Substance abuse treatment providers participating in the Drug Medi-Cal Medi-Cal Medi-Cal is California’s Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources. https://www.dhcs.ca.gov › Pages › Steps-to-Medi-Cal
Steps to Medi-Cal – DHCS – CA.gov
(DMC) program must follow the requirements contained in the CCR, Title 22, Sections 51341.1, 51490.1, and 51516.1. For Narcotic Treatment Programs, Title 22 also refers and ties into CCR Title 9.
No hospital shall discriminate with respect to employment, staff privileges or the provision of professional services against a licensed clinical psychologist within the scope of his/her licensure, or against a licensed physician and surgeon or podiatrist on the basis of whether the physician and surgeon or podiatrist
What is Title 22 Division 5 of the California Code of Regulations?
Title 22 – Social Security. Division 5 – Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies.
What is the CA Title 22 nurse staffing ratio?
(a) Hospitals shall provide staffing by licensed nurses, within the scope of their licensure in accordance with the following nurse-to-patient ratios. Licensed nurse means a registered nurse, licensed vocational nurse and, in psychiatric units only, a psychiatric technician.
Staffing for care not requiring a licensed nurse is not included within these ratios and shall be determined pursuant to the patient classification system. No hospital shall assign a licensed nurse to a nursing unit or clinical area unless that hospital determines that the licensed nurse has demonstrated current competence in providing care in that area, and has also received orientation to that hospital’s clinical area sufficient to provide competent care to patients in that area.
The policies and procedures of the hospital shall contain the hospital’s criteria for making this determination. Licensed nurse-to-patient ratios represent the maximum number of patients that shall be assigned to one licensed nurse at any one time. “Assigned” means the licensed nurse has responsibility for the provision of care to a particular patient within his/her scope of practice.
There shall be no averaging of the number of patients and the total number of licensed nurses on the unit during any one shift nor over any period of time. Only licensed nurses providing direct patient care shall be included in the ratios. Nurse Administrators, Nurse Supervisors, Nurse Managers, and Charge Nurses, and other licensed nurses shall be included in the calculation of the licensed nurse-to-patient ratio only when those licensed nurses are engaged in providing direct patient care.
When a Nurse Administrator, Nurse Supervisor, Nurse Manager, Charge Nurse or other licensed nurse is engaged in activities other than direct patient care, that nurse shall not be included in the ratio. Nurse Administrators, Nurse Supervisors, Nurse Managers, and Charge Nurses who have demonstrated current competence to the hospital in providing care on a particular unit may relieve licensed nurses during breaks, meals, and other routine, expected absences from the unit.
Licensed vocational nurses may constitute up to 50 percent of the licensed nurses assigned to patient care on any unit, except where registered nurses are required pursuant to the patient classification system or this section. Only registered nurses shall be assigned to Intensive Care Newborn Nursery Service Units, which specifically require one registered nurse to two or fewer infants.
In the Emergency Department, only registered nurses shall be assigned to triage patients and only registered nurses shall be assigned to critical trauma patients. Nothing in this section shall prohibit a licensed nurse from assisting with specific tasks within the scope of his or her practice for a patient assigned to another nurse.
Assist” means that licensed nurses may provide patient care beyond their patient assignments if the tasks performed are specific and time-limited. (1) The licensed nurse-to-patient ratio in a critical care unit shall be 1:2 or fewer at all times. “Critical care unit” means a nursing unit of a general acute care hospital which provides one of the following services: an intensive care service, a burn center, a coronary care service, an acute respiratory service, or an intensive care newborn nursery service.
In the intensive care newborn nursery service, the ratio shall be 1 registered nurse:2 or fewer patients at all times. (2) The surgical service operating room shall have at least one registered nurse assigned to the duties of the circulating nurse and a minimum of one additional person serving as scrub assistant for each patient-occupied operating room.
The scrub assistant may be a licensed nurse, an operating room technician, or other person who has demonstrated current competence to the hospital as a scrub assistant, but shall not be a physician or other licensed health professional who is assisting in the performance of surgery. (3) The licensed nurse-to-patient ratio in a labor and delivery suite of the perinatal service shall be 1:2 or fewer active labor patients at all times.
When a licensed nurse is caring for antepartum patients who are not in active labor, the licensed nurse-to-patient ratio shall be 1:4 or fewer at all times. (4) The licensed nurse-to-patient ratio in a postpartum area of the perinatal service shall be 1:4 mother-baby couplets or fewer at all times.
- In the event of multiple births, the total number of mothers plus infants assigned to a single licensed nurse shall never exceed eight.
- For postpartum areas in which the licensed nurse’s assignment consists of mothers only, the licensed nurse-to-patient ratio shall be 1:6 or fewer at all times.
- 5) The licensed nurse-to-patient ratio in a combined Labor/Delivery/Postpartum area of the perinatal service shall be 1:3 or fewer at all times the licensed nurse is caring for a patient combination of one woman in active labor and a postpartum mother and infant The licensed nurse-to-patient ratio for nurses caring for women in active labor only, antepartum patients who are not in active labor only, postpartum women only, or mother-baby couplets only, shall be the same ratios as stated in subsections (3) and (4) above for those categories of patients.
