BlackletterCalifornia law

PART 4.7. HEALTH CARE FOR INDIGENTS

Heading for Part 4.7 added by Stats. 1990, Ch. 50, Sec. 10.5.

§§ 16900–16996.2 · 80 sections

  1. CHAPTER 1. General §§ 16900–16908.5 · 11 sections
    • § 16900 Unless the context otherwise requires, the definitions set forth in this chapter shall govern the construction of this part.
    • § 16901 “CMSP county” means a county that has elected to participate in the CMSP pursuant to Section 16809.
    • § 16902 “Department” means the State Department of Health Services.
    • § 16903 “Fund” means the Cigarette and Tobacco Products Surtax Fund.
    • § 16904 “Hospital services” means services provided by public and private hospitals licensed pursuant to subdivision (a) of Section 1250 of the Health and Safety Code.
    • § 16905 “MISP county” means a county which administers, either directly or through contracts with selected providers, its own indigent health services program.
    • § 16905.5 “Obstetric services” means the diagnosis of pregnancy and all other medical services provided by a licensed physician to pregnant women during their…
    • § 16906 “Office” means the Office of Statewide Health Planning and Development.
    • § 16907.5 “Pediatric services” means all medical services rendered by any licensed physician to persons from birth to 21 years of age, and shall include attendance at…
    • § 16908 “Physician services” means services provided by a licensed physician.
    • § 16908.5 For purposes of paragraph (1) of subdivision (b) of Section 16946 and the funds determined by Section 16932, and distributed pursuant to paragraph (1) of…
  2. CHAPTER 1.5. Administration of Funds §§ 16909–16909.1 · 2 sections
    • § 16909 (a) Any county which receives funds pursuant to this part shall deposit them in a special revenue fund or trust fund established solely for this purpose, in a…
    • § 16909.1 (a) Except as provided in subdivision (b), county adminstrative costs associated with the administration of each special revenue fund, trust fund, account, or…
  3. CHAPTER 2. County Health Services Reporting § 16910 · 1 section
    • § 16910 (a) (1) Funds appropriated for the purposes of this chapter shall be used for the development and implementation of county medically indigent care reporting…
  4. CHAPTER 2.5. County Reporting Requirements §§ 16915–16916 · 2 sections
    • § 16915 (a) Any county receiving an allocation pursuant to this part shall, at a minimum, report to the department all indigent health care program demographic,…
    • § 16916 The department shall withhold payments to a county pursuant to this part if the county fails to provide the reports and data required by this chapter according…
  5. CHAPTER 3. Uncompensated Care Assistance §§ 16920–16924 · 5 sections
    • § 16920 (a) It is the intention of the Legislature to appropriate a portion of the 1988–89 fiscal year one-time revenues from the Hospital Services Account for…
    • § 16921 Funds appropriated for the purposes of this chapter shall be allocated and disbursed to county and noncounty hospitals which meet any of the following…
    • § 16922 (a) In order to determine the allocation for each eligible hospital of the amount appropriated for the purposes of this chapter, the office shall do all of the…
    • § 16923 The office shall do all of the following: (a) Review and process the quarterly financial and utilization data report and calculate the distribution to be made…
    • § 16924 The Controller shall distribute to hospitals the funds appropriated for the purposes of this chapter within 60 days from the effective date of this chapter…
  6. CHAPTER 4. Rural Health Services §§ 16930–16939 · 16 sections
    • § 16930 (a) (1) There is in the County Health Services Fund, created pursuant to Section 16803, the Rural Health Services Account. (2) For purposes of this chapter,…
    • § 16931 (a) Funds appropriated for the purposes of this chapter shall be used to enhance and maintain rural health services provided by counties, hospitals,…
    • § 16931.5 The county may reimburse for emergency services provided by a physician in a standby emergency room in a hospital specified in Section 124840 of the Health and…
    • § 16932 The department shall allocate money derived from the Hospital Services Account in the fund to each county that is eligible to participate in the CMSP pursuant…
    • § 16933 (a) The department shall distribute those moneys appropriated from the Physician Services Account and the Unallocated Account in the fund to counties that are…
    • § 16933.1 Any physician who receives funds pursuant to subdivision (c) of Section 16933 shall comply with the requirements of subdivision (d) of Section 16955.
