§ 51476. Keeping and Availability of Records.
22 CA ADC § 51476Barclays Official California Code of Regulations
22 CCR § 51476
§ 51476. Keeping and Availability of Records.
(a) Each provider shall keep, maintain, and have readily retrievable, such records as are necessary to fully disclose the type and extent of services provided to a Medi-Cal beneficiary. Required records shall be made at or near the time at which the service is rendered. Such records shall include, but not be limited to the following:
(7) Identification of the person rendering services. Records of each service rendered by nonphysician medical practitioners (as defined in Title 22, CCR, Section 51170) shall include the signature of the nonphysician medical practitioner and the countersignature of the supervising physician to the extent required by the applicable professional licensing statutes and regulations.
(2) The dispenser shall maintain readily retrievable documentation of the patient's diagnostic or clinical condition information that fulfills the Code I restriction. If this Code I diagnostic or clinical condition information is transmitted to the dispenser other than by personal handwritten order from the prescriber, the dispenser shall document the transmittal date and the name of prescriber or the employee or agent who is legally authorized to transmit such information. The documentation shall be personally signed by the dispenser.
(g) A provider shall make available, during regular business hours, all pertinent financial books and all records concerning the provision of health care services to a Medi-Cal beneficiary, and all records required to be made and retained by this section, to any duly authorized representative of the Department acting in the scope and course of employment including, but not limited to, employees of the Attorney General, Medi-Cal Fraud Unit duly authorized and acting within the scope and course of their employment. Failure to produce records may result in sanctions, audit adjustments, or recovery of overpayments, in accordance with Section 51458.1 of this title.
Credits
Note: Authority cited: Section 20, Health and Safety Code; and Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14021, 14043.341, 14053, 14105.35, 14107, 14124.1, 14124.2, 14124.24, 14131, 14133, 14133.3 and 14170, Welfare and Institutions Code; and Title 42, Code of Federal Regulations, Sections 483.40(e) and 485.631(b)(iv).
History
1. Amendment filed 8-10-84; effective upon filing pursuant to Government Code Section 11346.2(d) (Register 84, No. 32). For prior history, see Register 81, No. 48.
2. Amendment of subsection (c) and Note filed 1-9-95; operative 3-1-95 (Register 95, No. 2).
3. Change without regulatory effect amending subsections (a)(7), (c) and (f) and amending Note filed 1-26-2009 pursuant to section 100, title 1, California Code of Regulations (Register 2009, No. 5).
4. Amendment of subsection (a)(7) and Note filed 5-17-2012; operative 6-16-2012 (Register 2012, No. 20).
5. Change without regulatory effect amending Note filed 12-16-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 51).
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 22, § 51476, 22 CA ADC § 51476
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