(6) The licensed nurse-to-patient ratio in a pediatric service unit shall be 1:4 or fewer at all times. (7) The licensed nurse-to-patient ratio in a postanesthesia recovery unit of the anesthesia service shall be 1:2 or fewer at all times, regardless of the type of anesthesia the patient received.
8) In a hospital providing basic emergency medical services or comprehensive emergency medical services, the licensed nurse-to-patient ratio in an emergency department shall be 1:4 or fewer at all times that patients are receiving treatment. There shall be no fewer than two licensed nurses physically present in the emergency department when a patient is present.
At least one of the licensed nurses shall be a registered nurse assigned to triage patients. The registered nurse assigned to triage patients shall be immediately available at all times to triage patients when they arrive in the emergency department. When there are no patients needing triage, the registered nurse may assist by performing other nursing tasks.
- The registered nurse assigned to triage patients shall not be counted in the licensed nurse-to-patient ratio.
- Hospitals designated by the Local Emergency Medical Services (LEMS) Agency as a “base hospital,” as defined in section 1797.58 of the Health and Safety Code, shall have either a licensed physician or a registered nurse on duty to respond to the base radio 24 hours each day.
When the duty of base radio responder is assigned to a registered nurse, that registered nurse may assist by performing other nursing tasks when not responding to radio calls, but shall be immediately available to respond to requests for medical direction on the base radio.
- The registered nurse assigned as base radio responder shall not be counted in the licensed nurse-to-patient ratios.
- When licensed nursing staff are attending critical care patients in the emergency department, the licensed nurse-to-patient ratio shall be 1:2 or fewer critical care patients at all times.
A patient in the emergency department shall be considered a critical care patient when the patient meets the criteria for admission to a critical care service area within the hospital. Only registered nurses shall be assigned to critical trauma patients in the emergency department, and a minimum registered nurse-to-critical trauma patient ratio of 1:1 shall be maintained at all times.
A critical trauma patient is a patient who has injuries to an anatomic area that : (1) require life saving interventions, or (2) in conjunction with unstable vital signs, pose an immediate threat to life or limb. (9) The licensed nurse-to-patient ratio in a step-down unit shall be 1:4 or fewer at all times.
Commencing January 1, 2008, the licensed nurse-to-patient ratio in a step-down unit shall be 1:3 or fewer at all times. A “step down unit” is defined as a unit which is organized, operated, and maintained to provide for the monitoring and care of patients with moderate or potentially severe physiologic instability requiring technical support but not necessarily artificial life support.
- Step-down patients are those patients who require less care than intensive care, but more than that which is available from medical/surgical care.
- Artificial life support” is defined as a system that uses medical technology to aid, support, or replace a vital function of the body that has been seriously damaged.
“Technical support” is defined as specialized equipment and/or personnel providing for invasive monitoring, telemetry, or mechanical ventilation, for the immediate amelioration or remediation of severe pathology. (10) The licensed nurse-to-patient ratio in a telemetry unit shall be 1:5 or fewer at all times.
Commencing January 1, 2008, the licensed nurse-to-patient ratio in a telemetry unit shall be 1:4 or fewer at all times. “Telemetry unit” is defined as a unit organized, operated, and maintained to provide care for and continuous cardiac monitoring of patients in a stable condition, having or suspected of having a cardiac condition or a disease requiring the electronic monitoring, recording, retrieval, and display of cardiac electrical signals.
“Telemetry unit” as defined in these regulations does not include fetal monitoring nor fetal surveillance. (11) The licensed nurse-to-patient ratio in medical/surgical care units shall be 1:6 or fewer at all times. Commencing January 1, 2005, the licensed nurse-to-patient ratio in medical/surgical care units shall be 1:5 or fewer at all times.
A medical/surgical unit is a unit with beds classified as medical/surgical in which patients, who require less care than that which is available in intensive care units, step-down units, or specialty care units receive 24 hour inpatient general medical services, post-surgical services, or both general medical and post-surgical services.
These units may include mixed patient populations of diverse diagnoses and diverse age groups who require care appropriate to a medical/surgical unit. (12) The licensed nurse-to-patient ratio in a specialty care unit shall be 1:5 or fewer at all times.
Commencing January 1, 2008, the licensed nurse-to-patient ratio in a specialty care unit shall be 1:4 or fewer at all times. A specialty care unit is defined as a unit which is organized, operated, and maintained to provide care for a specific medical condition or a specific patient population. Services provided in these units are more specialized to meet the needs of patients with the specific condition or disease process than that which is required on medical/surgical units, and is not otherwise covered by subdivision (a).
(13) The licensed nurse-to-patient ratio in a psychiatric unit shall be 1:6 or fewer at all times. For purposes of psychiatric units only, “licensed nurses” also includes psychiatric technicians in addition to licensed vocational nurses and registered nurses.
