Cal. Code Regs. tit. 22 § 51003

Current through Register 2024 Notice Reg. No. 45, November 8, 2024

Section 51003 - Treatment Authorization Requests (TARs)

(a) "Prior authorization," or "authorization" means authorization granted by a designated Medi-Cal consultant or by a Primary Care Case Management (PCCM) plan and is obtained through submission and approval of a TAR. The responsibilities of the Medi-Cal consultant shall not be delegated, except to the extent provided under Sections 51013 and 51014. Authorization may be granted by a PCCM plan only for beneficiaries enrolled in that PCCM plan and the responsibilities of the PCCM plan shall not be delegated except as provided under Section 51003.7.

(b) A TAR received by the Department from a Fee-For-Service Medi-Cal provider shall be reviewed for medical necessity only.

(c) "Reauthorization" means authorization of a new TAR for continuation of previously authorized Medi-Cal services.

(1) "Request for Non-Acute Continuing Services," as used in Section 51014.1(e), means a new TAR for continuation of previously approved services received by the Department from Fee-For-Service Medi-Cal providers in the following categories:

(A) Long-Term Care, specifically Skilled Nursing Facility, Intermediate Care Facility and Subacute levels of care.

(B) General Inpatient Hospice Care.

(C) Home and Community-Based Waiver Services, including all related services.

(D) Early Periodic Screening Diagnosis and Treatment (EPSDT) Supplemental Home Nursing and Related Services.

(E) All other non-acute services under the Medi-Cal program when the treating physician (i.e., the physician, podiatrist, or dentist who is treating the beneficiary and certifying that the services must be continued) substantiates on or with the request in writing that the same level or frequency of services should be continued because the treatment goal approved on the original TAR has not been achieved, without regard to the length of time the service has been provided. To meet the requirement to substantiate the need for continuing care, justification of medical necessity shall be submitted pursuant to subsection (d).

(2) "Request by a provider for Acute Continuing Services," as used in Section 51014.1(f), means a Request for Extension of Stay in Hospital, form 18-1 (8/93) used for approval of acute care services in hospitals, including submission of requests to on-site Medi-Cal reviewers or to the local Medi-Cal Field Office. This request shall be submitted when the treating physician (i.e., the physician, dentist or podiatrist certifying the need for acute care pursuant to Section 51327(a)(3)(A)) has determined that the beneficiary cannot safely be discharged because acute care services continue to be medically necessary, for one of the following reasons:

(A) Further acute care is needed for the purpose of treating the condition or conditions for which acute care was originally approved for an acute admission requiring authorization.

(B) Complications directly related to the diagnosis for which acute care was originally approved have arisen and necessitate further acute care.

(C) Further acute care is needed for an illness contracted during the course of an approved acute admission if the illness most likely occurred because the beneficiary was hospitalized.

(d) In addition to the information specified in Section 51456, a provider submitting a TAR shall explain why the services are medically necessary or submit supporting documentation indicating medical necessity.

(e) Authorization may be granted only for Medi-Cal benefits that are medically necessary and do not exceed health care services received by the public generally for similar medical conditions. The "Manual of Criteria for Medi-Cal Authorization," published by the Department in January 1982, last revised May 1, 2013, and herein incorporated by reference in its entirety, shall be the basis for the professional judgments of Medi-Cal consultants or PCCM plans in their decisions on authorizations for services or conditions listed in the Manual. Such authorization shall be valid for the number of days specified by the Medi-Cal consultant or PCCM plan up to a maximum of 180 days, unless otherwise specified in this chapter. The Medi-Cal consultant or PCCM plan may grant authorization for up to a maximum of two years when the treatment as authorized is clearly expected to continue unmodified for up to or beyond two years.

(f) Authorization may be granted only for the lowest cost item or service covered by the Medi-Cal program that meets the beneficiary's medical needs.

(g) A provider may appeal the decision of a Medi-Cal consultant on a TAR pursuant to Section 51003.1. A provider appealing the decision of a PCCM plan on a TAR shall file the appeal in accordance with Section 56262.

(h) Rural Health Clinics and Federally Qualified Health Centers are not subject to TAR requirements.

