12 — (a) (1) The department shall authorize a payment reform project for FQHCs using an APM in accordance with this article.
• § 14138.13 — (a) The department shall notify every FQHC in the state of the APM project and shall invite any interested FQHC to apply for participation in the APM with respect to one or more of the FQHC’s sites.
• § 14138.14 — (a) A participating FQHC shall be compensated for the APM scope of services provided to its APM enrollees pursuant to this section.
• § 14138.15 — (a) A principal health plan shall be compensated by the department for the APM scope of services provided to its APM enrollees pursuant to this section.
• § 14138.16 — (a) For the duration of the APM project, the department shall establish a risk corridor structure for the principal health plans relating only to the APM supplemental capitation payments pursuant to S
• § 14138.17 — (a) In order to ensure participating FQHCs have an incentive to manage visits and costs, while at the same time exercising a reasonable amount of flexibility to deliver care in the most efficient and
• § 14138.18 — (a) This article shall be implemented only to the extent that any necessary federal approvals have been obtained and federal financial participation is available and not otherwise jeopardized.
• § 14138.21 — This article shall not be deemed to affect the amounts paid or the reimbursement methodology applicable to FQHCs for dental services and for services that are provided outside the scope of a contract
• § 14138.22 — Notwithstanding Chapter 3.
• § 14138.23 — For purposes of implementing this article, the department may enter into exclusive or nonexclusive contracts on a bid or negotiated basis, including, but not limited to, contracts for the purpose of o
• § 14138.5 — The State Department of Health Services shall report to the Legislature on a biennial basis on all of the following data with respect to the child health and disability prevention program provided for
• § 14139 — (a) The department shall expend, upon appropriation, any savings accrued from the establishment and implementation of a bulk purchase vaccine program to increase the participation of physicians and su
• § 14139.05 — The Legislature finds and declares that: (a) Long-term care services in California include an uncoordinated array of categorical programs offering medical, social, and other support services that are
• § 14139.1 — (a) It is the intent of the Legislature to establish the Long-Term Care Integration Pilot Program that will integrate the financing and administration of long-term care services in up to five pilot pr
• § 14139.11 — The goals of this pilot program shall be to: (a) Provide a continuum of social and health services that foster independence and self-reliance, maintain individual dignity, and allow consumers of long-
• § 14139.12 — It is the intent of the Legislature that the costs of this pilot program to the General Fund will not exceed the direct and indirect costs that existing programs would expect to incur had the integrat
• § 14139.13 — (a) Any contract entered into pursuant to this article may be renewed if the long-term care services agency continues to meet the requirements of this article and the contract.
• § 14139.2 — The department shall serve as the lead agency for the administration of this chapter.
• § 14139.21 — The department may accept funding from federal agencies, foundations or other nongovernmental sources and may contract with qualified consultants to assist with the provision of technical assistance,
• § 14139.22 — (a) The department shall convene a working group that shall include the Director of Health Care Services, the Director of Social Services, and the Director of the California Department of Aging, or th
• § 14139.23 — Upon the implementation of the pilot program, responsibility for administering the programs integrated within the pilot program shall be transferred to the department, and shall be specified in an int
• § 14139.24 — The department shall seek all federal waivers necessary to allow for federal financial participation in the pilot program implemented pursuant to this article.
• § 14139.25 — Notwithstanding any other provision of this article, costs to the General Fund shall not exceed the amount that would have been expended in the absence of the pilot program.
• § 14139.3 — (a) Pilot project sites may be comprised of a single county, a multicounty unit, or a subcounty unit.
• § 14139.31 — In order to be selected, a pilot project site shall demonstrate that it has an active advisory committee that includes consumers of long-term care services, representatives of local organizations of p
• § 14139.32 — (a) The administrative action plan shall identify the funds to be transferred into the consolidated long-term care services fund.
• § 14139.33 — The administrative action plan shall delineate the services to be provided to all eligible beneficiaries.
• § 14139.34 — The administrative action plan may also include any of the following services: (a) Transportation.
• § 14139.35 — The department may exempt a pilot project site from the requirements of subdivisions (d) and (f) of Section 14139.
• § 14139.36 — (a) If primary, ancillary, and acute care are not included among the services offered by a pilot project site, the administrative action plan shall include all of the following: (1) A mechanism for tr
• § 14139.37 — The administrative action plan shall delineate specifically how the pooled funds will be used to deliver services to all eligible recipients in the geographic area covered by the pilot project site.
• § 14139.38 — Participating counties shall continue their financial maintenance of effort for each of the programs integrated within the pilot program under this article.
• § 14139.4 — (a) The long-term care services agency shall be responsible and at risk for implementing the administrative action plan.
• § 14139.41 — (a) For purposes of this chapter, “eligible beneficiaries” shall be defined as persons meeting all the following criteria: (1) Are Medi-Cal eligible.
• § 14139.42 — (a) Each pilot project site shall serve all eligible beneficiaries who live in the geographic area served by the long-term care services agency.
• § 14139.43 — This article shall not preclude a long-term care services agency from entering into additional agreements, separate from the pilot project, to serve additional individuals or populations.