Licensed vocational nurses, psychiatric technicians, or a combination of both, shall not exceed 50 percent of the licensed nurses on the unit. (14) Identifying a unit by a name or term other than those used in this subsection does not affect the requirement to staff at the ratios identified for the level or type of care described in this subsection.
(b) In addition to the requirements of subsection (a), the hospital shall implement a patient classification system as defined in Section70053.2 above for determining nursing care needs of individual patients that reflects the assessment, made by a registered nurse as specified at subsection70215(a)(1), of patient requirements and provides for shift-by-shift staffing based on those requirements.
- The ratios specified in subsection (a) shall constitute the minimum number of registered nurses, licensed vocational nurses, and in the case of psychiatric units, psychiatric technicians, who shall be assigned to direct patient care.
- Additional staff in excess of these prescribed ratios, including non-licensed staff, shall be assigned in accordance with the hospital’s documented patient classification system for determining nursing care requirements, considering factors that include the severity of the illness, the need for specialized equipment and technology, the complexity of clinical judgment needed to design, implement, and evaluate the patient care plan, the ability for self-care, and the licensure of the personnel required for care.
The system developed by the hospital shall include, but not be limited to, the following elements: (1) Individual patient care requirements. (2) The patient care delivery system. (3) Generally accepted standards of nursing practice, as well as elements reflective of the unique nature of the hospital’s patient population.
- C) A written staffing plan shall be developed by the administrator of nursing service or a designee, based on patient care needs determined by the patient classification system.
- The staffing plan shall be developed and implemented for each patient care unit and shall specify patient care requirements and the staffing levels for registered nurses and other licensed and unlicensed personnel.
In no case shall the staffing level for licensed nurses fall below the requirements of subsection (a). The plan shall include the following: (1) Staffing requirements as determined by the patient classification system for each unit, documented on a day-to-day, shift-by-shift basis.
(2) The actual staff and staff mix provided, documented on a day-to-day, shift-by-shift basis. (3) The variance between required and actual staffing patterns, documented on a day-to-day, shift-by-shift basis. (d) In addition to the documentation required in subsections (c)(1) through (3) above, the hospital shall keep a record of the actual registered nurse, licensed vocational nurse and psychiatric technician assignments to individual patients by licensure category, documented on a day-to-day, shift-by-shift basis.
The hospital shall retain: (1) The staffing plan required in subsections (c)(1) through (3) for the time period between licensing surveys, which includes the Consolidated Accreditation and Licensing Survey process, and (2) The record of the actual registered nurse, licensed vocational nurse and psychiatric technician assignments by licensure category for a minimum of one year.
- E) The reliability of the patient classification system for validating staffing requirements shall be reviewed at least annually by a committee appointed by the nursing administrator to determine whether or not the system accurately measures patient care needs.
- F) At least half of the members of the review committee shall be registered nurses who provide direct patient care.
(g) If the review reveals that adjustments are necessary in the patient classification system in order to assure accuracy in measuring patient care needs, such adjustments must be implemented within thirty (30) days of that determination. (h) Hospitals shall develop and document a process by which all interested staff may provide input about the patient classification system, the system’s required revisions, and the overall staffing plan.
- I) The administrator of nursing services shall not be designated to serve as a charge nurse or to have direct patient care responsibility, except as described in subsection (a) above.
- J) Registered nursing personnel shall: (1) Assist the administrator of nursing service so that supervision of nursing care occurs on a 24-hour basis.
(2) Provide direct patient care. (3) Provide clinical supervision and coordination of the care given by licensed vocational nurses and unlicensed nursing personnel. (k) Each patient care unit shall have a registered nurse assigned, present and responsible for the patient care in the unit on each shift.
- L ) A rural General Acute Care Hospital as defined in Health and Safety Code Section 1250(a), may apply for and be granted program flexibility for the requirements of subsection 70217(i) and for the personnel requirements of subsection (j)(1) above.
- M) Unlicensed personnel may be utilized as needed to assist with simple nursing procedures, subject to the requirements of competency validation.
Hospital policies and procedures shall describe the responsibility of unlicensed personnel and limit their duties to tasks that do not require licensure as a registered or vocational nurse. (n) Nursing personnel from temporary nursing agencies shall not be responsible for a patient care unit without having demonstrated clinical and supervisory competence as defined by the hospital’s standards of staff performance pursuant to the requirements of subsection 70213(c) above.
O) Hospitals which utilize temporary nursing agencies shall have and adhere to a written procedure to orient and evaluate personnel from these sources. Such procedures shall require that personnel from temporary nursing agencies be evaluated as often, or more often, than staff employed directly by the hospital.
(p) All registered and licensed vocational nurses utilized in the hospital shall have current licenses. A method to document current licensure shall be established. (q) The hospital shall plan for routine fluctuations in patient census. If a healthcare emergency causes a change in the number of patients on a unit, the hospital must demonstrate that prompt efforts were made to maintain required staffing levels.
