Home Table of Contents

§ 51207. Hospitals.

22 CA ADC § 51207Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 22. Social Security
Division 3. Health Care Services
Subdivision 1. California Medical Assistance Program (Refs & Annos)
Chapter 3. Health Care Services
Article 3. Standards for Participation
22 CCR § 51207
§ 51207. Hospitals.
Currentness
(a) A hospital, to be eligible for participation in the program, shall:
(1) Be certified, or meet the requirements for certification under Title XVIII of the Federal Social Security Act.
(2) Be licensed pursuant to the provisions of Chapter 2 of the Health and Safety Code.
(3) Have an organized medical staff that has promulgated medical staff by-laws, rules, and regulations which include provisions that assure correct utilization and high quality of professional services rendered to Medi-Cal beneficiaries in the hospital.
(4) Take timely and definitive action, including initiating proceedings to suspend or terminate hospital privileges, against medical staff members who provide inappropriate or excessive services, or services of inferior quality to Medi-Cal beneficiaries.
(b) Notwithstanding the provisions of paragraph (a) of this regulation, eligibility for participation in the program shall be conditional on compliance with Welfare and Institutions Code 14105.5.
(c) Notwithstanding any other provisions of these regulations, those hospitals operated by, or listed and certified by, the First Church of Christ Scientist, Boston, Massachusetts, are eligible for participation in the program provided they conform to governmental requirements with regard to housing, fire protection, safety, and sanitation.
(d) A hospital which does not meet all of the requirements of this section, may nevertheless, be paid under the program for services furnished by it to eligible beneficiaries of the program on an emergency basis as defined in Section 51056, provided it meets the requirements specified in subsection (a)(2) of this Section. This provision shall apply in each case only until such time as the patient may be moved safely to an institution that meets the requirements of the remainder of this Section.

Credits

Note: Authority cited: Sections 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14105 and 14110, Welfare and Institutions Code.
History
1. Amendment filed 1-22-71; designated effective 3-1-71 (Register 71, No. 4). For prior history, see Register 70, No. 30.
2. Amendment filed 1-18-74; effective thirtieth day thereafter (Register 74, No. 3).
3. Amendment filed 3-7-80; effective thirtieth day thereafter (Register 80, No. 9).
4. Amendment of subsection (a) filed 8-23-85; effective thirtieth day thereafter (Register 85, No. 34).
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 22, § 51207, 22 CA ADC § 51207
End of Document