    • § 16934 (a) As a condition of receiving funds under this chapter, a county shall provide, or arrange and pay for, medically necessary followup treatment, including…
    • § 16934.2 (a) For the 1989–90 fiscal year, a county shall not have the option to contract with the department for payment for treatment of children required pursuant to…
    • § 16934.5 (a) For the 1990–91 fiscal year and subsequent fiscal years, each county that is eligible to participate in the CMSP pursuant to Section 16809 may enter into a…
    • § 16934.7 (a) For the 1990–91 fiscal year and each fiscal year thereafter, each county entering into a contract with the department pursuant to Section 16934.5, in which…
    • § 16935 (a) A county that is eligible to participate in the CMSP pursuant to Section 16809 may elect to have the state administer its physician services account. Each…
    • § 16935.5 The department may administer the distribution and monitoring of funds allocated from the Hospital Services Account pursuant to subdivision (b) of Section…
    • § 16936 (a) (1) Any county that requests funds under this chapter shall submit to the department, for approval by the department, an application for initial funding…
    • § 16937 (a) Services, associated costs, and sociodemographic characteristics of persons served by each county under Section 17000 and supported in whole or in part by…
    • § 16938 (a) Each county shall submit a report of expenditures and other information to the department according to the procedures established by the department. (b)…
    • § 16939 As a condition of receiving funds pursuant to this chapter, each county shall meet the requirements of Articles 6 (commencing with Section 16980), 7…
  7. CHAPTER 5. California Healthcare for Indigents Program §§ 16940–16995.1 · 40 sections
    1. ARTICLE 1. General §§ 16940–16942 · 4 sections
      • § 16940 (a) The department shall, each fiscal year, determine the percentage of moneys appropriated for the purposes of this chapter. For the 1989–90 fiscal year,…
      • § 16941 (a) The amount appropriated and available for the purposes of this chapter shall be allocated to each MISP county in accordance with the ratios established in…
      • § 16941.1 For the 1991–92 fiscal year and each fiscal year thereafter, any county that elects to participate in the County Medical Services Program pursuant to…
      • § 16942 (a) It is the intent of the Legislature that funds appropriated for the purposes of this chapter be administered, to the extent possible, in the same manner…
    2. ARTICLE 2. Hospital Services §§ 16943–16949 · 6 sections
      • § 16943 (a) Of those allocations made pursuant to Section 16941 for the 1989–90 fiscal year, 59.5 percent shall be used to support uncompensated services provided by…
      • § 16945 (a) The department shall annually verify and transmit to each MISP county and each CMSP county the figures specified in subdivision (c), using data supplied by…
      • § 16946 (a) The Hospital Services Account portion of each county’s allocation pursuant to Sections 16932 and 16941 shall be divided into two amounts by: (1)…
      • § 16947 (a) Any hospital which receives funds pursuant to this chapter or Chapter 4 (commencing with Section 16930) shall, within 90 days of the receipt of those…
      • § 16948 (a) Commencing with the 1990–91 fiscal year, within 10 working days of receipt of funds allocated pursuant to Section 16941 and Section 16932, the county shall…
      • § 16949 (a) The Legislature recognizes that in the context of hospital services rendered as a result of emergency medical conditions, the application of the…
    3. ARTICLE 3. Physician Services §§ 16950–16950.1 · 2 sections
      • § 16950 (a) Twelve and two-tenths percent, or that portion of the CHIP Account derived from the Physician Services Account in a fiscal year, of each county’s…
      • § 16950.1 The twenty-four million nine hundred fifteen thousand dollars ($24,915,000) appropriated by Chapter 1331 of the Statutes of 1989 and the act amending this…
    4. ARTICLE 3.5. Physician Services Account §§ 16951–16959 · 15 sections
      • § 16951 As a condition of receiving funds pursuant to this chapter, each county shall establish an emergency medical services fund as authorized by subdivision (a) of…
      • § 16952 (a) (1) Each county shall establish within its emergency medical services fund a Physician Services Account. Each county shall deposit in the Physician…
      • § 16952.1 (a) Each county that elects to establish a Physicians Services Account in the county emergency medical services fund shall annually, on April 15, report to the…
      • § 16952.5 (a) Notwithstanding subdivision (g) of Section 16952, expenses incurred by Solano County for the development of managed care systems to increase access for…
      • § 16953 (a) For purposes of this chapter “emergency services” means physician services in one of the following: (1) A general acute care hospital which provides basic…