What is Title 22 California outpatient services?
Cal. Code Regs. Tit.22, § 70525 – Outpatient Service Definition Outpatient service means the rendering of nonemergency health care services to patients who remain in the hospital less than 24 hours with the appropriate staff, space, equipment and supplies.
- Cal. Code Regs.
- Tit.22, § 70525 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. : Cal.
Code Regs. Tit.22, § 70525 – Outpatient Service Definition
What is California Title 22 first responder?
Title 22 First Aid for Public Safety Personnel provides first responder personnel with advanced first aid skills. Title 22 First Aid meets the first aid training requirements for California Code of Regulations and is valid for 2 years. Participants must be 15 years old at the time of the course.
What is Title 22 California Code of Regulations dietetic services?
Cal. Code Regs. Tit.22, § 72339 – Dietetic Service -Therapeutic Diets Therapeutic diets shall be provided for each patient as prescribed and shall be planned, prepared and served with supervision and/or consultation from the dietitian. Persons responsible for therapeutic diets shall have sufficient knowledge of food values to make appropriate substitutions when necessary.
- Cal. Code Regs.
- Tit.22, § 72339 Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code.
- Reference: Section 1276, Health and Safety Code.
- 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. : Cal. Code Regs. Tit.22, § 72339 – Dietetic Service -Therapeutic Diets
What is Title 22 of the California Code of Regulations Section 100017?
(a) The initial course of instruction shall at a minimum consist of not less than twenty-one (21) hours in first aid and CPR. (b) The course of instruction shall include, but need not be limited to, the following scope of courses as described in (c) below, which shall prepare personnel specified in Section 100014 of this Chapter to recognize the injury or illness of the individual and render assistance.
(c) The content of the training course shall include recognition and basic first aid level treatment of at least the following topics and shall be competency based: (1) Role of the public safety first aid provider; (A) Personal safety; (i) Scene size-up. (B) Body substance isolation, including removing contaminated gloves; (C) Legal considerations; (D) Emergency Medical Services (EMS) access; (E) Integration with EMS personnel to include active shooter incidents; (F) Minimum equipment and first aid kits.
(2) Heart attack and sudden cardiac arrest; (A) Respiratory and circulatory systems; (B) Heart attack; (C) Sudden cardiac arrest and early defibrillation; (D) Chain of survival. (3) CPR and AED for adults, children, and infants, following current AHA Guidelines for CPR and ECC at the Healthcare provider level; (A) Basic airway management; (B) Rescue breathing; (i) Mouth-to-mouth; (ii) Mouth-to-mask; (iii) Bag-valve-mask (BVM).
- C) Chest compressions and CPR/AED; (i) Basic AED operation; (ii) Using the AED; (iii) Troubleshooting and other considerations.
- D) Single rescuer CPR/AED on adult, child and infant; (E) Two rescuer CPR/AED on adult, child and infant; (F) Recovery position.
- 4) Management of foreign body airway obstruction on adults, children, and infants; (A) Conscious patients; (B) Unconscious patients.
(5) Recognition and identification of adult and pediatric patients for both medical and traumatic emergencies; (A) Performing a primary assessment; (B) Performing a secondary assessment; (C) Obtaining a patient history. (6) Medical emergencies; (A) Pain, severe pressure, or discomfort in chest; (B) Breathing difficulties, including asthma and COPD; (C) Allergic reactions and anaphylaxis; (D) Altered mental status; (E) Stroke; (F) Diabetic emergencies; (i) Administration of oral glucose.
G) Seizures; (H) Alcohol and drug emergencies; (i) Assisted naloxone administration and accessing EMS. (I) Severe abdominal pain; (J) Obstetrical emergencies. (7) Burns; (A) Thermal burns; (B) Chemical burns; (C) Electrical burns. (8) Facial injuries; (A) Objects in the eye; (B) Chemical in the eye; (C) Nosebleed; (D) Dental emergencies.
(9) Environmental emergencies; (A) Heat emergencies; (B) Cold emergencies; (C) Drowning. (10) Bites and stings; (A) Insect bites and stings; (B) Animal and human bites; (C) Assisted administration of epinephrine auto-injector and accessing EMS. (11) Poisoning; (A) Ingested poisoning; (B) Inhaled poisoning; (C) Exposure to chemical, biological, radiological, or nuclear (CBRN) substances; (i) Recognition of exposure; (ii) Scene safety.
D) Poison control system. (12) Identify signs and symptoms of psychological emergencies. (13) Patient movement; (A) Emergency movement of patients; (B) Lifts and carries which may include: using soft litters and manual extractions including fore/aft, side-by-side, shoulder/belt. (14) Tactical and rescue first aid principles applied to violent circumstances; (A) Principles of tactical casualty care; (i) Determining treatment priorities.