*NOTE: The December 1996 revision of this provision was made by emergency regulation package R-60-96E. Implementation of R-60-96E was enjoined on November 26, 1996 (Carmen Doe, et al. v. Wilson, et al., City and County of San Francisco Superior Court No. 982521). The change to the Manual of Criteria for Medi-Cal Authorization included in R-60-96E that would have occurred in December 1996 is of no force or effect.

Cal. Code Regs. Tit. 22, § 51003

1. Amendment of subsection (e) filed 10-27-88 as an emergency; operative 10-27-88 (Register 88, No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-89. For prior history, see Register 88, No. 15.
2. Certificate of Compliance including amendment of subsection (e) transmitted to OAL 2-24-89 and filed 3-27-89 (Register 89, No. 13).
3. Amendment of subsection (e) filed 8-16-89; operative 9-15-89 (Register 89, No. 33).
4. Amendment of subsections (a), (b)(3), (c), (e) and (g) filed 3-9-90 as an emergency; operative 3-9-90 (Register 90, No. 12). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-9-90.
5. Amendment of subsection (e) filed 4-6-90 as an emergency; operative 4-6-90 (Register 90, No. 17). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 8-6-90.
6. Amendment refiled 7-9-90 as an emergency; operative 7-9-90 (Register 90, No. 35). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 11-6-90.
7. Amendment of subsection (e) filed 8-2-90 as an emergency readoption of 4-6-90 order; operative 8-2-90 (Register 90, No. 41). A Certificate of Compliance must be transmitted to OAL by 11-30-90, or emergency language will be repealed by operation of law on the following day.
8. Amendment of subsection (c) filed 10-26-90 as an emergency; operative 10-26-90 (Register 90, No. 50). A Certificate of Compliance must be transmitted to OAL by 2-25-91 or emergency language will be repealed by operation of law on the following day.
9. Request to readopt amendment on an emergency basis pursuant to Government Code section 11346.1 granted and filed 11-6-90 as an emergency; operative 11-6-90 (Register 91, No. 1). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-6-91.
10. Certificate of Compliance as to 8-2-90 order transmitted to OAL 10-16-90 and filed 11-15-90 (Register 91, No. 6).
11. Readoption and amendment of 10-26-90 order correcting omission of subsection (c) contained in 11-6-90 order, filed 1-18-91 as an emergency; operative 1-18-91 (Register 91, No. 6). A Certificate of Compliance must be transmitted to OAL by 5-20-91 or emergency language will be repealed by operation of law on the following day.
12. Amendment of subsection (e) filed 2-11-91 as an emergency; operative 2-11-91 (Register 91, No. 12). A Certificate of Compliance must be transmitted to OAL by 6-11-91 or emergency language will be repealed by operation of law on the following day.
13. Certificate of Compliance as to 10-26-90 order transmitted to OAL 2-22-91 and filed 3-25-91 (Register 91, No. 15).
14. Certificate of Compliance as to 1-18-91 order transmitted to OAL 2-22-91 and filed 3-25-91 (Register 91, No. 15).
15. Certificate of Compliance as to 11-6-90 order transmitted to OAL 2-22-91; disapproved by OAL on 3-25-91 (Register 91, No. 18).
16. Amendment of subsections (a), (b), (c), (e) and (g) filed 3-25-91 as an emergency; operative 3-25-91 (Register 91, No. 18). A Certificate of Compliance must be transmitted to OAL by 7-23-91 or emergency language will be repealed by operation of law on the following day.
17. Request to readopt 2-11-91 order pursuant to Government Code section 11346.1 granted and filed 5-15-91 as an emergency; operative 6-11-91 (Register 91, No. 26). A Certificate of Compliance must be transmitted to OAL by 10-9-91 or emergency language will be repealed by operation of law on the following day.
18. Request to readopt 5-15-91 order and 8-29-91 order pursuant to Government Code section 11346.1, and merging 5-15-91 order and 8-29-91 order together, granted and filed 10-4-91 as an emergency; operative 10-4-91 (Register 91, No. 52). A Certificate of Compliance must be transmitted to OAL 2-1-92 or emergency language will be repealed by operation of law on the following day.
19. Certificate of Compliance as to 3-25-91 order including amendment of subsection (a) transmitted to OAL 7-19-91 and filed 8-19-91 (Register 92, No. 1).
20. Amendment of subsection (e) filed 8-29-91 as an emergency; operative 8-29-91 (Register 92, No. 10). A Certificate of Compliance must be transmitted to OAL 12-27-91 or emergency language will be repealed by operation of law on the following day.
21. Amendment of subsection (e) refiled 12-23-91 as an emergency; operative 12-23-91 (Register 92, No. 18). A Certificate of Compliance must be transmitted to OAL 4-21-92 or emergency language will be repealed by operation of law on the following day.
