GACH cannot convert space usage

without prior written approval.

T22. Div 5 Chapt. 1, Article 8

70805

Flex

HSC

HSC 1276 (b) “shall permit program flexibility”

HSC 1276(c) “expeditiously review and approve”  … "changing rapidly”

AFL18-19 5/2/2018 “Upon receipt of a completed program flexibility request, the DO will review and respond within 60 days”

HSC 1276(d) “it shall have 60 days within which to approve, approve with conditions or modifications, or deny the application”

1276 also talks about posting on CHCQ website for 30 days for public comment (effective 1/1/2023)

AB1422 signed by Governor 10/8/2021 modified HSC 1276 effective 1/1/2022

              Applies to critical care units

HSC 1276(f)(1) critical care unit program flex

              “proposed alternative will not jeopardize the health, safety, and well-being of patients and is needed for increased operational efficiency”

T 22 CCR 70129

General flex stuff in T22

Cath lab specific

DOM 11-21 GACH program flexes for alternative uses of cardiac cath lab space

              (issued concurrently with AFL 11-30)

Purpose: streamline process in Title 22

 (T 22 is Social Security; Division 4 is L and C; chapt 1 is GACH; Article 6 is Supplement services)

AFL 11-30 p.1

Flex does not expand to cardiac interventional procedures

AFL 11-30 p.2: if have cardiac surgery can flex to do more in your cath lab

AFL 11-30 p.2

[This is generic flex provisions]

AFL 11-30 p.2

AFL 11-30 p.2-3

AFL 11-30 p.3

AFL 18-19 explains the Flex process and states 60 days

DOM 11-21 p.1