Plain English Breakdown
The bill summary and digest do not provide specific details on exceptions to utilization controls or the exact conditions under which additional visits may be authorized.
Medi-Cal Acupuncture Coverage
This law requires Medi-Cal to cover up to 24 acupuncture visits each year for people who qualify, with additional visits allowed based on medical necessity.
What This Bill Does
- Requires the Medi-Cal program to cover up to 24 acupuncture visits per beneficiary per calendar year.
- States that these treatments are not subject to utilization controls except as specified.
- Allows additional acupuncture visits beyond the 24 if authorized by a doctor based on medical necessity.
Who It Names or Affects
- People who get health care through Medi-Cal
- Doctors and acupuncturists who treat Medi-Cal patients
Terms To Know
- Medi-Cal
- A government program that helps low-income people pay for medical care.
- Utilization controls
- Rules about how often a person can use certain health services.
Limits and Unknowns
- The bill does not specify what happens if federal matching funds are not available.
- It's unclear how many people will need additional visits beyond the initial 24 per year.