Cal. Code Regs. Tit. 22, § 50009.1 - Medical Review

(a) Medical review means a periodic, not less than annual, evaluation of the health needs of each beneficiary in each mental hospital, skilled nursing facility and intermediate care facility. Medical Review is conducted by a Medical Review Team on behalf of the Department.

(b) Such review is to determine the quality and adequacy of the services being provided each beneficiary, the level of care required to meet each beneficiary's health needs and the necessity and desirability of the initial or continued placement of such patient in such facility.

(c) The review shall include a personal contact with and observation of each beneficiary and a review of each beneficiary's medical record by a Team member or members. The review may include a medical examination of the beneficiary by the Medi-Cal consultant when the consultant deems it necessary.

Notes

Cal. Code Regs. Tit. 22, § 50009.1

1. Change without regulatory effect adding NOTE (Register 86, No. 49).

Note: Authority cited: Sections 10725, 10743 and 14124.5, Welfare and Institutions Code. Reference: Sections 14019.5, 14100.1, 14104 and 14119, Welfare and Institutions Code.

1. Change without regulatory effect adding NOTE (Register 86, No. 49).