Cal. Code Regs. Tit. 22, § 76874 - Health Support Services-Physician Services
(a) Physician services provided shall include
but not be limited to:
(1) Continuing
supervision by a physician who sees the client every 60 days or more frequently
as needed. The Medi-Cal consultant as specified in the California
Administrative Code, Title 22, Division 3, Section
51343.1 may approve an alternate
schedule of visits. An alternative schedule of visits shall not result in more
than three months elapsing between physician visits.
(2) Annual physical examinations which shall
include:
(A) Examination of vision and
hearing.
(B) Laboratory
examinations as determined necessary by the physician.
(3) 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.
(b) Testing for tuberculosis shall consist of
a test for tuberculosis infection that is recommended by the federal Centers
for Disease Control and Prevention (CDC) and licensed by the federal Food and
Drug Administration (FDA). If a positive result is obtained from the
tuberculosis test, the client shall be referred to the attending physician to
determine if a chest X-ray is necessary.
(c) The physician, clinical psychologist,
podiatrist, or dentist shall sign all orders for diagnostic tests, medications
and treatment of clients consistent with their respective licensing practice
act.
(d) The physician, clinical
psychologist, podiatrist or dentist shall record progress notes and make other
appropriate entries in the client records upon each appointment with the
client.
(e) The physician shall
review and update medication and medical treatment orders at least every 60
days. For alternative schedules approved by the Medi-Cal consultant the
medication and treatment orders review shall be in accordance with Section
76874(a). Review
and update of medication and medical treatment orders shall be documented in
accordance with the approved schedule.
(f) The attending physician shall participate
as a member of the interdisciplinary professional staff/team when required by
the Qualified Mental Retardation Professional in consultation with the
Registered Nurse.
(g) Nonphysician
practitioners may be permitted to render those medical services which they are
legally authorized to perform.
Notes
2. Amendment of subsection (b) and NOTE filed 5-30-2013; operative 5-30-2013 pursuant to Government Code section 11343.4(b)(3) (Register 2013, No. 22).
Note: Authority cited: Sections 1267.7, 1275, 121357 and 131200, Health and Safety Code. Reference: Sections 1250, 1276, 121362, 131050, 131051 and 131052, Health and Safety Code.
2. Amendment of subsection (b) and Note filed 5-30-2013; operative 5-30-2013 pursuant to Government Code section 11343.4(b)(3) (Register 2013, No. 22).
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