California Code
CHAPTER 7 - Basic Health Care
ARTICLE 4 - The Medi-Cal Benefits Program

Section 14131. - 14131. The Medi-Cal Benefits Program comprises a department-administered uniform schedule...

Section 14131.05. - 14131.05. (a) Notwithstanding any other provision of this chapter or...

Section 14131.10. - 14131.10. (a) Notwithstanding this chapter, Chapter 8 (commencing with Section...

Section 14131.11. - 14131.11. (a) Notwithstanding any other provision of this chapter or...

Section 14131.15. - 14131.15. (a) In geographic areas in which Medi-Cal managed care...

Section 14132. - 14132. The following is the schedule of benefits under this...

Section 14132.01. - 14132.01. (a) Notwithstanding any other provision of law, a community...

Section 14132.02. - 14132.02. (a) The department shall seek approval from the United...

Section 14132.03. - 14132.03. (a) The following shall be covered Medi-Cal benefits effective...

Section 14132.05. - 14132.05. The department shall provide the fiscal and appropriate policy...

Section 14132.06. - 14132.06. (a) Services specified in this section that are provided...

Section 14132.07. - 14132.07. (a) A Medi-Cal managed care plan shall not restrict...

Section 14132.1. - 14132.1. As used in this chapter “surgical center” means a...

Section 14132.10. - 14132.10. (a) (1) Pediatric day health care provided by a...

Section 14132.100. - 14132.100. (a) The federally qualified health center services described in...

Section 14132.101. - 14132.101. (a) Notwithstanding paragraphs (4) and (5) of subdivision (e)...

Section 14132.102. - 14132.102. (a) With the exception of clinics and hospital outpatient...

Section 14132.107. - 14132.107. Claims for reimbursement under subdivision (e) of Section 14132.100...

Section 14132.108. - 14132.108. Notwithstanding any other provision of law, requests for rate...

Section 14132.15. - 14132.15. For purposes of subdivision (p) of Section 14132, “rehabilitation...

Section 14132.16. - 14132.16. Mammography for screening or diagnostic purposes upon the referral...

Section 14132.17. - 14132.17. Annual cervical cancer tests for screening or diagnostic purposes,...

Section 14132.171. - 14132.171. (a) (1) An annual cognitive health assessment for Medi-Cal...

Section 14132.18. - 14132.18. (a) Community supported living arrangement services approved by the...

Section 14132.19. - 14132.19. (a) (1) The department, in consultation with the State...

Section 14132.195. - 14132.195. (a) Consistent with federal law, screening services provided as...

Section 14132.20. - 14132.20. (a) The department shall establish a program to provide...

Section 14132.21. - 14132.21. The department shall assess the feasibility of applying to...

Section 14132.22. - 14132.22. (a) For purposes of this section, dental restorative materials...

Section 14132.23. - 14132.23. (a) (1) Except as set forth in paragraph (2),...

Section 14132.24. - 14132.24. (a) No later than April 1, 2022, and until...

Section 14132.25. - 14132.25. (a) On or before July 1, 1983, the State...

Section 14132.26. - 14132.26. (a) The department shall develop a program that requires...

Section 14132.27. - 14132.27. (a) (1) The department shall apply for a waiver...

Section 14132.275. - 14132.275. (a) The department shall seek federal approval to establish...

Section 14132.276. - 14132.276. For nursing facility services provided under the demonstration project...

Section 14132.277. - 14132.277. (a) For purposes of this section, the following definitions...

Section 14132.28. - 14132.28. (a) If the department decides to terminate or not...

Section 14132.29. - 14132.29. (a) A health facility that has a subacute services...

Section 14132.3. - 14132.3. In addition to any other criteria as provided in...

Section 14132.34. - 14132.34. (a) Human milk and human milk derivatives supplied by...

Section 14132.35. - 14132.35. (a) Outpatient rehabilitation services are covered under this chapter,...

Section 14132.36. - 14132.36. (a) Community health worker services are a covered Medi-Cal...

Section 14132.39. - 14132.39. Midwifery services provided by a licensed midwife shall be...

Section 14132.4. - 14132.4. Nurse-midwifery services provided by a certified nurse-midwife shall be...

Section 14132.41. - 14132.41. (a) Services provided by a certified nurse practitioner shall...

Section 14132.42. - 14132.42. Benefits under this chapter shall not be restricted for...

Section 14132.44. - 14132.44. (a) Targeted case management (TCM), pursuant to Section 1915(g)...

