Statutes, codes, and regulations
California Code Of Regulations
Title 22 - Social SecurityDivision 3 - Health Care ServicesSubdivision 1 - California Medical Assistance ProgramChapter 3 - Health Care Services
Article 7 - Payment for Services and Supplies
Section 51505.1 - Podiatry Services

Cal. Code Regs. tit. 22 § 51505.1

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Current through Register 2024 Notice Reg. No. 45, November 8, 2024
Section 51505.1 - Podiatry Services
(a) Reimbursement for podiatry services shall be the usual charges made to the general public not to exceed the maximum reimbursement rates listed in this section for each procedure performed by a podiatrist.
(b) Except as provided in subsections (d), (e), (f), and (g), of this section, the maximum reimbursement rates for podiatry services shall be the amount listed for podiatry services in the "Schedule of Medi-Cal Physician Rates," incorporated by reference in its entirety in Section 51503(b).
(c) As used in (b), a given procedure listed in the "Schedule of Medi-Cal Physician Rates" means those procedures which are a benefit of the Medi-Cal program as determined by the Department.
(d) The maximum reimbursement for "By Report" or procedures not listed in the "Schedule of Medi-Cal Physician Rates" shall be based upon a review of such procedures to determine their relationship to other procedures for which unit reimbursement rates are established.
(e) The maximum reimbursement rate for professional services for injections shall be determined in accordance with 51503(e).
(f) Pathology tests shall be reimbursed in accordance with the provisions of Section 51529.
(g) Podiatry services provided under the California Children's Services program shall be reimbursed at rates which are 39.7 percent greater than the Medi-Cal rate which would otherwise be applicable.

Cal. Code Regs. Tit. 22, § 51505.1

1. Amendment of subsection (b) and new subsection (g) filed 7-30-82 as an emergency; designated effective 8-1-82 (Register 82, No. 33). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-82. For prior history, see Register 81, No. 52.
2. Amendment of subsection (b) filed 12-21-82 as an emergency; effective upon filing (Register 82, No. 52). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-20-83.
3. Certificate of Compliance as to 7-30-82 order transmitted to OAL 11-26-82 and filed 12-27-82 (Register 82, No. 52).
4. Certificate of Compliance as to 12-21-82 order transmitted to OAL 4-19-83 and filed 5-24-83 (Register 83, No. 22).
5. Amendment of subsections (b) and (f) filed 8-1-84 as an emergency; effective upon filing (Register 84, No. 31). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-84.
6. Certificate of Compliance transmitted to OAL 11-27-84 and filed 12-27-84 (Register 84, No. 52).
7. Amendment of subsections (b) and (f) filed 8-1-85 as an emergency; effective on filing (Register 85, No. 32). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-85.
8. Certificate of Compliance transmitted to OAL 11-20-85 and filed 12-27-85 (Register 85, No. 52).
9. Amendment of subsection (f) filed 10-1-87; operative 10-31-87 (Register 87, No. 41).
10. Amendment of table in subsection (b) and NOTE filed 10-1-92 with Secretary of State by Department of Health Services; operative 10-1-92. Submitted to OAL for printing only pursuant to section 147(c), SB 485, (Chapter 722, Statutes of 1992) (Register 92, No. 40).
11. Certificate of Compliance as to 10-1-92 order transmitted to OAL 1-2-93 and filed 3-12-93 (Register 93, No. 11).
12. Amendment of subsection (b), new subsection (h), and amendment of NOTE filed 12-30-97; operative 5-1-98 (Register 98, No. 1).
13. Amendment of subsections (b) and (f), new subsection (i), and amendment of NOTE filed 3-1-99 as an emergency; operative 3-1-99 (Register 99, No. 10). A Certificate of Compliance must be transmitted to OAL by 6-29-99 or emergency language will be repealed by operation of law on the following day.
14. Reinstatement of section as it existed prior to 3-1-99 emergency amendment by operation of Government Code section 11346.1(f) (Register 99, No. 33).
15. Amendment of subsections (b) and (f), new subsection (i) and amendment of NOTE filed 8-10-99 as an emergency; operative 8-10-99 (Register 99, No. 33). A Certificate of Compliance must be transmitted to OAL by 12-8-99 or emergency language will be repealed by operation of law on the following day.
16. Certificate of Compliance as to 8-10-99 order transmitted to OAL 12-2-99 and filed 1-13-2000 (Register 2000, No. 2).
17. Amendment of subsections (b) and (f), new subsection (j) and amendment of NOTE filed 11-13-2000 as an emergency; operative 11-13-2000 (Register 2000, No. 46). A Certificate of Compliance must be transmitted to OAL by 3-13-2001 or emergency language will be repealed by operation of law on the following day.
18. Certificate of Compliance as to 11-13-2000 order transmitted to OAL 3-13-2001 and filed 4-4-2001 (Register 2001, No. 14).
19. Amendment of section and NOTE filed 7-16-2002; operative rates for services provided on or after 8-1-2000 pursuant to Stats. 2000, c. 52, Items 4260-101-0001 and 0890 (Register 2002, No. 29).
20. Certificate of Compliance as to 7-16-2002 order, including repealer of subsection (h), transmitted to OAL 11-12-2002 and filed 12-24-2002 (Register 2002, No. 52).

