§ 14124.167. — 14124.167. (Added by Stats. 2024, Ch. 40, Sec. 63.)

California § 14124.167.

• Jurisdiction: California
• Code WIC: Welfare and Institutions Code - WIC
• Div. 9.: DIVISION 9. PUBLIC SOCIAL SERVICES
• Part 3.: PART 3. AID AND MEDICAL ASSISTANCE
• Ch. 7.: CHAPTER 7. Basic Health Care
• Art. 3.1.: ARTICLE 3.1. Medi-Cal Provider Payment Increases and Investments Act

Text

(a)
For the purposes of this section, the following definitions apply:
(1)
Beginning for dates of service on or after January 1, 2025, “applicable services” means the following services:
(A)
Emergency medical air transportation services as described in Section 76000.10 of the Government Code.
(B)
Community-based adult services, as described in Section 14186.3 and as covered pursuant to subdivision (e) of Section 14184.201.
(C)
Pediatric day health care, as described in Section 14132.10 and Section 1760.2 of the Health and Safety Code.
(D)
Services provided in a congregate living health facility as defined in subdivision (i) of Section 1250 of the Health and Safety Code.
(2)
Beginning for dates of service on or after January 1, 2026, “applicable services” means the following services:
(A)
Services described in paragraph (1).
(B)
Nonemergency medical transportation services as described in Section 51323 of Title 22 of the California Code of Regulations.
(C)
Private duty nursing as described in Section 14105.13 and Section 1743.2 of the Health and Safety Code.
(b)
Beginning for dates of service on or after January 1, 2025, or on the effective date of any
necessary federal approvals as required by subdivision (d) of Section 14124.162, whichever is later, the department shall implement reimbursement increases for applicable services in the fee-for-service delivery system such that, in combination with the projected actuarially equivalent impact on the managed care delivery system expenditures, as applicable, the projected nonfederal share cost of the reimbursement increases on an annualized basis is equal, as determined by the department, to the annualized amount set forth in the state fiscal year 2024–25 budget.

Legislative History

Added by Stats. 2024, Ch. 40, Sec. 63. (SB 159) Effective June 29, 2024. Conditionally repealed as of January 1, 2025, pursuant to Sec. 14124.168.