Cal. Code Regs. Tit. 22, § 51123 - Skilled Nursing Facility Services

(a) Skilled nursing facility services include:

(1) Room and board.

(2) Nursing and related care services.

(3) Commonly used items of equipment, supplies and services used for the medical and nursing benefit of patients as set forth in 51511 (b).

(b) Skilled nursing facility services do not include:

(1) Services rendered in accordance with Section 51305, Physician's Services; 51306, Optometry Services; 51307, Dental Services; 51308, Chiropractic Services; 51309, Psychology, Physical Therapy, Occupational Therapy, Speech Therapy, and Audiology Services; 51310, Podiatry Services; 51311, Laboratory, Radiological, and Radioisotope Services; 51312, Prayer or Spiritual Healing; 51313, Pharmaceutical Services and Prescribed Drugs; 51314, Rehabilitation Center Outpatient Services; 51315, Prosthetic and Orthotic Appliances; 51317, Eyeglasses, Prosthetic Eyes, and Other Eye Appliances; 51319, Hearing Aids; 51320, Medical Supplies, other than those described under (a) (3) above; 51321, Durable Medical Equipment, other than those described under (a) (3) above; 51323, Medical Transportation Services; 51325, Blood and Blood Derivatives; 51326, Nurse Anesthetist Services; 51327, Inpatient Hospital Services; 51328, Outpatient Heroin Detoxification Services; 51330, Chronic Hemodialysis; 51330.1, Renal Homotransplantation; 51331, Hospital Outpatient Department Services and Organized Outpatient Clinic Services; 51337, Home Health Agency Services; 51340, Early and Periodic Screening Services; and 51341, Short-Doyle Medi-Cal Provider Services.

(2) Other equipment and supplies for which prior authorizations have been granted to other providers by the Medi-Cal consultant and which are therefore separately billed by other providers of services.

(c) Skilled nursing facility services do not include items and services which are provided under State Department of Social Services regulations.

Notes

Cal. Code Regs. Tit. 22, § 51123

1. Amendment of subsection (b)(1) filed 8-8-78; effective thirtieth day thereafter (Register 78, No. 32). For prior history, see Register 73, No. 28.
2. Amendment of subsections (a)(3) and (c) filed 6-22-87; operative 7-22-87 (Register 87, No. 27).

Note: Authority cited: Section 14124.5, Welfare and Institutions Code. Reference: Section 14132, Welfare and Institutions Code.

1. Amendment of subsection (b)(1) filed 8-8-78; effective thirtieth day thereafter (Register 78, No. 32). For prior history, see Register 73, No. 28.
2. Amendment of subsections (a)(3) and (c) filed 6-22-87; operative 7-22-87 (Register 87, No. 27).