Cal. Code Regs. Tit. 22, § 76341 - Health Support Services-Physician Services

(a) Physician services shall mean those services provided by physicians responsible for the medical care of individual clients.

(b) Services provided by the physician shall include but not be limited to:

(1) A physical examination within 5 days prior to admission or within 48 hours following admission.

(2) Client diagnosis.

(3) Continuing supervision by a physician who sees the client as needed and in no case less often than every 60 days.

(4) Annual physical examinations which shall include:

(A) Examination of vision and hearing.

(B) Routine screening laboratory examinations as determined necessary by the physician and special studies when the index of suspicion is high.

(5) Immunizations, using as a guide the recommendations of the United States Public Health Service Advisory Committee on Immunization Practices and of the Committee on the Control of Infectious Disease of the American Academy of Pediatrics.

(6) Electroencephalographic services shall be available as necessary.

(7) Provision of emergency medical services in the facility as necessary.

(8) Referral of specialty consultation, as appropriate.

(9) Preventive health services to clients, which shall mean the prompt detection and referral of health problems through medical surveillance, periodic inspection and regular medical examination.

(c) The physician shall sign all orders for diagnostic tests, medications and medical treatment of clients.

(d) The physician shall record progress notes and make other appropriate entries in the client records.

(e) The physician shall review and update medication and medical treatment orders every 60 days.

(f) The attending physician when appropriate shall participate as a member of the interdisciplinary team as required in Section 76311(a) as follows:

(1) In the continuing interdisciplinary evaluation of individual clients for the purposes of initiation, monitoring and follow up of individualized habilitation programs.

(2) In the development for each client's individual program plan of a detailed, written statement of:

(A) Case management goals, encompassing the areas of physical and mental health, education and functional and social competence.

(B) A management plan detailing the various habilitation or rehabilitation modalities that are to be applied in order to achieve the specified goals with clear designation of responsibility for implementation.

(C) Any use of restraint or postural support.

(g) The statement of treatment goals and management plans shall be reviewed and updated:

(1) As needed, but at least semiannually.

(2) To ensure appropriateness of the goals, consistency of the case goals and progress.

(h) Nonphysician medical practitioners shall be permitted to render such medical services for which they are legally authorized and which have been approved by the director of physician services and by the Department. Nonphysician medical practitioners means:

(1) Physician's Assistants. Physician's assistants are divided into two classifications as follows:

(A) Assistant to the primary care physician.

(B) Assistant to the specialized physician.

(2) Registered nurse in the expanded role.

Notes

Cal. Code Regs. Tit. 22, § 76341

Note: Authority cited: Section 208(a), Health and Safety Code. Reference: Sections 1276 and 1277, Health and Safety Code.