Cal. Code Regs. Tit. 22, § 54431 - Service Area

(a) Each adult day health center shall serve only participants living in the service area specified in the county plan and approved by the Department. An exception to this requirement may be granted only if the center meets a special need of a particular individual residing outside the service area. Special needs shall be limited to:

(1) The individual does not reside in an adult day health service area.

(2) The adult day health care center in the individual's service area does not provide a needed service.

(3) The individual is a former resident of the service area.

(4) The center offers strong ties to the cultural background of the individual which are not available in the area in which the individual resides.

(b) The following procedures shall be followed in obtaining a waiver:

(1) The center shall send a written waiver request to the Department. A personal letter from the individual stating the reasons for the request shall be attached.

(2) The center shall request a written statement from the participant's personal physician explaining why the lack of service area waiver would be detrimental to the person's total health needs.

(c) The Department shall not provide reimbursement for transportation provided outside the service area.

Notes

Cal. Code Regs. Tit. 22, § 54431

1. Amendment of subsection (b)(1) filed 9-19-79; effective thirtieth day thereafter (Register 79, No. 38).

Note: Authority cited: Chapter 1066, Statutes of 1977. Reference: Chapter 1066, Statutes of 1977.

1. Amendment of subsection (b)(1) filed 9-19-79; effective thirtieth day thereafter (Register 79, No. 38).