Article 7 - Payment for Services and Supplies

Section 51501 - General
Section 51502 - Billing Requirements
Section 51502.1 - Requirements for Electronic Claims Submission
Section 51503 - Physician Services
Section 51503.1 - Reimbursement for Services Rendered by a Nonphysician Medical Practitioner
Section 51503.2 - Reimbursement for Services Rendered by a Nurse Midwife, a Certified Family Nurse Practitioner, or a Certified Pediatric Nurse Practitioner
Section 51503.3 - Reimbursement for Sign Language Interpreter Services
Section 51504 - Comprehensive Perinatal Services
Section 51504.1 - Reimbursement for Services Rendered by a Licensed Midwife
Section 51505 - Other Professional Services. [Repealed]
Section 51505.1 - Podiatry Services
Section 51505.2 - Nurse Anesthetist Services
Section 51505.3 - Psychology Services
Section 51506 - Dental Services
Section 51506.1 - Maxillofacial Dental Services
Section 51506.2 - Orthodontic Dental Services. [Repealed]
Section 51507 - Physical Therapy
Section 51507.1 - Occupational Therapy
Section 51507.2 - Speech Therapy and Audiology
Section 51507.3 - Respiratory Care Practitioner
Section 51508 - Hospital Inpatient Services Reimbursement. [Repealed]
Section 51508.1 - Extraordinary Administrative Adjustments. [Repealed]
Section 51508.2 - Definitions. [Repealed]
Section 51508.3 - Application. [Repealed]
Section 51508.4 - Review of Application. [Repealed]
Section 51508.5 - Criteria for Review. [Repealed]
Section 51508.6 - Recommendation. [Repealed]
Section 51508.7 - Action by the Director. [Repealed]
Section 51508.8 - Conditional Administrative Adjustments. [Repealed]
Section 51508.9 - Medi-Cal Hospital Payment Rate Exception. [Repealed]
Section 51509 - Hospital Outpatient Departments
Section 51509.1 - Organized Outpatient Clinics
Section 51509.2 - Chronic Hemodialysis Services
Section 51509.3 - Rural Health Clinic Reimbursement. [Repealed]
Section 51510 - Nursing Facility Level A Services
Section 51510.1 - Intermediate Care Services for the Developmentally Disabled
Section 51510.2 - Intermediate Care Services for the Developmentally Disabled-Habilitative
Section 51510.3 - Intermediate Care Services for the Developmentally Disabled-Nursing
Section 51511 - Nursing Facility Level B Services
Section 51511.1 - Special Program Services for the Mentally Disordered
Section 51511.2 - Uniform Accounting and Cost Reporting System for Skilled Nursing Facilities and Intermediate Care Facilities
Section 51511.3 - Transitional Inpatient Care Services Reimbursement. [Repealed]
Section 51511.5 - Nursing Facility Services - Subacute Care Reimbursement
Section 51511.6 - Nursing Facility Services - Pediatric Subacute Care Reimbursement
Section 51512 - Certified Outpatient Rehabilitation Centers
Section 51513 - Pharmaceutical Services and Prescribed Drugs
Section 51513.1 - Average Wholesale Price (AWP). [Repealed]
Section 51513.2 - Establishment of Maximum Allowable Ingredient Cost. [Repealed]
Section 51513.3 - Maximum Allowable Ingredient Cost. [Repealed]
Section 51513.4 - Maximum Allowable Cost. [Repealed]
Section 51513.5 - Estimated Acquisition Cost. [Repealed]
Section 51513.6 - Prudent Purchase of Drugs Program
Section 51514 - Chiropractic Services
Section 51514.5 - Acupuncture Services
Section 51515 - Reimbursement for Prosthetic and Orthotic Appliances and Repairs. [Repealed]
Section 51516 - Reimbursement for Short-Doyle/Medi-Cal Services
Section 51516.1 - Reimbursement Rates for Drug Medi-Cal Substance Abuse Program Services
Form Adp 6065
Section 51517 - Hearing Aids
Section 51518 - Optometry Services
Section 51519 - Eye Appliances
Section 51519.1 - Dispensing Fees for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract
Section 51519.2 - Reimbursement Rates for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract
Section 51520 - Medical Supplies
Section 51520.1 - Establishment of Maximum Allowable Product Cost for Medical Supplies. [Repealed]
Section 51520.2 - List of Generic Medical Supply Types. [Repealed]
Section 51521 - Durable Medical Equipment
Section 51522 - Hearing and Speech Centers. [Repealed]
Section 51523 - Home Health Agency Services
Section 51524 - In-Home Medical Care Waiver Services and Nursing Facility Waiver Services
Section 51525 - Blood and Blood Derivatives
Section 51526 - Incontinence Medical Supplies
Section 51527 - Medical Transportation Services
Section 51528 - Paramedic Ambulance Services. [Repealed]
Section 51529 - Pathology Services
Section 51531 - Payment for Portable Imaging Services
Section 51532 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services
Section 51532.1 - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Supplemental Services Provided by Registered Nurses, Licensed Vocational Nurses and Certified Home Health Aides
Section 51532.2 - Early and Periodic, Screening, Diagnosis, and Treatment (EPSDT) Supplemental Services: Onsite Investigation to Detect the Source of Lead Contamination
Section 51532.3 - EPSDT Supplemental Services Provider -Pediatric Day Health Care Facility Reimbursement
Section 51533 - Outpatient Heroin Detoxification Services
Section 51534 - Home and Community-Based Services. [Repealed]
Section 51535 - Leave of Absence
Section 51535.1 - Bed Hold for Acute Hospitalization
Section 51535.2 - Reimbursement Rates for Personal Care Services Program
Section 51535.5 - Local Educational Agency (LEA) Services
Section 51535.6 - Reimbursement for Directly Observed Therapy (DOT)
Section 51535.7 - Targeted Case Management Services Reimbursement