Administration

Cal. WIC § 14105.21

California Statutes

(

a) An assistive device and sickroom supply dealer may not bill the Medi-Cal program for prosthetic and orthotic appliances. (

b) A pharmacy may not bill the Medi-Cal program for prosthetic or orthotic appliances, unless the pharmacy is certified by the National Community Pharmacists Association and only for prosthetic and orthotic appliances that have been identified pursuant to subdivision (

c) or otherwise approved by the department. (

c) The department shall establish a list of covered services and maximum allowable reimbursement rates, subject to

Section 14107.7, for prosthetic and orthotic appliances, and the list shall be published in provider manuals. (

d) Reimbursement for prosthetic and orthotic appliances, as defined in

Section of Title of the California Code of Regulations, may not exceed percent of the lowest maximum allowance for California established by the federal Medicare program for the same or similar services. (

e) The department shall repeal

Section of Title of the California Code of Regulations, as it read on the effective date of the act adding this section. (

f) The department may implement this

section by provider manual or bulletin. Notwithstanding the provisions of the Administrative Procedure Act,

Chapter 3.5 (commencing with

Section 11340) of Part of Division of the Government Code, actions under this

section shall not be subject to the rulemaking provisions of the Administrative Procedure Act or to the review and approval of the Office of Administrative Law.

Document details

CollectionCalifornia Statutes
CitationCal. WIC § 14105.21
Date2003-08-11
Typestatute
Languageen
SourceCA_STAT
IdentifierWIC14105.21.200323063

Administration

Cal. WIC § 14105.21

California Statutes

Administration

Cal. WIC § 14105.21

California Statutes

(

a) An assistive device and sickroom supply dealer may not bill the Medi-Cal program for prosthetic and orthotic appliances. (

b) A pharmacy may not bill the Medi-Cal program for prosthetic or orthotic appliances, unless the pharmacy is certified by the National Community Pharmacists Association and only for prosthetic and orthotic appliances that have been identified pursuant to subdivision (

c) or otherwise approved by the department. (

c) The department shall establish a list of covered services and maximum allowable reimbursement rates, subject to

Section 14107.7, for prosthetic and orthotic appliances, and the list shall be published in provider manuals. (

d) Reimbursement for prosthetic and orthotic appliances, as defined in

Section of Title of the California Code of Regulations, may not exceed percent of the lowest maximum allowance for California established by the federal Medicare program for the same or similar services. (

e) The department shall repeal

Section of Title of the California Code of Regulations, as it read on the effective date of the act adding this section. (

f) The department may implement this

section by provider manual or bulletin. Notwithstanding the provisions of the Administrative Procedure Act,

Chapter 3.5 (commencing with

Section 11340) of Part of Division of the Government Code, actions under this

section shall not be subject to the rulemaking provisions of the Administrative Procedure Act or to the review and approval of the Office of Administrative Law.

Document details

CollectionCalifornia Statutes
CitationCal. WIC § 14105.21
Date2003-08-11
Typestatute
Languageen
SourceCA_STAT
IdentifierWIC14105.21.200323063