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§ 76874. Health Support Services - Physician Services.


Barclays Official California Code of Regulations Currentness
Title 22. Social Security
Division 5. Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 8.5. Intermediate Care Facilities/Developmentally Disabled -Habilitative
Article 3. Services (Refs & Annos)
22 CCR § 76874
§ 76874. Health Support Services - Physician Services.
(a) Physician services provided shall include but not be limited to:
(1) Continuing supervision by a physician who sees the client every 60 days or more frequently as needed. The Medi-Cal consultant as specified in the California Administrative Code, Title 22, Division 3, Section 51343.1 may approve an alternate schedule of visits. An alternative schedule of visits shall not result in more than three months elapsing between physician visits.
(2) Annual physical examinations which shall include:
(A) Examination of vision and hearing.
(B) Laboratory examinations as determined necessary by the physician.
(3) Immunizations, using as a guide the recommendations of the United States Public Health Service Advisory Committee on Immunization Practices and of the Committee on the Control of Infectious Disease of the American Academy of Pediatrics.
(b) Testing for tuberculosis shall consist of a test for tuberculosis infection that is recommended by the federal Centers for Disease Control and Prevention (CDC) and licensed by the federal Food and Drug Administration (FDA). If a positive result is obtained from the tuberculosis test, the client shall be referred to the attending physician to determine if a chest X-ray is necessary.
(c) The physician, clinical psychologist, podiatrist, or dentist shall sign all orders for diagnostic tests, medications and treatment of clients consistent with their respective licensing practice act.
(d) The physician, clinical psychologist, podiatrist or dentist shall record progress notes and make other appropriate entries in the client records upon each appointment with the client.
(e) The physician shall review and update medication and medical treatment orders at least every 60 days. For alternative schedules approved by the Medi-Cal consultant the medication and treatment orders review shall be in accordance with Section 76874(a). Review and update of medication and medical treatment orders shall be documented in accordance with the approved schedule.
(f) The attending physician shall participate as a member of the interdisciplinary professional staff/team when required by the Qualified Mental Retardation Professional in consultation with the Registered Nurse.
(g) Nonphysician practitioners may be permitted to render those medical services which they are legally authorized to perform.
Note: Authority cited: Sections 1267.7, 1275, 121357 and 131200, Health and Safety Code. Reference: Sections 1250, 1276, 121362, 131050, 131051 and 131052, Health and Safety Code.
1. Certificate of Compliance including amendment of subsection (b) filed by the Department of Health Services with the Secretary of State on 11-28-84. Submitted to OAL for printing only pursuant to Government Code Section 11343.8 (Register 85, No. 25).
2. Amendment of subsection (b) and Note filed 5-30-2013; operative 5-30-2013 pursuant to Government Code section 11343.4(b)(3) (Register 2013, No. 22).
This database is current through 9/4/20 Register 2020, No. 36
22 CCR § 76874, 22 CA ADC § 76874
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