Article 7. Payment for Services and Supplies

• § 51501. General.
• § 51502. Billing Requirements.
• § 51502.1. Requirements for Electronic Claims Submission.
• § 51503. Physician Services.
• § 51503.1. Reimbursement for Services Rendered by a Nonphysician Medical Practitioner.
• § 51503.2. Reimbursement for Services Rendered by a Nurse Midwife, a Certified Family Nurse Practitioner, or a Certified Pediatric Nurse Practitioner.
• § 51503.3. Reimbursement for Sign Language Interpreter Services.
• § 51504. Comprehensive Perinatal Services.
• § 51504.1. Reimbursement for Services Rendered by a Licensed Midwife.
• § 51505. Other Professional Services. [Repealed]
• § 51505.1. Podiatry Services.
• § 51505.2. Nurse Anesthetist Services.
• § 51505.3. Psychology Services.
• § 51506. Dental Services.
• § 51506.1. Maxillofacial Dental Services.
• § 51506.2. Orthodontic Dental Services. [Repealed]
• § 51507. Physical Therapy.
• § 51507.1. Occupational Therapy.
• § 51507.2. Speech Therapy and Audiology.
• § 51507.3. Respiratory Care Practitioner.
• § 51508. Hospital Inpatient Services Reimbursement. [Repealed]
• § 51508.1. Extraordinary Administrative Adjustments. [Repealed]
• § 51508.2. Definitions. [Repealed]
• § 51508.3. Application. [Repealed]
• § 51508.4. Review of Application. [Repealed]
• § 51508.5. Criteria for Review. [Repealed]
• § 51508.6. Recommendation. [Repealed]
• § 51508.7. Action by the Director. [Repealed]
• § 51508.8. Conditional Administrative Adjustments. [Repealed]
• § 51508.9. Medi-Cal Hospital Payment Rate Exception. [Repealed]
• § 51509. Hospital Outpatient Departments.
• § 51509.1. Organized Outpatient Clinics.
• § 51509.2. Chronic Hemodialysis Services.
• § 51509.3. Rural Health Clinic Reimbursement. [Repealed]
• § 51510. Nursing Facility Level a Services.
• § 51510.1. Intermediate Care Services for the Developmentally Disabled.
• § 51510.2. Intermediate Care Services for the Developmentally Disabled-Habilitative.
• § 51510.3. Intermediate Care Services for the Developmentally Disabled-Nursing.
• § 51511. Nursing Facility Level B Services.
• § 51511.1. Special Program Services for the Mentally Disordered.
• § 51511.2. Uniform Accounting and Cost Reporting System for Skilled Nursing Facilities and Intermediate Care Facilities.
• § 51511.3. Transitional Inpatient Care Services Reimbursement. [Repealed]
• § 51511.5. Nursing Facility Services—Subacute Care Reimbursement.
• § 51511.6. Nursing Facility Services—Pediatric Subacute Care Reimbursement.
• § 51512. Certified Outpatient Rehabilitation Centers.
• § 51513. Pharmaceutical Services and Prescribed Drugs.
• § 51513.1. Average Wholesale Price (AWP). [Repealed]
• § 51513.2. Establishment of Maximum Allowable Ingredient Cost. [Repealed]
• § 51513.3. Maximum Allowable Ingredient Cost. [Repealed]
• § 51513.4. Maximum Allowable Cost. [Repealed]
• § 51513.5. Estimated Acquisition Cost. [Repealed]
• § 51513.6. Prudent Purchase of Drugs Program.
• § 51514. Chiropractic Services.
• § 51514.5. Acupuncture Services.
• § 51515. Reimbursement for Prosthetic and Orthotic Appliances and Repairs. [Repealed]
• § 51516. Reimbursement for Short-Doyle/Medi-Cal Services.
• § 51516.1. Reimbursement Rates for Drug Medi-Cal Substance Abuse Program Services.
• Form Adp 6065
• § 51517. Hearing AIDS.
• § 51518. Optometry Services.
• § 51519. Eye Appliances.
• § 51519.1. Dispensing Fees for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract.
• § 51519.2. Reimbursement Rates for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract.
• § 51520. Medical Supplies.
• § 51520.1. Establishment of Maximum Allowable Product Cost for Medical Supplies. [Repealed]
• § 51520.2. List of Generic Medical Supply Types. [Repealed]
• § 51521. Durable Medical Equipment.
• § 51522. Hearing and Speech Centers. [Repealed]
• § 51523. Home Health Agency Services.
• § 51524. In-Home Medical Care Waiver Services and Nursing Facility Waiver Services.
• § 51525. Blood and Blood Derivatives.
• § 51526. Incontinence Medical Supplies.
• § 51527. Medical Transportation Services.
• § 51528. Paramedic Ambulance Services. [Repealed]
• § 51529. Pathology Services.
• § 51531. Payment for Portable Imaging Services.
• § 51532. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services.
• § 51532.1. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Supplemental Services Provided by Registered Nurses, Licensed Vocational Nurses and Certified Home Health Aides.
• § 51532.2. Early and Periodic, Screening, Diagnosis, and Treatment (EPSDT) Supplemental Services: Onsite Investigation to Detect the Source of Lead Contamination.
• § 51532.3. EPSDT Supplemental Services Provider—Pediatric Day Health Care Facility Reimbursement.
• § 51533. Outpatient Heroin Detoxification Services.
• § 51534. Home and Community-Based Services. [Repealed]
• § 51535. Leave of Absence.
• § 51535.1. Bed Hold for Acute Hospitalization.
• § 51535.2. Reimbursement Rates for Personal Care Services Program.
• § 51535.5. Local Educational Agency (LEA) Services.
• § 51535.6. Reimbursement for Directly Observed Therapy (DOT).
• § 51535.7. Targeted Case Management Services Reimbursement.