• § 14139.44 — Pilot project sites shall ensure provider reimbursement rates that are adequate to maintain compliance with applicable federal and state requirements.
• § 14139.5 — The department shall set a capitated rate of payment that is actuarially sound and that is based on the number of beneficiaries who are eligible for Medi-Cal benefits to be enrolled in the pilot proje
• § 14139.51 — If the department determines that a program or programs cannot reasonably be capitated, funds may be transferred separately from the capitation payment.
• § 14139.53 — (a) The department shall develop criteria to ensure that pilot project sites maintain fiscal solvency, including, but not limited to, the following: (1) The capability to achieve and maintain sufficie
• § 14139.6 — (a) It is the intent of the Legislature that local entities that are potential participants in this pilot program shall be assured of sufficient time to plan their pilot projects, and that the selecte
• § 14139.61 — The department may adopt emergency regulations as necessary to implement this article in accordance with the Administrative Procedure Act, Chapter 3.
• § 14139.62 — Contingent on the availability of funding, the department shall evaluate the effectiveness of each pilot project on a schedule that coincides with federal waiver reporting requirements, and shall make
• § 14140 — The following definitions shall apply to the provisions of this article: (a) “Net worth” means: (1) Personal property, which consists of cash, savings accounts, securities, and similar items; notes, m
• § 14141 — Net worth liability shall be determined as of the time of the initial dialysis or parenteral hyperalimentation treatment and shall be reevaluated each year by the department.
• § 14142 — Notwithstanding Section 14005.
• § 14142.5 — Notwithstanding Section 14005.
• § 14143 — The health care benefits and services specified in this article, to the extent that such benefits and services are neither provided under any other federal or state law nor provided nor available unde
• § 14144 — The provisions of this article do not apply to indigent dialysis or parenteral hyperalimentation patients who are otherwise eligible for Medi-Cal or to any person eligible for renal dialysis under the
• § 14144.5 — Notwithstanding any provision of this article or of any other statute to the contrary, any person who is eligible under Section 14005.
• § 14145 — (a) Beginning with the 1998–99 fiscal year and contingent on appropriation of funds through the Budget Act, the department may contract with a nonprofit entity, incorporated in California that has bee
• § 14145.1 — (a) The department may administer grants for purposes of this article, that shall be awarded through a request for application process.
• § 14145.3 — (a) The department shall develop at least, but not limited to, one alternative model to the Long-Term Care Integration Pilot Program authorized under Article 4.
• § 14146 — (a) (1) The department shall work with identified stakeholders to conduct a study to identify current requirements for medical interpretation services as well as education, training, and licensure req
• § 14146.5 — This article shall become inoperative on July 1, 2026, and, as of January 1, 2027, is repealed.
• § 14148 — (a) (1) (A) Except as provided in subparagraph (B), the department shall adopt the federal option provided under Section 4101 of the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203) to e
• § 14148.03 — (a) Pursuant to options provided in federal law and notwithstanding any other provision of law, the form used by a provider to collect information about a pregnant person pursuant to the Medi-Cal temp
• § 14148.04 — (a) The department shall adopt, as specified in this section, an electronic process for families to enroll a deemed eligible newborn in the Medi-Cal program from hospitals that have elected to partici
• § 14148.05 — (a) There is hereby created in the State Treasury the Gateway Fund.
• § 14148.1 — To maximize federal financial participation, the department shall seek flexibility in implementing the requirements of Section 121 of the Immigration Reform and Control Act of 1986 (Public Law 99-603)
• § 14148.2 — In order to assure access to obstetrical providers in the Medi-Cal program, the state department shall explore and adopt policies which improve provider relations with Medi-Cal maternity care provider
• § 14148.3 — The department shall seek federal approval to implement obstetrical case management for Medi-Cal eligible pregnant people when provided through the Child Health and Disability Prevention program autho
• § 14148.4 — (a) The department shall eliminate the Medi-Cal reimbursement differential for obstetrical services by equalizing the rates of reimbursement for Caesarean section and non-Caesarean section care and de
• § 14148.5 — (a) State-funded perinatal services shall be provided under the Medi-Cal program to pregnant persons and state-funded medical services to infants up to one year of age in families with incomes above 1
• § 14148.6 — The department shall engage in outreach activities in order to enhance participation in and access to perinatal services.
• § 14148.7 — (a) The department shall implement the federal options authorized by federal law to assist in the delivery of timely and continuing prenatal care by establishing the option of presumptive eligibility
• § 14148.75 — At the earliest date that it is administratively feasible, the department shall adopt the federal medicaid option under Section 1902( l )(3) of the federal Social Security Act (42 U.
• § 14148.8 — (a) (1) The State Department of Health Care Services shall provide Medi-Cal reimbursements to alternative birth centers for facility-related delivery costs at a statewide all-inclusive rate per delive
• § 14148.85 — The department shall provide for the receipt and initial processing of Medi-Cal applications from pregnant people and from children born after September 30, 1983, who have not yet attained 19 years of
• § 14148.9 — (a) The Legislature finds and declares that there is a strong statistical relationship between early entry into prenatal care and healthy birth outcomes.
