Cal. Code Regs. Tit. 22, § 51335.6 - Pediatric Subacute Care Services
(a) Pediatric subacute care services are a
type of skilled nursing facility service, provided in a pediatric subacute care
unit which meets the requirements of Sections
51215.6,
51215.8,
51215.9,
51215.10 and
51215.11.
(b) Pediatric subacute care services provided
in a pediatric subacute unit in a licensed skilled nursing facility are covered
pursuant to the requirements specified in Sections
51124.6 and
51335(a) through (e) and
(g) excepting (b)(1), (c)(1), (f), (h), (j),
(k), (l), and (m).
(c) A Treatment Authorization Request shall
be required for each admission to a subacute unit caring for pediatric
patients, and may be granted for a period of up to six months and reauthorized
for a period of up to six months. A separate Treatment Authorization Request
shall be required for supplemental rehabilitation therapy services as provided
for in Section
51215.10(i) through
(m), and for ventilator weaning, as provided
for in Section
51215.11. Authorization requests
shall be initiated by the facility.
(d) Pediatric subacute bedhold days will be
authorized in accordance with Section
51535.1.
(e) Leave of absence for a Medi-Cal
beneficiary in the pediatric subacute unit will be authorized in accordance
with Section
51535.
(f) Pediatric subacute services shall be
covered only when care is provided in the pediatric subacute unit of the
nursing facility.
Notes
2. Certificate of Compliance as to 4-13-94 order including amendment of section transmitted to OAL 9-26-94 and filed 10-20-94 (Register 94, No. 42).
3. Editorial correction of HISTORY 1 and 2 (Register 95, No. 14).
4. Amendment of subsections (a) and (c) and NOTE filed 6-30-97 as an emergency; operative 6-30-97 (Register 97, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-28-97 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 6-30-97 order transmitted to OAL 10-22-97 and filed 11-26-97 (Register 97, No. 48).
Note: Authority cited: Sections 10725, 14105 and 14124.5, Welfare and Institutions Code. Reference: Section 14132.25, Welfare and Institutions Code.
2. Certificate of Compliance as to 4-13-94 order including amendment of section transmitted to OAL 9-26-94 and filed 10-20-94 (Register 94, No. 42).
3. Editorial correction of History 1 and 2 (Register 95, No. 14).
4. Amendment of subsections (a) and (c) and Note filed 6-30-97 as an emergency; operative 6-30-97 (Register 97, No. 27). A Certificate of Compliance must be transmitted to OAL by 10-28-97 or emergency language will be repealed by operation of law on the following day.
5. Certificate of Compliance as to 6-30-97 order transmitted to OAL 10-22-97 and filed 11-26-97 (Register 97, No. 48).
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