Cal. Code Regs. tit. 17 § 6862

Current through Register 2024 Notice Reg. No. 36, September 6, 2024
Section 6862 - Types of Providers
(a) A health assessment provider shall be a physician, physician group, certified family nurse practitioner, certified pediatric nurse practitioner, or public or private agency or organization that provides the services specified in this subchapter to persons eligible to receive those services.
(b) A provider may agree to provide health assessments only, or may agree to be a comprehensive care provider, that is, to provide health assessments and diagnosis and follow-up services.
(c) A health assessment-only provider shall meet the following conditions unless failure to meet any of them is due to circumstances other than the provider's inaction:
(1) Assure completion of the full range of health assessment services appropriate to the individual as defined in section 6846, including anti-tobacco use education and the completion of immunizations and immunization series which could not be given during the health assessment, but which are necessary to make the immunization status current.
(2) Provide referral for diagnosis and treatment, as specified in section 6850, for all persons identified as needing such services as a result of health assessments.
(d) A comprehensive care provider shall be certified by the Department for participation in the California Medical Assistance program and shall meet the following conditions unless failure to meet any of them is due to circumstances other than the provider's inaction:
(1) Assure completion of the full range of health assessment services appropriate to the person as defined in section 6846, including anti-tobacco use education and the completion of immunizations and immunization series which could not be given during the health assessment, but which are necessary to make the immunization status current.
(2) Initiate diagnosis and treatment, or referral for diagnosis and treatment, for all persons identified as needing such services as a result of the health assessment.
(3) Assume overall case management of the person in the event of subsequent referrals which may be part of the needed diagnosis and treatment program.
(4) Assure the provision of subsequent, periodic health assessment at the frequency indicated in section 6847.
(5) Be available as a source of primary care on a continuing basis to the person in the event subsequent medical services are requested.
(6) Maintain a health record for each person.
(e) A clinical laboratory provider shall be a clinical laboratory that meets the definition of the Medi-Cal program in Title 22, California Code of Regulations (CCR), Section Title 22, California Code of Regulations (CCR), Section Title 22, California Code of Regulations (CCR), Section 51211.2.

Cal. Code Regs. Tit. 17, § 6862

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. Amendment of subsections (c) and (d) filed 2-27-90 as an emergency pursuant to Section 12, Chapter 1331, Statutes of 1989; operative 2-27-90 (Register 90, No. 9). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 6-27-90.
4. Certificate of Compliance as to 2-27-90 order transmitted to OAL 6-19-90 and filed 7-18-90 (Register 90, No. 38).
5. New subsection (e) and amendment of NOTE filed 2-23-93; operative 3-25-93 (Register 93, No. 9).
6. Amendment of subsection (a) 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.
7. Certificate of Compliance as to 10-27-93 order 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; and Section 12, Assembly Bill 75 (Chapter 1331, Statutes of 1989). Reference: Sections 321, 323 and 24165.3, 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. Amendment of subsections (c) and (d) filed 2-27-90 as an emergency pursuant to Section 12, Chapter 1331, Statutes of 1989; operative 2-27-90 (Register 90, No. 9). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 6-27-90.
4. Certificate of Compliance as to 2-27-90 order transmitted to OAL 6-19-90 and filed 7-18-90 (Register 90, No. 38).
5. New subsection (e) and amendment of Note filed 2-23-93; operative 3-25-93 (Register 93, No. 9).
6. Amendment of subsection (a) 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.
7. Certificate of Compliance as to 10-27-93 order transmitted to OAL 2-23-94 and filed 4-6-94 (Register 94, No. 14).t