(15) Orientation to the EMS system, including: (A) 9-1-1 access; (B) Interaction with EMS personnel; (C) Identification of local EMS and trauma systems. (16) Trauma emergencies; (A) Soft tissue injuries and wounds; (B) Amputations and impaled objects; (C) Chest and abdominal injuries; (i) Review of basic treatment for chest wall injuries; (ii) Application of chest seals.
D) Head, neck, or back injury; (E) Spinal immobilization; (F) Musculoskeletal trauma and splinting; (G) Recognition of signs and symptoms of shock; (i) Basic treatment of shock; (ii) Importance of maintaining normal body temperature. (H) Internal bleeding; (I) Control of bleeding, including direct pressure, tourniquet, hemostatic dressings, chest seals and dressings; (i) Training in the use of hemostatic dressings shall result in competency in the application of hemostatic dressings.
Included in the training shall be the following topics and skills: 1. Review of basic methods of bleeding control to include but not be limited to direct pressure, pressure bandages, tourniquets, and hemostatic dressings and wound packing; 2. Types of hemostatic dressings.
What is Title 22 California Code of Regulations 72311?
(a) Nursing service shall include, but not be limited to, the following: (1) Planning of patient care, which shall include at least the following: (A) Identification of care needs based upon an initial written and continuing assessment of the patient’s needs with input, as necessary, from health professionals involved in the care of the patient.
- Initial assessments shall commence at the time of admission of the patient and be completed within seven days after admission.
- B) Development of an individual, written patient care plan which indicates the care to be given, the objectives to be accomplished and the professional discipline responsible for each element of care.
Objectives shall be measurable and time-limited. (C) Reviewing, evaluating and updating of the patient care plan as necessary by the nursing staff and other professional personnel involved in the care of the patient at least quarterly, and more often if there is a change in the patient’s condition.
- 2) Implementing of each patient’s care plan according to the methods indicated.
- Each patient’s care shall be based on this plan.
- 3) Notifying the attending licensed healthcare practitioner acting within the scope of his or her professional licensure promptly of: (A) The admission of a patient.
- B) Any sudden and/or marked adverse change in signs, symptoms or behavior exhibited by a patient.
(C) An unusual occurrence, as provided in Section 72541, involving a patient. (D) A change in weight of five pounds or more within a 30-day period unless a different stipulation has been stated in writing by the patient’s licensed healthcare practitioner acting within the scope of his or her professional licensure.
- E) Any untoward response or reaction by a patient to a medication or treatment.
- F) Any error in the administration of a medication or treatment to a patient which is life threatening and presents a risk to the patient.
- G) The facility’s inability to obtain or administer, on a prompt and timely basis, drugs, equipment, supplies or services as prescribed under conditions which present a risk to the health, safety or security of the patient.
(b) All attempts to notify licensed healthcare practitioners acting within the scope of his or her professional licensure shall be noted in the patient’s health record including the time and method of communication and the name of the person acknowledging contact, if any.
What is Title 22 California Code of Regulations 87208?
22 § 87208. Section 87208 – Plan of Operation (a) Each facility shall have and maintain a current, written definitive plan of operation.
What is the best RN to patient ratio?
What Is the Nurse-to-Patient Ratio Recommendation? – Generally, the nurse-to-patient ratio recommendation is one nurse to every four patients. According to a National Nurses United report, there are currently no federal mandates that regulate the number of patients registered nurses (RNs) can care for simultaneously.
Can an RN pronounce death in California?
(a) Policy California Correctional Health Care Services (CCHCS) shall permit Registered Nurses (RNs) to make the determination and pronouncement of patient death under specified circumstances. This policy applies only to determining the irreversible cessation of circulatory and respiratory function.
What is Title 5 in California?
California law for community colleges is explained and further detailed in the California Code of Regulations which has a section or title devoted to community colleges identified by number – Title 5, In order to successfully navigate the online search for regulations about California community colleges, enter the number “5” where the prompt asks for the “Title.” If the section of interest is already known, type it in, or search for sections of interest using the search function.
Title 5 regulations are the working understanding of Education Code mandates established by the California Legislature. Education Code supersedes Title 5 regulations. The California Community College’s Board of Governors is responsible for approving Title 5 regulations, and the California Community Colleges Chancellor’s Office (CCCCO) is responsible for implementation and compliance.
To make changes to Title 5, constituent groups within the California community colleges may propose edits, additions or deletions to the CCCCO. The Academic Senate for California Community Colleges recommends changes with regard to academic and professional matters, especially curriculum, degrees, student success, prerequisites, minimum qualifications, and other instructional topics where faculty have purview according to Title 5 §53200.
What is Title 22 of the California Code of Regulations 87457?
(a) Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions. (1) Sufficient information about the facility and its services shall be provided to enable all persons involved in the placement to make an informed decision regarding admission.
- 2) The prospective resident’s desires regarding admission, and his/her background, including any specific service needs, medical background and functional limitations shall be discussed.
- B) No person shall be admitted without his/her consent and agreement, or that of his/her responsible person, if any.
