California Administrative Code

(a) The requirements of this Article apply to public water systems. (b) In addition to the bacteriological monitoring requirements in Sections 64423, 64424, 64425, and 64426.9, a public water system shall perform special purpose bacteriological monitoring as follows: (1) After an…

(a) A provider shall not bill or submit a claim for service involving the referral of a beneficiary to or from another provider unless each provider has disclosed any significant beneficial interest existing between the providers. Disclosure shall be accomplished by completing an…

Staff physician services means those services provided by a physician employed by the adult day health care provider.

(a) An eligible beneficiary meeting the criteria specified in section 53845(a), who satisfies the requirements in (1) or (2) below, may request fee-for-service Medi-Cal for up to 12 months as an alternative to plan enrollment by submitting a request for exemption from plan enroll…

For the purpose of determining the status of service under Section 641 of the code, remuneration whenever paid shall be allocated to the periods of service to which it relates. For example, if payment of remuneration is made for service performed in two or more calendar quarters,…

“Specialized rehabilitative services” means physical therapy, occupational therapy, speech therapy or audiology services furnished to inpatients of skilled nursing or intermediate care facilities by providers meeting the standards set forth in Article 3 of these regulations.

No state small water system which was not in existence on November 12, 1991 shall be issued a permit to operate if the water supplier is an unincorporated association organized under Title 3 (commencing with Section 20000) of Division 3 of the Corporations Code.

(a) Certification shall be suspended or revoked for any of the following: (1) Violation of any statute or regulation relating to the California Medical Assistance Program. (2) Aiding, abetting or permitting the violation of applicable statutory provisions or regulations of the De…

(a) If a public water system exceeds a Level 1 treatment technique trigger in Section 64426.7(b), the system shall: (1) Direct the system operator or owner to conduct and complete a Level 1 assessment as soon as practical after exceeding any trigger; (2) Ensure that the assessmen…

(a) Each adult day health center may arrange for the following additional services. These services shall be separately billed by the provider according to the requirements of Article 7, Chapter 3, Division 3, Title 22, California Administrative Code. (1) Podiatric services arrang…

(a) Each GMC plan shall meet the requirements specified in Section 53216. (b) Each GMC plan shall arrange for and make payment, at the lowest of the Medi-Cal fee-for-service rate or the plan negotiated rate, for emergency services as defined in Section 51056. (c) Each GMC plan sh…

(a) To determine compliance with the MCL for nitrate in Table 64431-A, all public water systems using groundwater and transient-noncommunity systems using approved surface water shall monitor annually, and all community and nontransient-noncommunity systems using approved surface…

(a) Each adult day health center shall: (1) Be licensed or have a special permit pursuant to Chapter 3.5, commencing with Section 1570, Division 2, Health and Safety Code, to provide adult day health care. (2) Have appropriate licensed and allied health personnel to provide servi…

(a) The primacy delegation application submitted by a local health officer pursuant to section 116330 of the Health and Safety Code shall describe how the primacy requirements of this article will be complied with and shall contain the following information relating to the small …

(a) The GMC enrollment contractor shall implement a system approved by the department to assign an eligible beneficiary described in Section 53906(a), to GMC plans, in the event the beneficiary does not select GMC plans pursuant to Section 53921(d). (b) The assignment shall ensur…

(a) The Director shall deny an application for renewal of certification as a provider of adult day health care services if the applicant: (1) Was party to an action which resulted in denial, suspension or revocation of license as an adult day health care provider. (2) Is not curr…

(a) A local primacy agency shall issue and maintain a valid drinking water permit for all small water systems within its jurisdiction in accordance with sections 116525 through 116550 of the Health and Safety Code. The permit shall include terms and conditions, including complian…

(a) A provider may render Medi-Cal program services to a child without parental consent only under those conditions specified by the California Civil Code, Division First, Part 1. (b) Claims for reimbursement shall be submitted and paid for only those health care services provide…

“Inpatient services” means preventive diagnostic, or treatment services provided in a hospital, skilled nursing facility, or intermediate care facility to a patient who is a registered inpatient in that facility.

“Regulatory agency” means the California Regional Water Quality Control Board(s) that have jurisdiction over the recycling plant and use areas.

(a) Program aides may be full-time or part-time employees. Aides shall evidence capacity for learning, the ability to comprehend the use of written and spoken English and shall have personal qualities conducive to good interpersonal relationships with demonstrated competence in h…

(a) Each GMC plan shall revise, if necessary, and distribute the information specified in Section 53926.5(b)(2) to each member or the member's family unit at least once every twelve months.

(a) Water systems fluoridating as of July 1, 1996 shall submit a fluoridation system operations contingency plan by July 1, 1998. All other water systems shall submit the plan at least three months before initiating fluoridation treatment. All fluoridating water systems shall ope…

(a) The following reports shall be submitted monthly in an electronic data format to the State Board no later than the last day of the month following the period being reported: (1) A report listing all small water systems that failed during the previous month to comply with drin…

(a) Reimbursement for podiatry services shall be the usual charges made to the general public not to exceed the maximum reimbursement rates listed in this section for each procedure performed by a podiatrist. (b) Except as provided in subsections (d), (e), (f), and (g), of this s…

Intermediate care facility services for the developmentally disabled-nursing means those services provided pursuant to Sections 73856 through 73907, Title 22, California Code of Regulations.

