Section 6860 - Conditions of Participation(a) Dental diagnostic and treatment services shall be provided by or under the supervision of a dentist licensed to practice dentistry in California. To be eligible for state reimbursement, billing for dental services shall be in accordance with the regulations governing the California Medical Assistance Program.(b) Health assessments shall be performed in accordance with the provisions of this subchapter as follows: (1) By, or under the supervision and/or responsibility of, a physician licensed to practice medicine in California.(2) By a certified family nurse practitioner or certified pediatric nurse practitioner, as defined in Title 22, Section 51170.3(b) and (c), respectively.(c) Each individual, partnership, clinic, group, association, institution, or public or private agency desiring to participate in a community child health and disability prevention program as a provider of health assessments only, or as a provider of comprehensive health care, shall notify the director of that program of such intent. Notification shall be made to the director of each community child health and disability prevention program in which it is desired to provide service. Notification shall be in the manner established by the community program director.(d) Physicians, medical clinics, medical groups, certified pediatric nurse practitioners or certified family nurse practitioners may be approved for participation as providers in the community program by the community program director on receipt by the director of written notification stating the following:(1) The physician, certified pediatric nurse practitioner, certified family nurse practitioner, medical clinic, or medical group understands the requirements of the Child Health and Disability Prevention Program, and desires to participate in it as either a comprehensive care provider or as a provider of health assessments only.(2) If parts of the required health assessment are not available through the physician, certified pediatric nurse practitioner or certified family nurse practitioner, the physician or certified family nurse practitioner or certified pediatric nurse practitioner shall refer the person to other providers approved by the community program for completion of those parts.(e) Agencies and organizations (other than physicians and physician groups) desiring to participate in the community program, where physicians or other persons under physician supervision will be employed to do parts of the health assessment, shall state in writing the qualifications of the screening personnel when notifying the community program director of their intent to participate as providers. Participation of such agencies and organizations shall require the written approval of the community program director, and compliance with the provisions of this subchapter and with any standards that may be established by the community program director.(f) If the community child health and disability prevention program director determines that a provider, previously approved for participation in the community program, is not providing services in accordance with provisions of this subchapter or the standards established by the community program, the community program director may withdraw the approval.(g) Prepaid health plans, their subcontractors or sub-subcontractors, under contract to the Department to provide medical care to Medi-Cal enrollees are exempted from the provisions of this section only for CHDP services that are provided to their Medi-Cal enrollees. If such a prepaid health plan wishes to provide CHDP services to persons other than their Medi-Cal enrollees, full compliance with this section is required.(h) Health assessments may be conducted in public and private school facilities provided that, with respect to private school facilities, no services provided thereon pursuant to this subchapter and financed by public funds shall result in any material benefit to, or be conducted in a manner which furthers any educational or other mission of, such a school or any person or entity maintaining the school.(i) Health assessments shall be made available to eligible persons as defined in this subchapter without regard to race, religion, sex, national origin, citizenship, marital status, parenthood or source of payment.(j) Clinical laboratories, may be approved for participation as providers in the community program by the community program director on receipt by the director of written notification stating that the clinical laboratory understands the requirements of the Child Health and Disability Prevention Program, and desires to participate in it as a provider of laboratory services.Cal. Code Regs. Tit. 17, § 6860
1. Amendment filed 11-28-79 as an emergency; effective upon filing (Register 79, No. 48). A Certificate of Compliance must be filed within 120 days or emergency language will be repealed on 3-28-80.
2. Certificate of Compliance filed 3-27-80 (Register 80, No. 13).
3. New subsection (a) filed and existing subsections (a) through (h) relettered to (b) through (i) filed 5-22-80; effective thirtieth day thereafter (Register 80, No. 21).
4. New subsection (j) and amendment of NOTE filed 2-23-93; operative 3-25-93 (Register 93, No. 9).
5. New subsections (b)(1)-(3), amendment of subsection (b) and (d)-(d)(2) and NOTE filed 10-27-93 as an emergency; operative 10-27-93 (Register 93, No. 44). A Certificate of Compliance must be transmitted to OAL by 2-25-94 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 10-27-93 order with amendment of subsections (b)-(b)(2) transmitted to OAL 2-23-94 and filed 4-6-94 (Register 94, No. 14). Note: Authority cited: Sections 208 and 321, Health and Safety Code. Reference: Section 321(c), Health and Safety Code; Sections 655.6, 2834, 2835, 2835.5 and 2836, Business and Professions Code; Section 14132.41, Welfare and Institutions Code; and 42 U.S.C. Section 1396d(a).
1. Amendment filed 11-28-79 as an emergency; effective upon filing (Register 79, No. 48). A Certificate of Compliance must be filed within 120 days or emergency language will be repealed on 3-28-80.
2. Certificate of Compliance filed 3-27-80 (Register 80, No. 13).
3. New subsection (a) filed and existing subsections (a) through (h) relettered to (b) through (i) filed 5-22-80; effective thirtieth day thereafter (Register 80, No. 21).
4. New subsection (j) and amendment of Note filed 2-23-93; operative 3-25-93 (Register 93, No. 9).
5. New subsections (b)(1)-(3), amendment of subsection (b) and (d)-(d)(2) and Note filed 10-27-93 as an emergency; operative 10-27-93 (Register 93, No. 44). A Certificate of Compliance must be transmitted to OAL by 2-25-94 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 10-27-93 order with amendment of subsections (b)-(b)(2) transmitted to OAL 2-23-94 and filed 4-6-94 (Register 94, No. 14).