(c) Prior to admission a determination of the prospective resident’s suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations.
1) The appraisal shall include, at a minimum, an evaluation of the prospective resident’s functional capabilities, mental condition and an evaluation of social factors as specified in Sections 87459, Functional Capabilities and 87462, Social Factors. (A) The licensee shall be permitted to use the form LIC 603 (Rev.6/87), Preplacement Appraisal Information, to document the appraisal.
(2) Except as provided in Section 87638(g)(3), if an initial appraisal or any reappraisal identifies an individual resident service need which is not being met by the general program of facility services, advice shall then be obtained from a physician, social worker, or other appropriate consultant to determine if the needs can be met by the facility.
If so, the licensee and the consultant shall develop a plan of action which shall include: (A) Objectives, within a time frame, which relate to the resident’s problems and/or unmet needs. (B) Plans for meeting the objectives. (C) Identification of any individuals or agencies responsible for implementing each part of the plan.
(D) Method of evaluating progress. (3) The prospective resident, or his/her responsible person, if any, shall be involved in the development of the appraisal. (4) If a needs assessment has already been completed by a placement agency or consultant, this shall be obtained and included in the facilities appraisal.
What is Title 22 of the California Code of Regulations Section 1375?
A claimant who negligently reports or fails to report information which results in an overpayment is at fault. If the claimant is at fault he or she is liable for the overpayment.
What is Title 22 California Code of Regulations Section 51309?
(a) Psychology, physical therapy, occupational therapy, speech pathology and audiological services are covered when provided by persons who meet the appropriate requirements specified in Article 2 and Article 3 of this Chapter. The written prescription of a physician, dentist or podiatrist is required for physical therapy and occupational therapy services.
Speech pathology and audiological services shall be provided only upon the written referral of a physician or dentist. (b) Physical therapy services shall include physical therapy evaluation, treatment planning, treatment, instruction, consultative services, and application of topical medications. Services do not include the use of Roentgen rays or radioactive materials or the use of electricity for surgical purposes including cauterization.
Services are limited to treatment immediately necessary to prevent or to reduce anticipated hospitalization or to continue a necessary plan of treatment after discharge from the hospital. (c) Occupational therapy services shall include occupational therapy evaluation, treatment planning, treatment, instruction and consultative services.
- D) Such services, except physical therapy, are subject to the limitations set forth in Section 51304(a).
- Physical therapy services may be provided after prior authorization and approval of a treatment plan is obtained from the Medi-Cal consultant.
- 1) The authorization request shall include diagnosis, modalities, frequency, therapeutic goals, duration of treatment and date of progress review where applicable.
The physician’s, dentist’s or podiatrist’s prescription shall be attached to the authorization request. (2) Authorization for physical therapy services shall be contingent upon compliance with the following requirements: (A) There is direct and specific relationship of the services to written treatment plan prescribed by the physician, dentist or podiatrist after consultation with a qualified physical therapist.
- B) The complexity and sophistication of the level of service or condition of the beneficiary requires the judgment, knowledge and skills of a physical therapist.
- C) Provision of the services is with the expectation that the beneficiary will improve significantly in a reasonable and generally predictable period of time or to establish an effective maintenance program in connection with a specific disease state.
(D) Service is to be performed by a qualified physical therapist who meets the standards set forth in Section 51201.1 of this chapter. (E) The service is considered, under accepted standards of medical practice, to be a specific and effective treatment for the beneficiary’s condition.
- F) The service is reasonable and medically necessary for the treatment of the beneficiary’s condition.
- 3) Professional physical therapy necessary to establish or periodically reevaluate a palliative or maintenance therapy program may be authorized.
- Services which do not require the skills of a physical therapist shall not be covered or authorized.
(4) Prior authorization shall not be granted for more than 30 treatments at any one time. Authorizations shall be valid for up to 120 days. A request for reauthorization shall include a statement describing the beneficiary’s progress toward achieving the therapeutic goals included in the treatment plan.
What is California Title 21?
The California Code of Regulations (CCR) Title 21 is one of 27 Titles that contain state regulations. Title 21, called “Public Works,” contains 7 Divisions. There are also numerous chapters and articles containing regulatory sections, or individual regulations.
The following is a broad overview of CCR Title 21. Division 1. Department of General Services Chapter 1. Division of the State Architect – 117 Sections Division 2. Department of Transportation Chapter 1. Toll Bridge Facilities – 13 Sections Chapter 2. Vehicle Rate Restrictions on Designated State Highways Chapter 3.
Relocation Assistance – 1 Section Chapter 4. Relocation Housing Program Chapter 5. Official Traffic Control Devices Chapter 6. Guidelines for Traffic Control Devices on State Highways near Schools Chapter 7. Transportation Permits – 7 Sections Chapter 7.5.
California Toll Bridge Authority * Chapter 8. Encroachment Permits – 14 Sections Chapter 9. Excess Real Property – 3 Sections Chapter 9.5. State Route 710 Sales Program – 32 Sections Chapter 10. Bicycle Lane Account Chapter 11. Regulations for Implementation of the California Environmental Quality Act of 1970 – 4 Sections Chapter 12.