Section 14132.45. - 14132.45. Regulations implementing, interpreting, or making specific the provisions of...

Section 14132.46. - 14132.46. Pursuant to Sections 14024 and 14124.90, the Director of...

Section 14132.47. - 14132.47. (a) It is the intent of the Legislature to...

Section 14132.48. - 14132.48. Targeted case management services to which Sections 14132.44 and...

Section 14132.49. - 14132.49. (a) Upon federal approval of the state plan amendments...

Section 14132.55. - 14132.55. For the purposes of reimbursement under the Medi-Cal program,...

Section 14132.56. - 14132.56. (a) (1) Only to the extent required by the...

Section 14132.57. - 14132.57. (a) (1) The department shall seek all necessary federal...

Section 14132.6. - 14132.6. External prostheses constructed of silicon or other comparable materials,...

Section 14132.62. - 14132.62. (a) Reconstructive surgery shall be covered under this chapter,...

Section 14132.63. - 14132.63. (a) An orthotist or prosthetist providing services under this...

Section 14132.69. - 14132.69. (a) Notwithstanding any other provision of law, donor and...

Section 14132.70. - 14132.70. (a) A Medi-Cal beneficiary shall remain eligible to receive...

Section 14132.71. - 14132.71. (a) For purposes of donor and recipient organ transplant...

Section 14132.72. - 14132.72. (a) For purposes of this section, the definitions in...

Section 14132.723. - 14132.723. (a) (1) Notwithstanding any other law, neither face-to-face contact...

Section 14132.724. - 14132.724. (a) On or before July 1, 2020, the department...

Section 14132.725. - 14132.725. (a) For purposes of this section, the following definitions...

Section 14132.73. - 14132.73. The State Department of Health Care Services shall allow...

Section 14132.731. - 14132.731. (a) A county that enters into a Drug Medi-Cal...

Section 14132.74. - 14132.74. (a) The department, in consultation with interested stakeholders, shall...

Section 14132.75. - 14132.75. (a) In enacting this section, it is the intent...

Section 14132.755. - 14132.755. (a) Commencing no sooner than July 1, 2022, dyadic...

Section 14132.765. - 14132.765. (a) No treatment authorization request shall be required for...

Section 14132.77. - 14132.77. (a) (1) Any rural hospital may request to participate...

Section 14132.8. - 14132.8. Services covered under this chapter shall include rehabilitative services...

Section 14132.81. - 14132.81. (a) The purchase of identification bracelets for eligible recipients...

Section 14132.85. - 14132.85. (a) For purposes of this section, the following definitions...

Section 14132.86. - 14132.86. (a) Notwithstanding subdivision (ab) of Section 14132, effective May...

Section 14132.88. - 14132.88. (a) Notwithstanding subdivision (h) of Section 14132 and to...

Section 14132.89. - 14132.89. (a) Notwithstanding subdivision (h) of Section 14132, effective May...

Section 14132.9. - 14132.9. Notwithstanding subdivision (h) of Section 14132, any utilization controls...

Section 14132.905. - 14132.905. (a) Day care habilitative services, pursuant to subdivision (c)...

Section 14132.91. - 14132.91. (a) Subject to the availability of funding, the department...

Section 14132.915. - 14132.915. (a) (1) The department shall establish a list of...

Section 14132.92. - 14132.92. (a) Notwithstanding subdivision (a) of Section 4512, or any...

Section 14132.925. - 14132.925. (a) (1) Notwithstanding any other provision of law or...

Section 14132.93. - 14132.93. It is the intent of the Legislature that if...

Section 14132.94. - 14132.94. (a) Subject to approval by the Centers for Medicare...

Section 14132.95. - 14132.95. (a) Personal care services, when provided to a categorically...

Section 14132.951. - 14132.951. (a) It is the intent of the Legislature that...

Section 14132.952. - 14132.952. (a) The department shall seek approval of an amendment...

Section 14132.955. - 14132.955. Personal care services that are provided pursuant to Section...

Section 14132.956. - 14132.956. (a) The department shall assess and determine whether it...

Section 14132.96. - 14132.96. Medi-Cal personal care services provider rates established as provided...

Section 14132.966. - 14132.966. (a) Services provided by a physician assistant are a...

Section 14132.968. - 14132.968. (a) (1) Pharmacist services are a benefit under the...

Section 14132.969. - 14132.969. (a) Subject to an annual appropriation for this express...

