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 51531 - Payment for Portable Imaging Services

Cal. Code Regs. tit. 22 § 51531

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Current through Register 2024 Notice Reg. No. 23, June 7, 2024
Section 51531 - Payment for Portable Imaging Services
(a) Payment for portable imaging services, when provided at home, in residential care facilities, in intermediate care facilities or in skilled nursing facilities, and done by or under the direction of a physician, may be made when billed by the physician, except when these services are included in the cost payment formula of a skilled nursing facility.
(b) Payment for portable imaging services performed by a portable imaging services provider, in accordance with Sections 51193.1 and 51311(b), when provided at home, in residential care facilities, in intermediate care facilities or in skilled nursing facilities may be made in accordance with the following:
(1) Payment for portable imaging services shall be reasonable charges not to exceed the charge in the locality for similar services with consideration for customary charges. Services shall be billed by the interpreting physician and/or the portable imaging services provider. In no event shall the charge exceed the charge made to the general public.
(2) Payment for portable imaging services transportation shall include transportation of portable imaging equipment and personnel to the home or skilled nursing facility. Maximum reimbursement rates shall be established pursuant to Welfare and Institutions Code Section 14105.23.
(c) Claims for services rendered by a portable imaging services provider shall include the name and address of the portable imaging services provider and ordering provider, the tentative diagnosis and a brief statement stating why portable imaging services are necessary.

Cal. Code Regs. Tit. 22, § 51531

1. Amendment of subsection (b)(2) 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 A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 11-29-84. For prior history, see Register 82, No. 52.
2. Certificate of Compliance transmitted to OAL 11-27-84 and filed 12-27-84 (Register 84, No. 52).
3. Amendment of subsection (b)(2) 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.
4. Certificate of Compliance transmitted to OAL 11-20-85 and filed 12-27-85 (Register 85, No. 52).
5. Amendment of subsection (b)(2) filed 5-9-88 as an emergency; operative 5-15-88 (Register 88, No. 20). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 9-12-88.
6. Certificate of Compliance transmitted to OAL 9-1-88 and filed 10-3-88 (Register 88, No. 42).
7. Amendment of subsection (b)(2) filed 9-25-92 as an emergency; operative 10-1-92 (Register 92, No. 40). A Certificate of Compliance must be transmitted to OAL 1-25-93 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 9-25-92 order transmitted to OAL 1-22-93 and filed 3-9-93 (Register 93, No. 11).
9. Change without regulatory effect amending subsection (b)(2) and NOTE filed 11-29-2007 pursuant to section 100, title 1, California Code of Regulations (Register 2007, No. 48).
10. Amendment of section heading and section filed 5-12-2015; operative 7-1-2015 (Register 2015, No. 20).

Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code; and Section 20, Health and Safety Code. Reference: Section 14105, Welfare and Institutions Code; Statutes of 1982, Chapter 1594, Section 77; Statutes of 1983, Chapter 323, Section 149; Statutes of 1984, Chapter 268, Section 66; and Statutes of 1985, Chapter 111, Items 4260-106-001 and 890.

1. Amendment of subsection (b)(2) 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. For prior history, see Register 82, No. 52.
2. Certificate of Compliance transmitted to OAL 11-27-84 and filed 12-27-84 (Register 84, No. 52).
3. Amendment of subsection (b)(2) 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.
4. Certificate of Compliance transmitted to OAL 11-20-85 and filed 12-27-85 (Register 85, No. 52).
5. Amendment of subsection (b)(2) filed 5-9-88 as an emergency; operative 5-15-88 (Register 88, No. 20). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 9-12-88.
6. Certificate of Compliance transmitted to OAL 9-1-88 and filed 10-3-88 (Register 88, No. 42).
7. Amendment of subsection (b)(2) filed 9-25-92 as an emergency; operative 10-1-92 (Register 92, No. 40). A Certificate of Compliance must be transmitted to OAL 1-25-93 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 9-25-92 order transmitted to OAL 1-22-93 and filed 3-9-93 (Register 93, No. 11).
9. Change without regulatory effect amending subsection (b)(2) and Note filed 11-29-2007 pursuant to section 100, title 1, California Code of Regulations (Register 2007, No. 48).
10. Amendment of section heading and section filed 5-12-2015; operative 7/1/2015 (Register 2015, No. 20).