Selection Process for Private Architectural and Engineering Firms – 26 Sections Chapter 13. Grade Separation Projects -Applications for Allocation or Supplemental Allocations – 8 Sections Chapter 14. Department of Transportation – Conflict of Interest Code – 1 Section Chapter 15.
Nonurbanized Public Transportation – 15 Sections Chapter 16. Compatibility Specifications for Automatic Vehicle Identification Equipment – 34 Sections Chapter 19. Placement of Motorist Services Informational Signs near Highway Exits Along Interstate Route 5 – 20 Sections Chapter 20. Permissible Activity and Use of Safety Roadside Rest Areas and Vista Points in and Along California State Highways – 15 Sections and 2 Appendices Chapter 21.
Minority and Women Business Enterprise Participation in State Contracts – 4 Sections Chapter 22. Contractor Debarment – 20 Sections Chapter 23. Adopt-a-Highway Program – 33 Sections Chapter 24. Right of Way – 6 Sections Division 2.5. Division of Aeronautics (Department of Transportation) Chapter 1.
General Provisions Chapter 2. Airports and Heliports – 30 Sections Chapter 2.1. School Site Evaluation Criteria – 1 Section Chapter 2.5. Recreation and Reliever Training Airports – 6 Sections Chapter 3. Parachute Jumping Chapter 4. California Aid to Airports Program – 18 Sections Chapter 5. California Airport Loan Program – 5 Sections and 1 Appendix Chapter 6.
Noise Standards – 57 Sections Division 3. California State Transportation Agency Chapter 1. Bus Transportation Demonstration Program* Chapter 2. Transportation Development* – 82 Sections Chapter 2.5. State Transit Assistance Program – 22 Sections Chapter 3.
Conflict of Interest Code – 1 Section Chapter 4. Regulations Pursuant to the Housing Financial Discrimination Act of 1977 – 34 Sections Chapter 4.5. Residential Mortgage Loans – 1 Section Chapter 5. Allocation of Funds for Special Public Transportation Needs – 6 Sections Chapter 6. Regulations Relating to Appeals Under the Permit Reform Act of 1981 – 14 Sections Chapter 7.
Public Infrastructure Advisory Commission – 12 Sections Division 4. California Transportation Commission Chapter 1. Procedure and Conduct of Business of the California Transportation Commission – 17 Sections Chapter 2. Guidelines for the Preparation of the State and Regional Transportation Programs – 10 Sections Chapter 3.
- Resolution G-14 – 1 Sections Chapter 4.
- Allocation of Funds for Intermodal Interface Projects – 8 Sections Division 5.
- Earthquake Emergency and Seismic Retrofit Permit Review Panel Chapter 1.
- General Provisions – 3 Sections Chapter 2.
- Appeal Procedure – 12 Sections Division 6.
- California High-Speed Rail Authority Chapter 1.
Selection Process for Private Architectural and Engineering Firms – 14 Sections Title 21 contains 636 Sections.
Who is considered a first responder in California?
Section 8562 – First responder defined (a) ‘First responder’ means an employee of the state or a local public agency who provides emergency response services, including any of the following: (1) A peace officer, as defined in Section 830 of the Penal Code. (2) A firefighter, as defined in Section 50925.
What is Title 22 California Code of Regulations Section 80026?
A. All cash resources and personal property shall be surrendered to the executor or administrator of the estate and a signed, itemized receipt must be obtained by the RSP in exchange for consumer valuables.
What is Title 22 California Code of Regulations 87456?
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (1) Conduct an interview with the applicant and his responsible person. (2) Perform a pre-admission appraisal. (3) Obtain and evaluate a recent medical assessment. (4) Execute the admissions agreement.
What is Title 22 California Code of Regulations sections 70527?
(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate.
- B) The responsibility and the accountability of the outpatient service to the medical staff and administration shall be defined.
- C) If outpatient surgery is performed, the written policies and procedures shall make provision for at least the following: (1) The types of operative procedures that may be performed.
(2) Types of anesthesia that may be used. (3) Preoperative evaluation of the patient, meeting the same standards as apply to inpatient surgery. (4) Informed operative consent. (5) The delivery of all anatomical parts, tissues and foreign objects removed to a pathologist designated by the hospital and a report of findings to be filed in the patient’s medical record.
- 6) Written preoperative instructions to patients covering: (A) Applicable restrictions upon food and drugs before surgery.
- B) Any special preparations to be made by the patient.
- C) Any postoperative requirements.
- D) An understanding that admission to the hospital may be required in the event of an unforeseen circumstance.
(7) Examination of each patient by a licensed practitioner whose scope of licensure permits prior to discharge. (d) A medical record shall be maintained for each patient receiving care in the outpatient service. The completed medical record shall include the following, if applicable: (1) Identification sheet to include but not be limited to the following patient information: (A) Name.