      • § 16953.1 Notwithstanding any other provision of this chapter, an emergency physician and surgeon, or an emergency physician group, with a gross billings arrangement…
      • § 16953.2 Nothing in this article shall prevent a physician from utilizing an agent who furnishes billing and collection services to the physician to submit claims or…
      • § 16953.3 (a) Notwithstanding any other restrictions on reimbursement, a county shall adopt a fee schedule to establish a uniform, reasonable level of reimbursement from…
      • § 16955 Reimbursement for losses incurred by any physician shall be limited to services provided to a patient as established by subdivisions (f) and (g) of Section…
      • § 16955.1 This article shall not be applied or interpreted so as to prevent a physician from seeking payment from a patient or responsible third-party payor, or…
      • § 16956 (a) The administering agency shall establish procedures and time schedules for submission and processing of reimbursement claims submitted by physicians in…
      • § 16956.5 (a) The administering agency may establish an EMS Fund advisory committee. The committee shall include emergency physicians and emergency department oncall…
      • § 16957 Any physician who submits any claim in accordance with this chapter shall keep and maintain records of the services rendered, the person to whom services were…
      • § 16958 If, after receiving payment from the account, a physician is reimbursed by a patient or a responsible third-party, the physician shall do one of the following:…
      • § 16959 The moneys contained in a Physician Services Account within an Emergency Medical Services Fund shall not be subject to Chapter 2.5 (commencing with Section…
    5. ARTICLE 4. Other County Health Services §§ 16960–16961 · 2 sections
      • § 16960 (a) Twenty-eight and three-tenths percent, or that percentage of the program account deriving from the Unallocated Account of the fund in a fiscal year of each…
      • § 16961 Services provided pursuant to this article include only those health care services specified in Sections 14021 and 14132, and former Division 1 (commencing…
    6. ARTICLE 5. Child Health and Disability Prevention § 16970 · 1 section
      • § 16970 (a) As a condition of receiving funds under this chapter, a county shall provide, or arrange and pay for, medically necessary followup treatment, including…
    7. ARTICLE 6. County Application §§ 16980–16981 · 2 sections
      • § 16980 (a) The department shall make initial monthly payments of county allocations made pursuant to Section 16941 upon application of the county assuring that it…
      • § 16981 (a) The department shall conduct fiscal and program reviews to ensure county compliance with the provisions of this part, and shall report annually the results…
    8. ARTICLE 7. Financial Maintenance of Effort §§ 16990–16990.9 · 4 sections
      • § 16990 (a) (1) Any county receiving an allocation pursuant to this chapter and Chapter 4 (commencing with Section 16930) shall, at a minimum, maintain a level of…
      • § 16990.1 Notwithstanding the first sentence of paragraph (1) of subdivision (a) of Section 16990, for the purposes of determining the level of financial support in the…
      • § 16990.5 (a) The following definitions shall govern the construction of this section, unless the context requires otherwise: (1) “Capital outlay” means net…
      • § 16990.9 The level of financial maintenance of effort required of a county that contracts with the department pursuant to Section 101300 of the Health and Safety Code…
    9. ARTICLE 8. Newly Legalized Person Health Services Appropriation and Funding Guarantee § 16991 · 1 section
      • § 16991 (a) The sum of twenty-six million five hundred ninety-seven thousand dollars ($26,597,000) is appropriated from the General Fund to the department, for the…
    10. ARTICLE 9. Capital Outlay § 16994 · 1 section
      • § 16994 (a) (1) Ninety percent of the amount appropriated for the purposes of this article shall be allocated to MISP counties according to the percentages specified…
    11. ARTICLE 10. Eligibility and Benefit Requirements §§ 16995–16995.1 · 2 sections
      • § 16995 Funds received by a county pursuant to this chapter shall not be used to support health services provided to persons detained in a county or city jail or other…
      • § 16995.1 Receipt of funding pursuant to this chapter shall not relieve a county of its obligation to provide indigent health care as required by Section 17000.
  8. CHAPTER 6. Children’s Hospitals §§ 16996–16996.2 · 3 sections
    • § 16996 For purposes of this chapter, “children’s hospital” means the following facilities: (a) Valley Children’s Hospital, Fresno. (b) Earl and Loraine Miller…
    • § 16996.1 Funds appropriated to the department for the purposes of this chapter shall be distributed as follows: (a) The department shall compute the annual amount of…
    • § 16996.2 (a) As a condition of receiving funds under Section 16996.1, a hospital shall provide medically necessary inpatient treatment, including prescription drugs,…