22. Certificate of Compliance as to 12-23-91 order transmitted to OAL 4-1-92 and filed 5-5-92 (Register 92, No. 21).
23. Editorial correction to HISTORY 21 (Register 92, No. 24).
24. Change without regulatory effect amending subsection (e) filed 1-27-92 pursuant to section 100, title 1, California Code of Regulations (Register 92, No. 24).
25. Request to readopt 10-4-91 order pursuant to Government Code section 11346.1(h) granted and filed 1-28-92 as an emergency; operative 2-4-92 (Register 92, No. 24). A Certificate of Compliance must be transmitted to OAL 6-3-92 or emergency language will be repealed by operation of law on the following day.
26. Request to readopt 1-28-92 order pursuant to Government Code section 11346.1(h) granted and filed 6-8-92 as an emergency; operative 6-3-92 (Register 92, No. 24). A Certificate of Compliance must be transmitted to OAL 10-7-92 or emergency language will be repealed by operation of law on the following day.
27. Request to readopt 6-8-92 order pursuant to Government Code section 11346.1(h) granted and filed 10-6-92 as an emergency; operative 10-7-92 (Register 92, No. 41). A Certificate of Compliance must be transmitted to OAL 2-4-93 or emergency language will be repealed by operation of law on the following day.
28. Change without regulatory effect amending subsection (e) filed 3-1-93; operative 3-31-93 (Register 93, No. 10).
29. Editorial correction of printing error (Register 93, No. 15).
30. Reinstatement of subsection (e) as it existed prior to emergency amendment filed 2-11-91 by operation of Government Code section 11346.1(f) (Register 93, No. 15).
31. Amendment of subsection (e) filed 4-12-93; operative 4-12-93. Submitted to OAL for printing only pursuant to SB 485, section 147 (Register 93, No. 16).
32. Amendment of subsection (e) filed 6-29-93 as an emergency; operative 6-29-93 (Register 93, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-27-93 or emergency language will be repealed by operation of law on the following day.
33. Amendment of subsection (e) filed 9-16-93 as an emergency; operative 9-16-93 (Register 93, No. 38). A Certificate of Compliance must be transmitted to OAL by 1-14-94 or emergency language will be repealed by operation of law on the following day.
34. Certificate of Compliance as to 6-29-93 order transmitted to OAL 10-22-93 and filed 12-7-93 (Register 93, No. 50).
35. Redesignation of former subsection (g) to subsection (h) and new subsection (g) filed 2-10-94 as an emergency; operative 2-10-94 (Register 94, No. 5). A Certificate of Compliance must be transmitted to OAL by 6-10-94 or emergency language will be repealed by operation of law on the following day.
36. Certificate of Compliance as to 9-16-93 order transmitted to OAL 1-13-94 and filed 2-28-94 (Register 94, No. 8).
37. Amendment of subsections (c)(1) and (c)(1)(D), new subsection (c)(1)(H), and amendment of subsection (e) and NOTE filed 10-20-94; operative 10-20-94 (Register 94, No. 42).
38. Reinstatement of subsection (g) as it existed prior to emergency amendment filed 3-3-95 by operation of Government Code section 11346.1(f) (Register 95, No. 9).
39. Editorial correction switching HISTORY 12 and 13 and deleting print-only language from HISTORY 37 (Register 95, No. 14).
40. Amendment of subsection (e) filed 7-19-95 as an emergency; operative 7-19-95 (Register 95, No. 29). A Certificate of Compliance must be transmitted to OAL by 11-16-95 or emergency language will be repealed by operation of law on the following day.
41. Amendment of subsection (e) refiled 11-20-95 as an emergency; operative 11-20-95 (Register 95, No. 47). A Certificate of Compliance must be transmitted to OAL by 3-19-96 or emergency language will be repealed by operation of law on the following day.
42. Amendment of subsection (e) and NOTE filed 4-1-96 as an emergency; operative 4-1-96 (Register 96, No. 14). A Certificate of Compliance must be transmitted to OAL by 9-30-96 pursuant to Welfare and Institutions Code section 14132.22 or emergency language will be repealed by operation of law on the following day.
43. Certificate of Compliance as to 7-19-95 order, including further amendment of subsection (e) and amendment of NOTE transmitted to OAL 3-19-96 and filed 4-24-96 (Register 96, No. 17).
44. Editorial correction of NOTE and HISTORY 42 (Register 96, No. 35).
45. Amendment of subsection (e) and NOTE refiled 8-28-96 as an emergency; operative 9-30-96 (Register 96, No. 35). A Certificate of Compliance must be transmitted to OAL by 1-28-97 or emergency language will be repealed by operation of law on the following day.