Beneficiary agreement of participation means the agreement voluntarily signed by a beneficiary or the beneficiary's guardian or legal conservator in which the beneficiary agrees to receive day health services from the adult day health center.

(a) For the purposes of this article, detection shall be defined by the detection limits for purposes of reporting (DLRs) in table 64445.1-A: Chemical Detection Limit for Purposes of Reporting (DLR) (mg/L) 0.0005 0.003 0.005 0.01 (b) SOCs 0.001 0.0005 0.002 0.0001 0.005 0.0001 0.…

As used in this article: (a) “Disadvantaged community” means the entire service area of the public water system has a median annual household income of less than eighty percent (80 %) of the statewide median annual household income. (b) “Wholesaler” means a public water system th…

(a) The adult day health center shall maintain close liaison with the attending psychologist or psychiatrist providing services to a participant. The psychologist or psychiatrist shall maintain primary responsibility for the psychological or psychiatric treatment of the participa…

(a) Reimbursement for psychology services shall be the usual charges made to the general public not to exceed the maximum reimbursement rates published on the Department's Medi-Cal Provider website for the procedure codes that apply to psychology services. Psychology services inc…

(a) “Renal dialysis” means removal by artificial means of waste products normally excreted by the kidneys. Such removal may be accomplished by the use of an artificial kidney or peritoneal dialysis on a continuing basis. (b) “Renal homotransplantation” means the implantation of a…

(a) Each adult day health center shall serve only participants living in the service area specified in the county plan and approved by the Department. An exception to this requirement may be granted only if the center meets a special need of a particular individual residing outsi…

(a) The water supplier shall determine the physical water quality in the distribution system. This determination shall be based on one or more of the following: (1) Main flushing operations and flushing records. (2) Consumer complaint records showing location, nature and duration…

(a) Each adult day health center shall provide a readily available source of emergency health services. (1) The participant, or the participant's sponsor shall sign an agreement granting the center permission to transfer the participant to a hospital or other health facility in c…

(a) Each adult day health center shall be organized and staffed to carry out the requirements of this Chapter. Staffing and administrative requirements and capabilities shall include: (1) An administrator. (2) A program director with appropriate qualifications. (3) Sufficient cle…

(a) The nutrition service shall as a minimum: (1) Be staffed and equipped to assure that food provided to the participants is safe, appetizing and provides for nutritional needs. (2) Include dietary counseling and education as part of the nutrition service. (3) Provide at least o…

(a) Each PCCM plan shall provide or arrange for the provision of the full scope of Medi-Cal services set forth in Chapter 3, Article 4, beginning with section 51301, and in Chapter 11, beginning with section 59998, unless services are specifically excluded under the terms of the …

(a) Community water systems and nontransient noncommunity water systems that treat their water with a chemical disinfectant in any part of the treatment process or which provide water that contains a chemical disinfectant shall comply with the requirements of this chapter beginni…

(a) The adult health center shall not discriminate against participants because of race, color, creed, national origin, sex, physical or mental handicaps in accordance with Title VI of the Civil Rights Act of 1964, 42 U.S.C., Section 2000d, rules and regulations on the grounds of…

“Total Trihalomethanes” or “TTHM” means the sum of the concentrations in milligrams per liter (mg/L) of the trihalomethane compounds (bromodichloromethane, bromoform, chloroform, and dibromochloromethane), rounded to two significant figures after addition.

“Fabricating optical laboratory” means a laboratory which surfaces, cuts and edges ophthalmic lenses; fabricates eye appliances as specified in Section 51519.2; and has entered into an exclusive area negotiated contract with the Department of Health Services. An “exclusive area n…

(a) Except as provided in subsection (b), each community and nontransient-noncommunity (NTNC) water system shall prepare and deliver the first Consumer Confidence Report by July 1, 2001, and subsequent reports by July 1 annually thereafter. The first Consumer Confidence Report sh…

(a) An approved adult day health care provider shall be reimbursed for one initial assessment by the provider's multidisciplinary team for each new participant. Assessment made after a discharge and for reentry is not reimbursable for a reentry less than 12 months after the disch…

Adult day health care services may be provided to eligible Medi-Cal beneficiaries who have medical or psychiatric impairment, who meet the criteria stated in Section 54209, and who are one of the following: (a) Not inpatients in a licensed health facility. (b) Inpatients in a lic…

(a) Each water treatment facility shall be classified pursuant to Table 64413.1-A based on the calculation of total points for the facility using the factors specified in subsection (b). Total Points Class Less than 20 T1 20 through 39 T2 40 through 59 T3 60 through 79 T4 80 or m…

(a) The Director shall use the following criteria when evaluating drugs to add to and to delete from the Medi-Cal List of Contract Drugs. The Director may restrict usage of any drug or therapeutic category of drugs on the Medi-Cal List of Contract Drugs. The Director's decision s…

“Supplemental reimbursement” for the purposes of this chapter means reimbursement by the Department to an eligible hospital pursuant to the provisions of the Welfare and Institutions Code, section 14085.5.

(a) Every public pool shall be under the supervision of a pool operator. (b) The pool operator shall maintain pool operating procedures at the public pool site for use by the pool operator and for inspection by the enforcing agent. (c) The pool operator shall maintain manufacture…

(a) Systems using approved surface water and conventional filtration treatment shall meet any one of the alternative compliance criteria in paragraphs (1) through (6) to comply with this article or comply with the requirements of section 64536.2. Systems that meet one of the crit…