California AB220 establishes criteria for Medi-Cal subacute care services, ensuring specific medical needs are met.

California AB220 amends the Welfare and Institutions Code to establish criteria for Medi-Cal subacute care services. It specifies conditions for medical necessity, including dependence on mechanical ventilation, tracheostomy care, and other treatments. The bill mandates the use of standardized forms for authorization requests and prohibits Medi-Cal managed care plans from using their own criteria. It also outlines reimbursement rates and sanctions for non-compliance.

California AB220 establishes criteria for Medi-Cal subacute care services, ensuring specific medical needs are met.

California AB220 amends the Welfare and Institutions Code to establish criteria for Medi-Cal subacute care services. It specifies conditions for medical necessity, including dependence on mechanical ventilation, tracheostomy care, and other treatments. The bill mandates the use of standardized forms for authorization requests and prohibits Medi-Cal managed care plans from using their own criteria. It also outlines reimbursement rates and sanctions for non-compliance.