ARTICLE 2. Definitions

Article 2 added by Stats. 1965, 2nd Ex. Sess., Ch. 4.

§§ 14050–14068 · 37 sections

§ 14050 Unless the context otherwise requires, the definitions set forth in this article govern the construction of this chapter.
§ 14050.1 For purposes of this chapter, “categorically needy person” means a person whose coverage is mandatory under Title XIX of the Social Security Act including, but…
§ 14050.2 For the purposes of this chapter “aid” means financial assistance provided to or in behalf of needy persons under the provisions of Chapters 2 (commencing with…
§ 14050.3 “A person in long-term care” means a person who is an inpatient in a medical facility for more than the month of admission who is expected to remain for the…
§ 14051 (a) “Medically needy person” means any of the following: (1) An aged, blind, or disabled person who meets the definition of aged, blind, or disabled under the…
§ 14051.5 (a) “Medically needy person” also means any person who receives in-home supportive services pursuant to Section 12305.5 and whose income and resources are…
§ 14051.7 “Post-eligibility treatment of income” means the determination of long-term care patient liability for each month in which the patient is described in Section…
§ 14051.8 “Long-term care patient liability” is the term given to the result of the post-eligibility treatment of income calculation under Section 14051.7. The person in…
§ 14052 “State-only Medi-Cal person” means a person who resides in a nursing facility or any category of intermediate care facility for the developmentally disabled,…
§ 14052.1 “Cuban-Haitian entrant or refugee” means a person eligible under the Cuban-Haitian Entrant Program or Refugee Resettlement Program, as defined in federal…
§ 14053 (a) The term “health care services” means the benefits set forth in Article 4 (commencing with Section 14131) of this chapter and in Section 14021. The term…
§ 14053.1 Notwithstanding Section 14053, ancillary outpatient services, pursuant to Section 14132, for any eligible individual who is 21 years of age or over, and has…
§ 14053.3 (a) Except as provided under federal law, federal financial participation reimbursement is not allowed for ancillary services provided to persons residing in…
§ 14053.5 For the purposes of the Medi-Cal Act, the terms “prescribed drug” and “prescription drug” shall not include any drug which, because of differing prices charged…
§ 14053.6 Prior to including or excluding any drug from the program, the director shall give adequate notice to those California associations of health professionals and…
§ 14053.7 (a) Notwithstanding any other provision of law, and only to the extent that federal financial participation is available, the department may provide Medi-Cal…
§ 14053.8 (a) Notwithstanding any other law, the department shall develop a process to allow counties to receive any available federal financial participation for acute…
§ 14053.9 (a) Notwithstanding any other provision of law, the department shall develop a process to allow the Department of Corrections and Rehabilitation, Division of…
§ 14054 (a) “Share of cost” or “spend down of excess income” means the amount of the costs of health care that a person or family eligible under Section 14005.4 or…
§ 14054.5 “Elective services” means any treatment service which generally can be postponed without seriously affecting the health of the person requiring the service.
§ 14055 (a) For the purposes of this chapter, “caretaker relative” means a relative of a dependent child by blood, adoption, or marriage with whom the child is living,…
§ 14056 “Minimum coverage” means prescribed drugs for public assistance recipients as established by the director, and care or coverage specified in paragraphs (1),…
§ 14057 (a) For the purposes of this chapter, “insurance affordability program” means a program that is one of the following: (1) The state’s Medi-Cal program under…
§ 14057.5 “Contract hospital” means a nonprofit medical facility licensed pursuant to Chapter 2 (commencing with Section 1250) of Division 2 of the Health and Safety…
§ 14059 Health care provided under this chapter may include diagnostic, preventive, corrective, and curative services and supplies essential thereto, provided by…
§ 14059.5 (a) For individuals 21 years of age or older, a service is “medically necessary” or a “medical necessity” when it is reasonable and necessary to protect life,…
§ 14060 Every recipient who is entitled to visual care under this chapter, which may be rendered either by an optometrist or a physician, may select a duly licensed…
§ 14061 As used in this chapter, “director” means the State Director of Health Services.
§ 14062 As used in this chapter, “department” means the State Department of Health Services.
§ 14063 As used in this chapter, “Medi-Cal” means the California Medical Assistance Program.
§ 14064 (a) Inpatient intensive rehabilitation hospital services shall consist of programs for: (1) Strengthening and training of selected muscle groups. (2)…
§ 14065 As used in this chapter, Chapter 8 (commencing with Section 14200), Chapter 8.5 (commencing with Section 14500), and Chapter 8.7 (commencing with Section…
§ 14066 As used in this chapter, Chapter 8 (commencing with Section 14200), Chapter 8.5 (commencing with Section 14500), and Chapter 8.7 (commencing with Section…
§ 14067 (a) The department, in conjunction with the Managed Risk Medical Insurance Board, may develop and conduct a community outreach and education campaign to help…
§ 14067.3 (a) (1) The department may maintain an allocation program for the management and funding of county outreach and enrollment plans to enroll and retain eligible…
§ 14067.5 The department shall encourage counties to outstation additional Medi-Cal eligibility workers in nontraditional sites, such as schools, private hospitals,…
§ 14068 In conducting outreach activities for the enrollment of special needs populations into a Medi-Cal managed care program, the department and its contractors, as…