46. Amendment of subsection (e) and Manual of Criteria for Medi-Cal Authorization (incorporated by reference) filed 11-5-96 as an emergency; operative 12-1-96 (Register 96, No. 45). A Certificate of Compliance must be transmitted to OAL by 3-31-97 or emergency language will be repealed by operation of law on the following day.
47. Certificate of Compliance as to 8-28-96 order, including further amendment of subsection (e) and new footnote, transmitted to OAL 1-23-97 and filed 3-10-97 (Register 97, No. 11).
48. Amendment of subsection (e) and NOTE filed 9-22-97 as an emergency; operative 9-22-97 (Register 97, No. 39). A Certificate of Compliance must be transmitted to OAL by 1-20-98 or emergency language will be repealed by operation of law on the following day.
49. Amendment of subsection (e) filed 12-1-97; operative 12-1-97 pursuant to Government Code section 11343.4(d) (Register 97, No. 49).
50. Amendment of subsection (e) and NOTE, including further amendment of subsection (e), refiled 1-12-98; operative 1-21-98 (Register 98, No. 3). A Certificate of Compliance must be transmitted to OAL by 5-21-98 or emergency language will be repealed by operation of law on the following day.
51. Amendment of subsection (e) filed 4-10-98 as an emergency; operative 4-10-98 (Register 98, No. 15). A Certificate of Compliance must be transmitted to OAL by 8-10-98 or emergency language will be repealed by operation of law on the following day.
52. Amendment of subsection (e) and NOTE refiled 5-21-98 as an emergency; operative 5-21-98 (Register 98, No. 20). A Certificate of Compliance must be transmitted to OAL by 9-18-98 or emergency language will be repealed by operation of law on the following day.
53. Certificate of Compliance as to 4-10-98 order, including further amendment of subsection (e), transmitted to OAL 7-27-98 and filed 9-4-98 (Register 98, No. 36).
54. Certificate of Compliance as to 5-21-98 order, including further amendment of subsection (e) and NOTE transmitted to OAL 9-16-98 and filed 10-27-98 (Register 98, No. 44).
55. Change without regulatory effect amending subsection (e) filed 10-5-99 pursuant to section 100, title 1, California Code of Regulations (Register 99, No. 41).
56. Amendment of subsection (e) and NOTE filed 3-13-2000 as an emergency; operative 3-13-2000 (Register 2000, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-11-2000 or emergency language will be repealed by operation of law on the following day.
57. Amendment of subsection (e) filed 3-27-2000 as an emergency; operative 3-30-2000 (Register 2000, No. 13). A Certificate of Compliance must be transmitted to OAL by 7-28-2000 or emergency language will be repealed by operation of law on the following day.
58. Amendment of subsection (e) filed 6-5-2000 as an emergency; operative 6-5-2000 (Register 2000, No. 23). A Certificate of Compliance must be transmitted to OAL by 10-3-2000 or emergency language will be repealed by operation of law on the following day.
59. Certificate of Compliance as to 3-13-2000 order transmitted to OAL 7-5-2000 and filed 8-14-2000 (Register 2000, No. 33).
60. Amendment of subsection (e) refiled 8-21-2000 as an emergency; operative 10-3-2000 (Register 2000, No. 34). A Certificate of Compliance must be transmitted to OAL by 1-31-2001 or emergency language will be repealed by operation of law on the following day.
61. Certificate of Compliance as to 3-27-2000 order transmitted to OAL 7-17-2000 and filed 8-28-2000 (Register 2000, No. 35).
62. Amendment of subsection (e) filed 9-22-2000 as an emergency; operative 9-22-2000 (Register 2000, No. 38). A Certificate of Compliance must be transmitted to OAL by 1-22-2001 or emergency language will be repealed by operation of law on the following day.
63. Amendment of subsection (e) refiled 1-23-2001 as an emergency; operative 1-23-2001 (Register 2001, No. 4). A Certificate of Compliance must be transmitted to OAL by 5-23-2001 or emergency language will be repealed by operation of law on the following day.
64. Certificate of Compliance as to 8-21-2000 order transmitted to OAL 1-3-2001 and filed 2-5-2001 (Register 2001, No. 6).
65. Certificate of Compliance as to 1-23-2001 order transmitted to OAL 2-7-2001 and filed 3-16-2001 (Register 2001, No. 11).
66. Amendment of subsection (e) and NOTE filed 9-29-2004; operative 10-29-2004 (Register 2004, No. 40).
67. Amendment of section heading, section and NOTE filed 2-22-2007; operative 3-24-2007 (Register 2007, No. 8).
68. Amendment of subsection (e) and NOTE filed 11-6-2007; operative 12-6-2007 (Register 2007, No. 45).
69. Amendment of subsection (e) and NOTE filed 2-21-2012; operative 4-2-2012 (Register 2012, No. 8).
70. Amendment of subsection (e) and NOTE filed 2-13-2014; operative 5-1-2014 (Register 2014, No. 7).

Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code; and Sections 20 and 1267.7, Health and Safety Code. Reference: Sections 14053, 14064, 14081, 14087, 14088, 14088.16, 14088.2, 14103.6, 14105.12, 14132, 14132.22, 14132.25, 14133, 14133.05, 14133.1, 14133.25 and 14133.3, Welfare and Institutions Code; Jeneski v. Meyers (1984) 163 Cal. App.3d 18, 209 Cal. Rptr. 178; Duran v. Belshé, San Diego County Superior Court Case No. 674204, (1995); and Fresno Community Hospital and Medical Center v. State of California, et al., Fresno County, Superior Court Case No. 555694-9, (1996).

1. Amendment of subsection (e) filed 10-27-88 as an emergency; operative 10-27-88 (Register 88, No. 45). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 2-24-89. For prior history, see Register 88, No. 15.
2. Certificate of Compliance including amendment of subsection (e) transmitted to OAL 2-24-89 and filed 3-27-89 (Register 89, No. 13).
3. Amendment of subsection (e) filed 8-16-89; operative 9-15-89 (Register 89, No. 33).
4. Amendment of subsections (a), (b)(3), (c), (e) and (g) filed 3-9-90 as an emergency; operative 3-9-90 (Register 90, No. 12). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 7-9-90.
5. Amendment of subsection (e) filed 4-6-90 as an emergency; operative 4-6-90 (Register 90, No. 17). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 8-6-90.
6. Amendment refiled 7-9-90 as an emergency; operative 7-9-90 (Register 90, No. 35). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed by operation of law on 11-6-90.
7. Amendment of subsection (e) filed 8-2-90 as an emergency readoption of 4-6-90 order; operative 8-2-90 (Register 90, No. 41). A Certificate of Compliance must be transmitted to OAL by 11-30-90, or emergency language will be repealed by operation of law on the following day.
8. Amendment of subsection (c) filed 10-26-90 as an emergency; operative 10-26-90 (Register 90, No. 50). A Certificate of Compliance must be transmitted to OAL by 2-25-91 or emergency language will be repealed by operation of law on the following day.
9. Request to readopt amendment on an emergency basis pursuant to Government Code section 11346.1 granted and filed 11-6-90 as an emergency; operative 11-6-90 (Register 91, No. 1). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 3-6-91.
10. Certificate of Compliance as to 8-2-90 order transmitted to OAL 10-16-90 and filed 11-15-90 (Register 91, No. 6).
11. Readoption and amendment of 10-26-90 order correcting omission of subsection (c) contained in 11-6-90 order, filed 1-18-91 as an emergency; operative 1-18-91 (Register 91, No. 6). A Certificate of Compliance must be transmitted to OAL by 5-20-91 or emergency language will be repealed by operation of law on the following day.
12. Amendment of subsection (e) filed 2-11-91 as an emergency; operative 2-11-91 (Register 91, No. 12). A Certificate of Compliance must be transmitted to OAL by 6-11-91 or emergency language will be repealed by operation of law on the following day.
13. Certificate of Compliance as to 10-26-90 order transmitted to OAL 2-22-91 and filed 3-25-91 (Register 91, No. 15).
14. Certificate of Compliance as to 1-18-91 order transmitted to OAL 2-22-91 and filed 3-25-91 (Register 91, No. 15).
15. Certificate of Compliance as to 11-6-90 order transmitted to OAL 2-22-91; disapproved by OAL on 3-25-91 (Register 91, No. 18).
16. Amendment of subsections (a), (b), (c), (e) and (g) filed 3-25-91 as an emergency; operative 3-25-91 (Register 91, No. 18). A Certificate of Compliance must be transmitted to OAL by 7-23-91 or emergency language will be repealed by operation of law on the following day.