- B) Address.
- C) Identification number (if applicable).1.
- Hospital number.2.
- Social Security.3.
- Medicare.4. Medi-Cal. (D) Age. (E) Sex.
- F) Marital status.
- G) Religious preference.
- H) Date and time of arrival.
- I) Date and time of departure.
- J) Name, address and telephone number of person or agency responsible for the patient.
(K) Initial diagnostic impression. (L) Discharge or final diagnosis. (2) Medical history including: (A) Immunization record. (B) Screening tests. (C) Allergy record. (D) Nutritional evaluation. (E) Neonatal history for pediatric patients. (3) Physical examination report.
- 4) Consultation reports.
- 5) Clinical notes including dates and time of visits.
- 6) Treatment and instructions, including: (A) Notations of prescriptions written.
- B) Diet instructions, if applicable.
- C) Self-care instructions.
- 7) Reports of all laboratory tests performed.
- 8) Reports of all X-ray examinations performed.
(9) Written record of preoperative and postoperative instructions. (10) Operative report on outpatient surgery including preoperative and postoperative diagnosis, description of findings, techniques used and tissue removed or altered, if appropriate. (11) Anesthesia record including preoperative diagnosis, if anesthesia is administered.
What is Title 22 California Code of Regulations Section 51003?
Section 51003 – Treatment Authorization Requests (TARs) (a) ‘Prior authorization,’ or ‘authorization’ means authorization granted by a designated Medi-Cal consultant or by a Primary Care Case Management (PCCM) plan and is obtained through submission and approval of a TAR.
What is California Code of Regulations Title 22 Section 2706 8?
22, § 2706-8 – Identity and Wage Verification for State Disability Insurance Benefits.
What is Title 22 California water?
Water Recycling and Title 22 – Water Education Foundation
Title 22 of California’s Code of Regulations refers to state guidelines for how treated and recycled water is discharged and used. State discharge standards for recycled water and its reuse are regulated by the 1969 Porter-Cologne Water Quality Control Act and the State Water Resources Control Board’s 2019 Water Recycling Policy. Title 22 lists 40 specific uses allowed with disinfected tertiary recycled water (such as irrigating parks), 24 specific uses allowed with disinfected secondary recycled water (such as irrigating animal feed and other unprocessed crops), and seven specific uses allowed with undisinfected secondary recycled water (such industrial uses). Other allowed uses of the disinfected recycled water include irrigation of food crops and residential landscaping, supply of recreational impoundments for unrestricted body contact, air conditioning, commercial laundry, decorative fountains, and flushing toilets in commercial buildings. The State Water Board governs the permitting of recycled water projects, develops uniform water recycling criteria and reviews and approves Title 22 engineering reports for recycled water use.
Wastewater treatment standards are set and enforced by the state’s nine regional water quality control boards in consultation with the California Department of Public Health. The nine regional boards are part of the State Water Board. The State Water Board is reviewing recycled water use permits issued prior to Jan.1, 2001 to ensure consistency with all applicable regulations, including Title 22.
Increase the use of recycled water over 2002 levels by at least 1 million acre-feet per year by 2020, and by at least 2 million acre-feet a year by 2030. Increase the use of stormwater over 2007 levels by at least 500,000 acre-feet a year by 2020, and by at least 1 million acre-feet a year by 2030.
: Water Recycling and Title 22 – Water Education Foundation
What is CA Health and Safety Code?
The health and safety code is the section of California statutory law that addresses health, safety, health care, environmental law, and narcotics. This section of the code defines most of the crimes related to drugs and controlled substances, including possession, sale, transportation, trafficking and manufacturing.
What is Title 22 of the California Code of Regulations CCR 53880?
(a) Each plan in a designated region shall limit its marketing activities to printed, illustrated, or video taped materials, and media advertising. Plans may participate in an organized community or neighborhood health fair in a public place for marketing purposes.
1) Printed and illustrated materials may be available to members or prospective members, as follows: (A) By mail. Printing, postage, and any related costs of material mailed to prospective members shall be paid by the plan. The department shall conduct all mailings to ensure the confidentiality of Medi-Cal beneficiaries is protected.
(B) By posting materials in public places. (C) At health care options presentations, which shall be conducted pursuant to section 53886. (b) Prior to engaging in marketing activities, each plan shall submit a marketing plan which shall be approved in writing by the department prior to its implementation.
C) All marketing materials, including but not limited to, all printed materials, illustrated materials, video taped and media scripts shall be approved in writing by the department prior to distribution to members or prospective members. (d) No representative of a plan shall contact prospective members for the purposes of marketing, except in cases where the contact is initiated by the prospective member, unless that contact is approved in writing by and coordinated through the department, pursuant to (a)(1)(A), above.
However, physicians, mid-level practitioners, nurses, or office staff may discuss plan membership with their patients. Each plan shall be responsible for informing all network providers they may not distribute unauthorized or unapproved material to Medi-Cal beneficiaries.