Hospital Outpatient Department Services and Organized Outpatient Clinic Services.

(a)

Hospital outpatient department services and organized outpatient clinic services are covered to the extent listed:

(b)

Physician services in a hospital outpatient department or clinic are subject to the requirements of Sections 51305 through 51305.7. Services indicated in (6) through (8) above are subject to the limitations specified in Section 51304(a). Podiatry services, except as otherwise specified in Section 51310(a)(1), and physical therapy services are covered only if prior authorization is obtained from the Medi-Cal consultant. The services set forth above are subject to the same limitations that apply when such services are provided in a nonhospital or nonclinic setting.

(c)

Organized outpatient clinic services shall be covered only for services provided to outpatients at the clinic site. Medical staff of organized outpatient clinics who wish to provide and be reimbursed for ongoing care to a clinic patient who has been admitted to a health facility, or who is confined to his or her residence must obtain and use individual or group physician provider numbers. They must also separately bill the program for these out-of-clinic services utilizing their individual provider numbers with the appropriate place of service indicated.

(d)

Drugs dispensed by a licensed nonprofit community or free clinic for use at home shall be covered only if the clinic has obtained a permit pursuant to Business and Professions Code Section 4063 et seq. All drugs dispensed to Medi-Cal patients by clinics with special permits shall be subject to the provisions of Sections 51313 and 51313.3 as applicable.