• § 14148.91 — (a) No later than March 15 of each year, the department shall report to the appropriate committees of the Legislature and the Governor, on a statewide and county-by-county basis, the most recent data
• § 14148.98 — No funds from the Health Education Account in the Cigarette and Tobacco Products Surtax Fund may be used in a manner that violates paragraph (1) of subdivision (b) of Section 30122 of the Revenue and
• § 14149 — (a) It is the intent of the Legislature in enacting this article, to expand eligibility for Medi-Cal benefits, with the exception of prescription drug benefits provided by the AIDS Drug Assistance Pro
• § 14149.3 — (a) Subject to subdivisions (b) and (c), paragraph (2) of subdivision (f), and subdivision (k), the department shall, commencing July 1, 2003, or the date that all necessary federal waivers have been
• § 14149.8 — (a) The department shall expedite the enrollment of Medi-Cal dental providers by streamlining the Medi-Cal provider enrollment process.
• § 14149.9 — (a) It is the intent of the Legislature that the department pursue policies and programs to assist Medi-Cal beneficiaries in preventing or delaying the onset of type 2 diabetes.
• § 14149.95 — (a) The department shall prepare written informational materials that effectively explain and clarify the scope and nature of early and periodic screening, diagnostic, and treatment (EPSDT) services t
• § 14150 — Within 60 calendar days of the date that the annual Budget Act is chaptered, the department shall notify the chairpersons of the fiscal committees of each house of the Legislature, the Chairperson and
• § 14151 — Bills for services rendered during the 1970–71 fiscal year to persons other than the beneficiaries under the California Medical Assistance Program submitted to the state by any county which has electe
• § 14152 — Bills for services rendered during the 1970–71 fiscal year to beneficiaries under the California Medical Assistance Program are bills against the appropriation for the fiscal year during which the bil
• § 14153 — Funds shall be advanced monthly to the respective counties for costs of administration of the Medi-Cal program in the manner prescribed in Chapter 9 (commencing with Section 15000).
• § 14154 — (a) (1) The department shall establish and maintain a plan whereby costs for county administration of the determination of eligibility for benefits under this chapter will be effectively controlled wi
• § 14154.1 — Reimbursement for any Medi-Cal county administrative costs shall be made subject to the requirements specified in the County Administrative Cost Control Plan, established pursuant to Section 14154.
• § 14154.15 — (a) Any county may petition the department for an augmentation of its County Administrative Cost Control Plan in order to implement a plan, as provided for in Section 1105 of the federal Social Securi
• § 14154.2 — (a) The Legislature finds that ambiguities have arisen regarding payment provisions relating to certain costs incurred in processing Medi-Cal eligibility applications for various fiscal years, and bel
• § 14154.3 — (a) A provision of a Budget Act or other statute shall not be interpreted or applied to limit the amount of federal financial participation, otherwise available under federal law, which may be reimbur
• § 14154.5 — (a) Each county shall work, on a routine basis, any error alert from the department’s Medi-Cal Eligibility Data System (MEDS).
• § 14157 — There is hereby established a Health Care Deposit Fund from which expenditures of state, county and federal funds for health care and administration under this chapter and Chapter 8 (commencing with S
• § 14157.6 — Notwithstanding any other provision of law, any federal and county funds, excluding county funds used for the purposes of Section 4011.
• § 14158 — Funds for the medical assistance program shall be provided annually by appropriation in the Budget Act.
• § 14158.1 — Effective for expenditures incurred after enactment of any new demonstration project under Article 5.
• § 14158.5 — Funds appropriated for purposes of this chapter and Chapter 8 (commencing with Section 14200), shall fully cover and shall not exceed the state’s share of payments under this chapter and Chapter 8 (co
• § 14159 — Commencing with the 2004–05 fiscal year, expenditures for Medi-Cal services and fiscal intermediary and county administration costs included in the department’s budget shall be charged against the app
• § 14159.1 — The provisions of Chapter 577 of the Statutes of 1971 in no way eliminate fiscal obligation incurred prior to July 1, 1971, by any county or the state under Article 5 (commencing with Section 14150) o
• § 14160 — Whenever an amount is or was prior to the effective date of this section, erroneously deposited in the Health Care Deposit Fund, including, but not limited to, duplicate payments and payments in exces
• § 14161 — Carriers and providers of Medi-Cal benefits shall be required to utilize uniform accounting and cost-reporting systems as shall be developed and adopted by the department.
• § 14162 — (a) Beginning in 1991, the State Department of Health Services shall include in the November estimate of Medi-Cal expenditures and the Governor’s Budget an estimate of savings from the prior year whic
• § 14163 — (a) For purposes of this section, the following definitions shall apply: (1) “Public entity” means a county, a city, a city and county, the State of California, the University of California, a local h
• § 14164 — (a) In addition to the required intergovernmental transfers set forth in Section 14163, any county, other political subdivision of the state, or governmental entity in the state may elect to transfer
• § 14165 — (a) There is hereby created in the Governor’s office the California Medical Assistance Commission, for the purpose of contracting with health care delivery systems for the provision of health care ser