Cal. Code Regs. Tit. 22, § 51207 - Hospitals
(a) A hospital, to
be eligible for participation in the program, shall:
(1) Be certified, or meet the requirements
for certification under Title XVIII of the Federal Social Security
Act.
(2) Be licensed pursuant to
the provisions of Chapter 2 of the Health and Safety Code.
(3) Have an organized medical staff that has
promulgated medical staff by-laws, rules, and regulations which include
provisions that assure correct utilization and high quality of professional
services rendered to Medi-Cal beneficiaries in the hospital.
(4) Take timely and definitive action,
including initiating proceedings to suspend or terminate hospital privileges,
against medical staff members who provide inappropriate or excessive services,
or services of inferior quality to Medi-Cal beneficiaries.
(b) Notwithstanding the provisions of
paragraph (a) of this regulation, eligibility for participation in the program
shall be conditional on compliance with Welfare and Institutions Code
14105.5.
(c) Notwithstanding any
other provisions of these regulations, those hospitals operated by, or listed
and certified by, the First Church of Christ Scientist, Boston, Massachusetts,
are eligible for participation in the program provided they conform to
governmental requirements with regard to housing, fire protection, safety, and
sanitation.
(d) A hospital which
does not meet all of the requirements of this section, may nevertheless, be
paid under the program for services furnished by it to eligible beneficiaries
of the program on an emergency basis as defined in Section
51056, provided it meets the
requirements specified in subsection (a)(2) of this Section. This provision
shall apply in each case only until such time as the patient may be moved
safely to an institution that meets the requirements of the remainder of this
Section.
Notes
2. Amendment filed 1-18-74; effective thirtieth day thereafter (Register 74, No. 3).
3. Amendment filed 3-7-80; effective thirtieth day thereafter (Register 80, No. 9).
4. Amendment of subsection (a) filed 8-23-85; effective thirtieth day thereafter (Register 85, No. 34).
Note: Authority cited: Sections 14105 and 14124.5, Welfare and Institutions Code. Reference: Sections 14105 and 14110, Welfare and Institutions Code.
2. Amendment filed 1-18-74; effective thirtieth day thereafter (Register 74, No. 3).
3. Amendment filed 3-7-80; effective thirtieth day thereafter (Register 80, No. 9).
4. Amendment of subsection (a) filed 8-23-85; effective thirtieth day thereafter (Register 85, No. 34).
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