California Welfare and Institutions Code
§ 14091.21
WIC § 14091.21 Effective Aug 24, 2007Div. 9 · Part 3 · Ch. 7 · Art. 2.92
Statute text
View on leginfo.ca.gov(a)Nursing facility services necessary for the treatment of illness or injury are covered subject to the provisions of this section:
(b)Nursing facility services are covered only after prior authorization has been obtained from the designated Medi-Cal consultant for the field office area in which the nursing facility is located. The authorization request shall be initiated by the facility and shall be signed by the attending physician. Nursing facility services may be authorized either for a distinct-part nursing facility (a facility that is a distinct part of an acute care hospital), or for a freestanding nursing facility (a facility that is not part of an acute care hospital).
(1)Distinct-part nursing facility care at the distinct-part nursing facility reimbursement rate for any Medi-Cal patient determined to need long-term nursing care shall be authorized when any one of the following conditions is met:
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Legislative history
Amended by Stats. 2007, Ch. 188, Sec. 60. Effective August 24, 2007.