17. Request to readopt 2-11-91 order pursuant to Government Code section 11346.1 granted and filed 5-15-91 as an emergency; operative 6-11-91 (Register 91, No. 26). A Certificate of Compliance must be transmitted to OAL by 10-9-91 or emergency language will be repealed by operation of law on the following day.
18. Request to readopt 5-15-91 order and 8-29-91 order pursuant to Government Code section 11346.1, and merging 5-15-91 order and 8-29-91 order together, granted and filed 10-4-91 as an emergency; operative 10-4-91 (Register 91, No. 52). A Certificate of Compliance must be transmitted to OAL 2-1-92 or emergency language will be repealed by operation of law on the following day.
19. Certificate of Compliance as to 3-25-91 order including amendment of subsection (a) transmitted to OAL 7-19-91 and filed 8-19-91 (Register 92, No. 1).
20. Amendment of subsection (e) filed 8-29-91 as an emergency; operative 8-29-91 (Register 92, No. 10). A Certificate of Compliance must be transmitted to OAL 12-27-91 or emergency language will be repealed by operation of law on the following day.
21. Amendment of subsection (e) refiled 12-23-91 as an emergency; operative 12-23-91 (Register 92, No. 18). A Certificate of Compliance must be transmitted to OAL 4-21-92 or emergency language will be repealed by operation of law on the following day.
22. Certificate of Compliance as to 12-23-91 order transmitted to OAL 4-1-92 and filed 5-5-92 (Register 92, No. 21).
23. Editorial correction to History 21 (Register 92, No. 24).
24. Change without regulatory effect amending subsection (e) filed 1-27-92 pursuant to section 100, title 1, California Code of Regulations (Register 92, No. 24).
25. Request to readopt 10-4-91 order pursuant to Government Code section 11346.1(h) granted and filed 1-28-92 as an emergency; operative 2-4-92 (Register 92, No. 24). A Certificate of Compliance must be transmitted to OAL 6-3-92 or emergency language will be repealed by operation of law on the following day.
26. Request to readopt 1-28-92 order pursuant to Government Code section 11346.1(h) granted and filed 6-8-92 as an emergency; operative 6-3-92 (Register 92, No. 24). A Certificate of Compliance must be transmitted to OAL 10-7-92 or emergency language will be repealed by operation of law on the following day.
27. Request to readopt 6-8-92 order pursuant to Government Code section 11346.1(h) granted and filed 10-6-92 as an emergency; operative 10-7-92 (Register 92, No. 41). A Certificate of Compliance must be transmitted to OAL 2-4-93 or emergency language will be repealed by operation of law on the following day.
28. Change without regulatory effect amending subsection (e) filed 3-1-93; operative 3-31-93 (Register 93, No. 10).
29. Editorial correction of printing error (Register 93, No. 15).
30. Reinstatement of subsection (e) as it existed prior to emergency amendment filed 2-11-91 by operation of Government Code section 11346.1(f) (Register 93, No. 15).
31. Amendment of subsection (e) filed 4-12-93; operative 4-12-93. Submitted to OAL for printing only pursuant to SB 485, section 147 (Register 93, No. 16).
32. Amendment of subsection (e) filed 6-29-93 as an emergency; operative 6-29-93 (Register 93, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-27-93 or emergency language will be repealed by operation of law on the following day.
33. Amendment of subsection (e) filed 9-16-93 as an emergency; operative 9-16-93 (Register 93, No. 38). A Certificate of Compliance must be transmitted to OAL by 1-14-94 or emergency language will be repealed by operation of law on the following day.
