Cal. Code Regs. Tit. 22, § 53910.5 - Scope of Services

(a) Each GMC plan shall provide or arrange for the provision of Medi-Cal services in accordance with the requirements for PHPs and PCCM plans, as set forth in Chapters 4 and 6, beginning with Sections 53210 and 56210, respectively, unless services are specifically included or excluded under the terms of the GMC contract, and the following:

(1) Initial medical or dental health assessments. An initial health assessment shall include a history of the member's medical or dental health, an identification of risks, an assessment of need for preventive screens or services and health education, and the diagnosis and plan for treatment of any diseases.

(2) Health education.

(3) Preventive services.

(4) Identification and treatment of disease.

(5) Primary and urgent care.

Notes

Cal. Code Regs. Tit. 22, § 53910.5

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).

Note: Authority cited: Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Section 14089, Welfare and Institutions Code.

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).