Note: Authority cited: Sections 10725, 14105 and 14125, Welfare and Institutions Code. Reference: Sections 14105 and 14132, Welfare and Institutions Code; Statutes of 1982, Chapter 1594, Section 77; Statutes of 1983, Chapter 323, Section 149; Statutes of 1984, Chapter 258, Items 4260-106-001 and 890; Statutes of 1984, Chapter 268, Section 66; Statutes of 1985, Chapter 111, Items 4260-106-001 and 890; Statutes of 1992, Chapter 722, Section 88; Statutes of 1998, Chapter 324, Items 4260-101-001 and 0890; Statutes of 1999, Chapter 50, Items 4260-101-0001 and 4260-101-0890; and Section 433.123, Title 42, Code of Federal Regulations; and Statutes of 2000, Chapter 50, Items 4260-101-0001 and 0890.

1. Amendment of subsection (b) and new subsection (g) filed 7-30-82 as an emergency; designated effective 8-1-82 (Register 82, No. 33). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-82. For prior history, see Register 81, No. 52.
2. Amendment of subsection (b) filed 12-21-82 as an emergency; effective upon filing (Register 82, No. 52). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-20-83.
3. Certificate of Compliance as to 7-30-82 order transmitted to OAL 11-26-82 and filed 12-27-82 (Register 82, No. 52).
4. Certificate of Compliance as to 12-21-82 order transmitted to OAL 4-19-83 and filed 5-24-83 (Register 83, No. 22).
5. Amendment of subsections (b) and (f) filed 8-1-84 as an emergency; effective upon filing (Register 84, No. 31). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-84.
6. Certificate of Compliance transmitted to OAL 11-27-84 and filed 12-27-84 (Register 84, No. 52).
7. Amendment of subsections (b) and (f) filed 8-1-85 as an emergency; effective on filing (Register 85, No. 32). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-85.
8. Certificate of Compliance transmitted to OAL 11-20-85 and filed 12-27-85 (Register 85, No. 52).
9. Amendment of subsection (f) filed 10-1-87; operative 10-31-87 (Register 87, No. 41).
10. Amendment of table in subsection (b) and Note filed 10-1-92 with Secretary of State by Department of Health Services; operative 10-1-92. Submitted to OAL for printing only pursuant to section 147(c), SB 485, (Chapter 722, Statutes of 1992) (Register 92, No. 40).
11. Certificate of Compliance as to 10-1-92 order transmitted to OAL 1-2-93 and filed 3-12-93 (Register 93, No. 11).
12. Amendment of subsection (b), new subsection (h), and amendment of Note filed 12-30-97; operative 5-1-98 (Register 98, No. 1).
13. Amendment of subsections (b) and (f), new subsection (i), and amendment of Note filed 3-1-99 as an emergency; operative 3-1-99 (Register 99, No. 10). A Certificate of Compliance must be transmitted to OAL by 6-29-99 or emergency language will be repealed by operation of law on the following day.
14. Reinstatement of section as it existed prior to 3-1-99 emergency amendment by operation of Government Code section 11346.1(f) (Register 99, No. 33).
15. Amendment of subsections (b) and (f), new subsection (i) and amendment of Note filed 8-10-99 as an emergency; operative 8-10-99 (Register 99, No. 33). A Certificate of Compliance must be transmitted to OAL by 12-8-99 or emergency language will be repealed by operation of law on the following day.
16. Certificate of Compliance as to 8-10-99 order transmitted to OAL 12-2-99 and filed 1-13-2000 (Register 2000, No. 2).
17. Amendment of subsections (b) and (f), new subsection (j) and amendment of Note filed 11-13-2000 as an emergency; operative 11-13-2000 (Register 2000, No. 46). A Certificate of Compliance must be transmitted to OAL by 3-13-2001 or emergency language will be repealed by operation of law on the following day.
18. Certificate of Compliance as to 11-13-2000 order transmitted to OAL 3-13-2001 and filed 4-4-2001 (Register 2001, No. 14).
19. Amendment of section and Note filed 7-16-2002; operative rates for services provided on or after 8-1-2000 pursuant to Stats. 2000, c. 52 Items 4260-101-0001 and 0890 (Register 2002, No. 29).
20. Certificate of Compliance as to 7-16-2002 order, including repealer of subsection (h), transmitted to OAL 11-12-2002 and filed 12-24-2002 (Register 2002, No. 52).