34. Certificate of Compliance as to 6-29-93 order transmitted to OAL 10-22-93 and filed 12-7-93 (Register 93, No. 50).
35. Redesignation of former subsection (g) to subsection (h) and new subsection (g) filed 2-10-94 as an emergency; operative 2-10-94 (Register 94, No. 5). A Certificate of Compliance must be transmitted to OAL by 6-10-94 or emergency language will be repealed by operation of law on the following day.
36. Certificate of Compliance as to 9-16-93 order transmitted to OAL 1-13-94 and filed 2-28-94 (Register 94, No. 8).
37. Amendment of subsections (c)(1) and (c)(1)(D), new subsection (c)(1)(H), and amendment of subsection (e) and Note filed 10-20-94; operative 10-20-94 (Register 94, No. 42).
38. Reinstatement of subsection (g) as it existed prior to emergency amendment filed 3-3-95 by operation of Government Code section 11346.1(f) (Register 95, No. 9).
39. Editorial correction switching History 12 and 13 and deleting print-only language from History 37 (Register 95, No. 14).
40. Amendment of subsection (e) filed 7-19-95 as an emergency; operative 7-19-95 (Register 95, No. 29). A Certificate of Compliance must be transmitted to OAL by 11-16-95 or emergency language will be repealed by operation of law on the following day.
41. Amendment of subsection (e) refiled 11-20-95 as an emergency; operative 11-20-95 (Register 95, No. 47). A Certificate of Compliance must be transmitted to OAL by 3-19-96 or emergency language will be repealed by operation of law on the following day.
42. Amendment of subsection (e) and Note filed 4-1-96 as an emergency; operative 4-1-96 (Register 96, No. 14). A Certificate of Compliance must be transmitted to OAL by 9-30-96 pursuant to Welfare and Institutions Code section 14132.22 or emergency language will be repealed by operation of law on the following day.
43. Certificate of Compliance as to 7-19-95 order, including further amendment of subsection (e) and amendment of Note transmitted to OAL 3-19-96 and filed 4-24-96 (Register 96, No. 17).
44. Editorial correction of Note and History 42 (Register 96, No. 35).
45. Amendment of subsection (e) and Note refiled 8-28-96 as an emergency; operative 9-30-96 (Register 96, No. 35). A Certificate of Compliance must be transmitted to OAL by 1-28-97 or emergency language will be repealed by operation of law on the following day.
46. Amendment of subsection (e) and Manual of Criteria for Medi-Cal Authorization (incorporated by reference) filed 11-5-96 as an emergency; operative 12-1-96 (Register 96, No. 45). A Certificate of Compliance must be transmitted to OAL by 3-31-97 or emergency language will be repealed by operation of law on the following day.
47. Certificate of Compliance as to 8-28-96 order, including further amendment of subsection (e) and new footnote, transmitted to OAL 1-23-97 and filed 3-10-97 (Register 97, No. 11).
48. Amendment of subsection (e) and Note filed 9-22-97 as an emergency; operative 9-22-97 (Register 97, No. 39). A Certificate of Compliance must be transmitted to OAL by 1-20-98 or emergency language will be repealed by operation of law on the following day.
49. Amendment of subsection (e) filed 12-1-97; operative 12-1-97 pursuant to Government Code section 11343.4(d) (Register 97, No. 49).
50. Amendment of subsection (e) and Note, including further amendment of subsection (e), refiled 1-12-98; operative 1-21-98 (Register 98, No. 3). A Certificate of Compliance must be transmitted to OAL by 5-21-98 or emergency language will be repealed by operation of law on the following day.
