Article 4 - Scope and Duration of Benefits

  1. § 51301 - Schedule of Benefits
  2. § 51303 - General Provisions
  3. § 51304 - Benefit Limitations
  4. § 51305 - Physician Services
  5. § 51305.1 - Criteria for the Performance of Sterilization
  6. § 51305.2 - Requirements for Sterilization Other Than Emergency Sterilization. [Repealed]
  7. § 51305.3 - Informed Consent Process for Sterilization
  8. § 51305.4 - Certification of Informed Consent for Sterilization
  9. § 51305.5 - Additional Requirements for Informed Consent Process for Elective Sterilization. [Repealed]
  10. § 51305.6 - Hysterectomy
  11. § 51305.7 - Noncompliance
  12. § 51305.8 - Effective Date. [Repealed]
  13. § 51305.9 - Interim Coverage of Intermediate and Comprehensive Ophthalmological Services for Nonaphakic Beneficiaries. [Repealed]
  14. § 51306 - Optometry Services
  15. § 51306.1 - Interim Coverage of Optometric Services for Nonaphakic Beneficiaries over 21. [Repealed]
  16. § 51307 - Dental Services. [Repealed]
  17. § 51308 - Chiropractic Services
  18. § 51308.5 - Acupuncture Services
  19. § 51309 - Psychology, Physical Therapy, Occupational Therapy, Speech Pathology and Audiological Services
  20. § 51309.5 - Scope of Sign Language Interpreter Services
  21. § 51310 - Podiatry Services
  22. § 51311 - Laboratory, Radiological, and Portable Imaging Services
  23. § 51312 - Prayer or Spiritual Healing
  24. § 51313 - Pharmaceutical Services and Prescribed Drugs
  25. § 51313.3 - Limitations on Coverage of Drugs on the Medi-Cal List of Contract Drugs
  26. § 51313.6 - Drug Evaluation Criteria
  27. § 51314 - Rehabilitation Center Outpatient Services
  28. § 51315 - Amount, Scope, Duration, Limitation and Prior Authorization of Benefits for Orthotic and Prosthetic Appliances and Services
  29. § 51315.1 - Requirements Applicable to the Prior Authorization of Orthotic Appliances and Services
  30. § 51315.2 - Requirements Applicable to the Prior Authorization of Prosthetic Appliances and Services
  31. § 51316 - Respiratory Care Services
  32. § 51317 - Eyeglasses, Contact Lenses, Low Vision Aids, Prosthetic Eyes and Other Eye Appliances
  33. § 51317.1 - Interim Coverage of Eyeglass Lenses. [Repealed]
  34. § 51319 - Hearing Aids
  35. § 51320 - Medical Supplies
  36. § 51321 - Durable Medical Equipment
  37. § 51323 - Medical Transportation Services
  38. § 51325 - Blood and Blood Derivatives
  39. § 51326 - Nurse Anesthetist Services
  40. § 51327 - Inpatient Hospital Services
  41. § 51328 - Outpatient Heroin Detoxification Services
  42. § 51329 - Rehabilitation Center Services. [Repealed]
  43. § 51330 - Chronic Hemodialysis
  44. § 51330.1 - Renal Homotransplantation
  45. § 51331 - Hospital Outpatient Department Services and Organized Outpatient Clinic Services
  46. § 51331.5 - Rural Health Clinic Services
  47. § 51332 - Organized Outpatient Clinic Services. [Repealed]
  48. § 51333 - Other Organized Outpatient Services. [Repealed]
  49. § 51334 - Intermediate Care Services
  50. § 51335 - Skilled Nursing Facility Services
  51. § 51335.1 - Transitional Inpatient Care Services. [Repealed]
  52. § 51335.5 - Subacute Care Services
  53. § 51335.6 - Pediatric Subacute Care Services
  54. § 51336 - Specialized Rehabilitative Services in Skilled Nursing Facilities and Intermediate Care Facilities
  55. § 51337 - Home Health Agency Services
  56. § 51338 - Home Health Aide Services. [Repealed]
  57. § 51339 - Special Duty Nursing. [Repealed]
  58. § 51340 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services and EPSDT Supplemental Services
  59. § 51340.1 - Requirements Applicable to EPSDT Supplemental Services
  60. § 51341 - Short-Doyle Mental Health Medi-Cal Program Services
  61. § 51341.1 - Drug Medi-Cal Substance Use Disorder Services
  62. § 51342 - Acute Administrative Days
  63. § 51343 - Intermediate Care Facility Services for the Developmentally Disabled
  64. § 51343.1 - Intermediate Care Facility Services for the Developmentally Disabled Habilitative
  65. § 51343.2 - Intermediate Care Facility Services for the Developmentally Disabled-Nursing
  66. § 51344 - In-Home Medical Care Waiver Services and Nursing Facility Waiver Services
  67. § 51345 - Nurse Midwife Services
  68. § 51345.1 - Certified Family Nurse Practitioner and Certified Pediatric Nurse Practitioner Services
  69. § 51346 - Home and Community-Based Waiver Services
  70. § 51347 - Swing Bed Services
  71. § 51348 - Comprehensive Perinatal Services
  72. § 51348.1 - Comprehensive Perinatal Standards of Care
  73. § 51348.2 - Patient Rights
  74. § 51349 - Hospice Care
  75. § 51350 - Personal Care Services
  76. § 51351 - Targeted Case Management Services
  77. § 51351.1 - Targeted Case Management Provider Contracts
  78. § 51355 - Tuberculosis (TB) Related Services
  79. § 51356 - Licensed Midwife Services
  80. § 51360 - Local Educational Agency (LEA) Services
  81. § 51365 - Targeted Case Management Services Program

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.


No prior version found.