Cal. Code Regs. tit. 22 § 40521

Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 40521 - Underserved Population Groups

"Underserved population groups" means:

(a) Those persons residing in one of the following areas:
(1) Medically underserved area (MUA) as designated by the Secretary of the Department of Health and Human Services, United States Government.
(2) Critical Health Manpower Shortage Area (CHMSA) as designated by the Secretary of the Department of Health and Human Services, United States Government.
(3) Primary Care Physician Shortage Area (PCPSA) as designated by the California Health Manpower Policy Commission.
(4) A census tract with morbidity and mortality rates that indicate high risk factors which establish the health status as below that of the majority population.
(b) Those persons who have the following characteristics as designated by the Director:
(1) Persons who lack private third-party insurance and are unable to qualify for care under Medi-Cal or Medicare; or
(2) Persons whose insurance coverage does not provide payment for all primary care services rendered by the clinic.
(3) Persons who have no primary care providers willing to accept new patients who are Medi-Cal or Medicare-eligible persons.
(4) Persons who live within a census tract, located in the county where the clinic is licensed to deliver services, which has insufficient primary care providers capable of meeting the linguistic, ethnic, cultural, physical, economic and social needs of a population.

Cal. Code Regs. Tit. 22, § 40521

Note: Authority cited: Sections 208, 1225 and 1248, Health and Safety Code. Reference: Section 1248, Heath and Safety Code.