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Section 124910 Of Article 2. Primary Care From California Health And Safety Code >> Division 106. >> Part 4. >> Chapter 7. >> Article 2.
124910
. (a) (1) Each licensed primary care clinic, as specified in
subdivision (a) of Section 124900, applying for funds under this
article, shall demonstrate in its application that it meets all of
the following conditions, at a minimum:
(A) Provides medical diagnosis and treatment.
(B) Provides medical support services of patients in all stages of illness.
(C) Provides communication of information about diagnosis, treatment, prevention, and prognosis.
(D) Provides maintenance of patients with chronic illness.
(E) Provides prevention of disability and disease through detection, education, persuasion, and preventive treatment.
(F) Meets one or both of the following conditions:
(i) Is located in an area or a facility federally designated as a health professional shortage area, medically underserved area, or medically underserved population.
(ii) Is a clinic in which at least 50 percent of the patients served are persons with incomes at or below 200 percent of the federal poverty level.
(2) Any applicant who has applied for and received a federal or state designation for serving a health professional shortage area, medically underserved area, or population shall be deemed to meet the requirements of subdivision (a) of Section 124900.
(b) Each applicant shall also demonstrate to the satisfaction of the department that the proposed services supplement, and do not supplant, those primary care services to program beneficiaries that are funded by any county, state, or federal program.
(c) Each applicant shall demonstrate that it is an active Medi-Cal provider by being enrolled in Medi-Cal and diligently billing the Medi-Cal program for services rendered to Medi-Cal eligible patients during the past three months prior to the application due date. This subdivision shall not apply to clinics that are not currently Medi-Cal providers, and were funded participants pursuant to this article during the 1993-94 fiscal year.
(d) Each application shall be evaluated by the state department prior to funding to determine all of the following:
(1) The applicant shall provide its most recently audited financial statement to verify budget information.
(2) The applicant's ability to deliver basic primary care to program beneficiaries.
(3) A description of the applicant's operational quality assurance program.
(4) The applicant's use of protocols for the most common diseases in the population served under this article.
(A) Provides medical diagnosis and treatment.
(B) Provides medical support services of patients in all stages of illness.
(C) Provides communication of information about diagnosis, treatment, prevention, and prognosis.
(D) Provides maintenance of patients with chronic illness.
(E) Provides prevention of disability and disease through detection, education, persuasion, and preventive treatment.
(F) Meets one or both of the following conditions:
(i) Is located in an area or a facility federally designated as a health professional shortage area, medically underserved area, or medically underserved population.
(ii) Is a clinic in which at least 50 percent of the patients served are persons with incomes at or below 200 percent of the federal poverty level.
(2) Any applicant who has applied for and received a federal or state designation for serving a health professional shortage area, medically underserved area, or population shall be deemed to meet the requirements of subdivision (a) of Section 124900.
(b) Each applicant shall also demonstrate to the satisfaction of the department that the proposed services supplement, and do not supplant, those primary care services to program beneficiaries that are funded by any county, state, or federal program.
(c) Each applicant shall demonstrate that it is an active Medi-Cal provider by being enrolled in Medi-Cal and diligently billing the Medi-Cal program for services rendered to Medi-Cal eligible patients during the past three months prior to the application due date. This subdivision shall not apply to clinics that are not currently Medi-Cal providers, and were funded participants pursuant to this article during the 1993-94 fiscal year.
(d) Each application shall be evaluated by the state department prior to funding to determine all of the following:
(1) The applicant shall provide its most recently audited financial statement to verify budget information.
(2) The applicant's ability to deliver basic primary care to program beneficiaries.
(3) A description of the applicant's operational quality assurance program.
(4) The applicant's use of protocols for the most common diseases in the population served under this article.
