(a) No Medi-Cal reimbursement shall be made for a service rendered by an adult day health care provider that does not have a license as an adult day health care center or that does not have currently effective Medi-Cal certification pursuant to this chapter.
(b) Notwithstanding subdivision (a), Medi-Cal certification shall be granted as of the date of licensure with respect to, and reimbursement shall be made for, a service rendered on or after that date if the provider meets all of the following requirements:
(1) Is exempt from the moratorium imposed on the certification and enrollment of new adult day health care centers pursuant to paragraph (5) of subdivision (b) of Section 14043.46.
(2) Meets all certification requirements for adult day health care centers, and is enrolled as a Medi-Cal provider.
(3) Provides services in compliance with the requirements of this chapter as of the date the center began providing services to beneficiaries.
(Amended by Stats. 2006, Ch. 74, Sec. 70. Effective July 12, 2006.)
Last modified: October 25, 2018