Article 7 - Payment for Services and Supplies

  1. § 51501 - General
  2. § 51502 - Billing Requirements
  3. § 51502.1 - Requirements for Electronic Claims Submission
  4. § 51503 - Physician Services
  5. § 51503.1 - Reimbursement for Services Rendered by a Nonphysician Medical Practitioner
  6. § 51503.2 - Reimbursement for Services Rendered by a Nurse Midwife, a Certified Family Nurse Practitioner, or a Certified Pediatric Nurse Practitioner
  7. § 51503.3 - Reimbursement for Sign Language Interpreter Services
  8. § 51504 - Comprehensive Perinatal Services
  9. § 51504.1 - Reimbursement for Services Rendered by a Licensed Midwife
  10. § 51505 - Other Professional Services. [Repealed]
  11. § 51505.1 - Podiatry Services
  12. § 51505.2 - Nurse Anesthetist Services
  13. § 51505.3 - Psychology Services
  14. § 51506 - Dental Services
  15. § 51506.1 - Maxillofacial Dental Services
  16. § 51506.2 - Orthodontic Dental Services. [Repealed]
  17. § 51507 - Physical Therapy
  18. § 51507.1 - Occupational Therapy
  19. § 51507.2 - Speech Therapy and Audiology
  20. § 51507.3 - Respiratory Care Practitioner
  21. § 51508 - Hospital Inpatient Services Reimbursement. [Repealed]
  22. § 51508.1 - Extraordinary Administrative Adjustments. [Repealed]
  23. § 51508.2 - Definitions. [Repealed]
  24. § 51508.3 - Application. [Repealed]
  25. § 51508.4 - Review of Application. [Repealed]
  26. § 51508.5 - Criteria for Review. [Repealed]
  27. § 51508.6 - Recommendation. [Repealed]
  28. § 51508.7 - Action by the Director. [Repealed]
  29. § 51508.8 - Conditional Administrative Adjustments. [Repealed]
  30. § 51508.9 - Medi-Cal Hospital Payment Rate Exception. [Repealed]
  31. § 51509 - Hospital Outpatient Departments
  32. § 51509.1 - Organized Outpatient Clinics
  33. § 51509.2 - Chronic Hemodialysis Services
  34. § 51509.3 - Rural Health Clinic Reimbursement. [Repealed]
  35. § 51510 - Nursing Facility Level A Services
  36. § 51510.1 - Intermediate Care Services for the Developmentally Disabled
  37. § 51510.2 - Intermediate Care Services for the Developmentally Disabled-Habilitative
  38. § 51510.3 - Intermediate Care Services for the Developmentally Disabled-Nursing
  39. § 51511 - Nursing Facility Level B Services
  40. § 51511.1 - Special Program Services for the Mentally Disordered
  41. § 51511.2 - Uniform Accounting and Cost Reporting System for Skilled Nursing Facilities and Intermediate Care Facilities
  42. § 51511.3 - Transitional Inpatient Care Services Reimbursement. [Repealed]
  43. § 51511.5 - Nursing Facility Services - Subacute Care Reimbursement
  44. § 51511.6 - Nursing Facility Services - Pediatric Subacute Care Reimbursement
  45. § 51512 - Certified Outpatient Rehabilitation Centers
  46. § 51513 - Pharmaceutical Services and Prescribed Drugs
  47. § 51513.1 - Average Wholesale Price (AWP). [Repealed]
  48. § 51513.2 - Establishment of Maximum Allowable Ingredient Cost. [Repealed]
  49. § 51513.3 - Maximum Allowable Ingredient Cost. [Repealed]
  50. § 51513.4 - Maximum Allowable Cost. [Repealed]
  51. § 51513.5 - Estimated Acquisition Cost. [Repealed]
  52. § 51513.6 - Prudent Purchase of Drugs Program
  53. § 51514 - Chiropractic Services
  54. § 51514.5 - Acupuncture Services
  55. § 51515 - Reimbursement for Prosthetic and Orthotic Appliances and Repairs. [Repealed]
  56. § 51516 - Reimbursement for Short-Doyle/Medi-Cal Services
  57. § 51516.1 - Reimbursement Rates for Drug Medi-Cal Substance Abuse Program Services
  58. Form Adp 6065
  59. § 51517 - Hearing Aids
  60. § 51518 - Optometry Services
  61. § 51519 - Eye Appliances
  62. § 51519.1 - Dispensing Fees for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract
  63. § 51519.2 - Reimbursement Rates for Ophthalmic Appliances Supplied by a Fabricating Optical Laboratory Under an Exclusive Area Negotiated Contract
  64. § 51520 - Medical Supplies
  65. § 51520.1 - Establishment of Maximum Allowable Product Cost for Medical Supplies. [Repealed]
  66. § 51520.2 - List of Generic Medical Supply Types. [Repealed]
  67. § 51521 - Durable Medical Equipment
  68. § 51522 - Hearing and Speech Centers. [Repealed]
  69. § 51523 - Home Health Agency Services
  70. § 51524 - In-Home Medical Care Waiver Services and Nursing Facility Waiver Services
  71. § 51525 - Blood and Blood Derivatives
  72. § 51526 - Incontinence Medical Supplies
  73. § 51527 - Medical Transportation Services
  74. § 51528 - Paramedic Ambulance Services. [Repealed]
  75. § 51529 - Pathology Services
  76. § 51531 - Payment for Portable Imaging Services
  77. § 51532 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services
  78. § 51532.1 - Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Supplemental Services Provided by Registered Nurses, Licensed Vocational Nurses and Certified Home Health Aides
  79. § 51532.2 - Early and Periodic, Screening, Diagnosis, and Treatment (EPSDT) Supplemental Services: Onsite Investigation to Detect the Source of Lead Contamination
  80. § 51532.3 - EPSDT Supplemental Services Provider -Pediatric Day Health Care Facility Reimbursement
  81. § 51533 - Outpatient Heroin Detoxification Services
  82. § 51534 - Home and Community-Based Services. [Repealed]
  83. § 51535 - Leave of Absence
  84. § 51535.1 - Bed Hold for Acute Hospitalization
  85. § 51535.2 - Reimbursement Rates for Personal Care Services Program
  86. § 51535.5 - Local Educational Agency (LEA) Services
  87. § 51535.6 - Reimbursement for Directly Observed Therapy (DOT)
  88. § 51535.7 - Targeted Case Management Services Reimbursement

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