51. Amendment of subsection (e) filed 4-10-98 as an emergency; operative 4-10-98 (Register 98, No. 15). A Certificate of Compliance must be transmitted to OAL by 8-10-98 or emergency language will be repealed by operation of law on the following day.
52. Amendment of subsection (e) and Note refiled 5-21-98 as an emergency; operative 5-21-98 (Register 98, No. 20). A Certificate of Compliance must be transmitted to OAL by 9-18-98 or emergency language will be repealed by operation of law on the following day.
53. Certificate of Compliance as to 4-10-98 order, including further amendment of subsection (e), transmitted to OAL 7-27-98 and filed 9-4-98 (Register 98, No. 36).
54. Certificate of Compliance as to 5-21-98 order, including further amendment of subsection (e) and Note transmitted to OAL 9-16-98 and filed 10-27-98 (Register 98, No. 44).
55. Change without regulatory effect amending subsection (e) filed 10-5-99 pursuant to section 100, title 1, California Code of Regulations (Register 99, No. 41).
56. Amendment of subsection (e) and Note filed 3-13-2000 as an emergency; operative 3-13-2000 (Register 2000, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-11-2000 or emergency language will be repealed by operation of law on the following day.
57. Amendment of subsection (e) filed 3-27-2000 as an emergency; operative 3-30-2000 (Register 2000, No. 13). A Certificate of Compliance must be transmitted to OAL by 7-28-2000 or emergency language will be repealed by operation of law on the following day.
58. Amendment of subsection (e) filed 6-5-2000 as an emergency; operative 6-5-2000 (Register 2000, No. 23). A Certificate of Compliance must be transmitted to OAL by 10-3-2000 or emergency language will be repealed by operation of law on the following day.
59. Certificate of Compliance as to 3-13-2000 order transmitted to OAL 7-5-2000 and filed 8-14-2000 (Register 2000, No. 33).
60. Amendment of subsection (e) refiled 8-21-2000 as an emergency; operative 10-3-2000 (Register 2000, No. 34). A Certificate of Compliance must be transmitted to OAL by 1-31-2001 or emergency language will be repealed by operation of law on the following day.
61. Certificate of Compliance as to 3-27-2000 order transmitted to OAL 7-17-2000 and filed 8-28-2000 (Register 2000, No. 35).
62. Amendment of subsection (e) filed 9-22-2000 as an emergency; operative 9-22-2000 (Register 2000, No. 38). A Certificate of Compliance must be transmitted to OAL by 1-22-2001 or emergency language will be repealed by operation of law on the following day.
63. Amendment of subsection (e) refiled 1-23-2001 as an emergency; operative 1-23-2001 (Register 2001, No. 4). A Certificate of Compliance must be transmitted to OAL by 5-23-2001 or emergency language will be repealed by operation of law on the following day.
64. Certificate of Compliance as to 8-21-2000 order transmitted to OAL 1-3-2001 and filed 2-5-2001 (Register 2001, No. 6).
65. Certificate of Compliance as to 1-23-2001 order transmitted to OAL 2-7-2001 and filed 3-16-2001 (Register 2001, No. 11).
66. Amendment of subsection (e) and Note filed 9-29-2004; operative 10-29-2004 (Register 2004, No. 40).
67. Amendment of section heading, section and Note filed 2-22-2007; operative 3-24-2007 (Register 2007, No. 8).
68. Amendment of subsection (e) and Note filed 11-6-2007; operative 12-6-2007 (Register 2007, No. 45).
69. Amendment of subsection (e) and Note filed 2-21-2012; operative 4-2-2012 (Register 2012, No. 8).
70. Amendment of subsection (e) and Note filed 2-13-2014; operative 5-1-2014 (Register 2014, No. 7).