Cal. Code Regs. tit. 22, § 51503.2 – Reimbursement for Services Rendered by a Nurse Midwife, a Certified Family Nurse Practitioner, or a Certified Pediatric Nurse Practitioner.

(a) Reimbursement for services rendered by a nurse midwife, a certified family nurse practitioner, or a certified pediatric nurse practitioner shall be the usual charges made to the general public not to exceed the maximum reimbursement rates established in Section 51503 for the same service.
(b) Reimbursement may be made either:
1. (1) Directly to the nurse midwife, a certified family nurse practitioner, or certified pediatric nurse practitioner as an independent provider of service.
2. (2) To the physician, organized outpatient clinic, or hospital outpatient department which employs or utilizes the nurse midwife, a certified family nurse practitioner, or certified pediatric nurse practitioner as a nonphysician medical practitioner in accordance with Section 51503.1.

Note: Authority cited: Sections 14105 and 14132.41, Welfare and Institutions Code. Reference: Sections 14132.4 and 14132.41, Welfare and Institutions Code; and Statutes of 2000, Chapter 52, Items 4260-101-0001 and 0890.

History

1. New section filed 12-21-83; effective thirtieth day thereafter (Register 83, No. 52).

2. Amendment of section heading, text and Note filed 5-3-93 as an emergency; operative 5-3-93 (Register 93, No. 19). A Certificate of Compliance must be transmitted to OAL 8-31-93 or emergency language will be repealed by operation of law on the following day.

3. Reinstatement of section as it existed prior to emergency amendment filed 5-3-93 by operation of Government Code section 11346.1(f) (Register 93, No. 44).

4. Amendment of section heading, text and Note refiled 10-27-93 as an emergency; operative 10-27-93 (Register 93, No. 44). A Certificate of Compliance must be transmitted to OAL by 2-25-94 or emergency language will be repealed by operation of law on the following day.

5. Certificate of Compliance as to 10-27-93 order including amendment of Note transmitted to OAL 10-18-93 and filed 12-2-93 (Register 93, No. 49).

6. Amendment of subsection (a), new subsection (c) and amendment of Note filed 7-16-2002; operative rates for services provided on or after 8-1-2000 pursuant to Stats. 2000, c. 52, Items 4260-101-0001 and 0890 (Register 2002, No. 29).

7. Certificate of Compliance as to 7-16-2002 order, including repealer of subsection (c), transmitted to OAL 11-12-2002 and filed 12-24-2002 (Register 2002, No. 52).