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§ 51215. Skilled Nursing Facilities.

22 CA ADC § 51215Barclays 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 § 51215
§ 51215. Skilled Nursing Facilities.
(a) A skilled nursing facility, as defined in section 51121, shall:
(1) Be licensed by the Department of Health Services unless exempt under state laws from licensure. (facilities which are licensed by the Department of Health Services as hospitals may also provide skilled nursing facility services if they meet all of the requirements of this section.
(2) Be certified to participate in the Medi-Cal program as a provider of skilled nursing facility services by being in compliance with the Medicare and Medicaid requirements of Titles XVIII and XIX of the Social Security Act and regulations promulgated pursuant thereto.
(3) Execute a provider participation agreement with the Department of Health Services for participation in the Medi-Cal program. Facilities participating in both the Medicare and Medicaid programs shall be subject to the same terms and conditions, and be coterminous with the period of approval of eligibility, specified by the United States Department of Health and Human Services pursuant to title XVIII of the Social Security Act. Upon notification that a provider participation agreement with a facility under title XVIII of the Act has been terminated, the Department may take appropriate action to deny or terminate the facility's participation under Medi-Cal. A facility whose agreement under title XVIII has been canceled or otherwise terminated shall not be issued another provider participation agreement until the reasons which caused the cancellation or termination have been removed and a reasonable assurance provided the survey agency that they will not recur.
(4) Assure that Medi-Cal beneficiaries in the facility are visited by their attending physicians in accordance with section 51335 (f) of this chapter.
(5) Notify the Medi-Cal consultant's office within 48 hours of all discharges and deaths of Medi-Cal beneficiaries in that facility.
(b) Notwithstanding the provisions of subsection (a) of this regulation, eligibility for participation in the program shall be conditional on compliance with Welfare and Institutions Code section 14105.5.
(c) Notwithstanding any other provisions of these regulations, those sanitaria or skilled nursing facilities operated by, or listed and certified by the First Church of Christ Scientist, Boston, Massachusetts, shall be eligible for participation in this program, provided they conform to housing, fire protection, safety and sanitation requirements of the local communities where they are located.Execute a provider participation agreement with the Department of Health Services for participation in the Medi-Cal program. Facilities

Credits

Note: Authority cited: Sections 14105 and 14124.5, Welfare and Institutions Code; and Section 13, Chapter 502; Statutes of 1990. Reference: Sections 14110 and 14132, Welfare and Institutions Code.
History
1. Amendment of subsections (a)(1) and (a)(7) filed 1-30-73; effective thirtieth day thereafter (Register 73, No. 5). For prior history, see Register 72, No.18).
2. Amendment filed 1-18-74; effective thirtieth day thereafter (Register 74, No. 3).
3. Repealer and new section filed 7-16-75 as an emergency; effective upon filing (Register 75, No. 29).
4. Certificate of Compliance filed 11-12-75 (Register 75, No. 46).
5. Amendment filed 6-22-87; operative 7-22-87 (Register 87, No. 27).
6. Amendment filed 10-1-90 as an emergency; operative 10-1-90 (Register 90, No. 45). A Certificate of Compliance must be transmitted to OAL by 1-29-91 or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 10-1-90 order including amendment of subsection (a)(2) transmitted to OAL 1-29-91, filed 2-28-91 (Register 91, No. 13).
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 22, § 51215, 22 CA ADC § 51215
End of Document