Section 14132.97. - 14132.97. (a) (1) For purposes of this section, “waiver personal...

Section 14132.971. - 14132.971. (a) The county, or the public authority or nonprofit...

Section 14132.98. - 14132.98. (a) For a beneficiary diagnosed with cancer and accepted...

Section 14132.985. - 14132.985. For services provided pursuant to Chapter 7 (commencing with...

Section 14132.99. - 14132.99. (a) For the purposes of this section, “facility residents”...

Section 14132.991. - 14132.991. (a) When renewing the Nursing Facility/Acute Hospital Transition and...

Section 14132.993. - 14132.993. (a) This section applies to the Home- and Community-Based...

Section 14132aa. - 14132aa. (a) Services provided by facilities licensed as congregate living...

Section 14133. - 14133. Utilization controls that may be applied to the services...

Section 14133.01. - 14133.01. (a) Notwithstanding any other law, the director or his...

Section 14133.05. - 14133.05. (a) Notwithstanding any other provision of law, a request...

Section 14133.07. - 14133.07. (a) A doctor of podiatric medicine shall not be...

Section 14133.1. - 14133.1. (a) The director shall determine which of the utilization...

Section 14133.10. - 14133.10. (a) Where it is expected to be cost-effective, the...

Section 14133.12. - 14133.12. (a) The director shall apply utilization controls to continuous...

Section 14133.14. - 14133.14. The criteria that the department shall use to identify...

Section 14133.15. - 14133.15. (a) The provision of services to beneficiaries eligible for...

Section 14133.16. - 14133.16. (a) Notwithstanding subdivision (l) of Section 14132, hearing aids...

Section 14133.2. - 14133.2. (a) The director shall include in the Medi-Cal list...

Section 14133.225. - 14133.225. Notwithstanding any other law, the department shall not provide...

Section 14133.23. - 14133.23. (a) To the extent that federal financial participation is...

Section 14133.25. - 14133.25. (a) The director shall identify those surgical and medical...

Section 14133.3. - 14133.3. (a) The director shall require fully documented medical justification...

Section 14133.37. - 14133.37. For drugs covered under this chapter requiring prior authorization,...

Section 14133.4. - 14133.4. Notwithstanding any other provision of law, utilization controls adopted...

Section 14133.45. - 14133.45. (a) Utilization controls adopted by the department shall not...

Section 14133.6. - 14133.6. In acting upon prior authorization requests for nonemergency medical...

Section 14133.65. - 14133.65. Prior authorization for the use of nonemergency medical transportation...

Section 14133.7. - 14133.7. The department shall not require emergency certification statements for...

Section 14133.8. - 14133.8. (a) A bone marrow transplant for the treatment of...

Section 14133.85. - 14133.85. (a) (1) Except as otherwise provided in this subdivision,...

Section 14133.9. - 14133.9. The implementation of prior authorization permitted by subdivision (a)...

Section 14134.2. - 14134.2. The reimbursement rate for any three or more laboratory...

Section 14134.25. - 14134.25. (a) Tobacco cessation services are covered benefits under the...

Section 14134.5. - 14134.5. All of the following requirements apply to the provision...

Section 14134.55. - 14134.55. The department shall streamline and simplify existing Medi-Cal program...

Section 14134.6. - 14134.6. Long-term health care facilities may charge a resident only...

Section 14135. - 14135. To assure maximum federal financial participation under this chapter,...

Section 14136. - 14136. (a) No city or county shall establish equipment and...

Section 14136.1. - 14136.1. It is the intent of the Legislature that, in...

Section 14136.3. - 14136.3. No prior authorization shall be necessary for the provision...

Section 14136.4. - 14136.4. A written treatment authorization request for nonemergency medical transportation...

Section 14136.5. - 14136.5. No entity which has received funds under paragraph (2)...

Section 14136.8. - 14136.8. No reimbursement shall be made for medical transportation services...

Section 14137. - 14137. The State Department of Health Services, following review and...

Section 14137.6. - 14137.6. (a) Notwithstanding any other provision of law, and subject...

Section 14137.8. - 14137.8. Approval of a request for acute inpatient care shall...

Section 14138. - 14138. (a) To the extent permitted by federal law, the...

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California Code CHAPTER 7 - Basic Health Care ARTICLE 4 - The Medi-Cal Benefits Program

California Code
CHAPTER 7 - Basic Health Care
ARTICLE 4 - The Medi-Cal Benefits Program