Welf. & Inst. Code, § 14045 · Article 1.3. Provider Enrollment, Application, and Participation
Welf. & Inst. Code, § 14045
Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
(a) A provider shall not submit a reimbursement request to the Medi-Cal program containing a beneficiary’s social security number if the department has issued that beneficiary a Medi-Cal beneficiary identification card containing a beneficiary number with the issuance date included in that number.
(b) This section shall not apply to the submission of a request by a provider for beneficiary eligibility.
(c) In order to reduce medical fraud and the black market for stolen social security cards, the State Department of Health Care Services may establish an automated HIPAA-compliant system using HIPAA transactions whereby all providers can access a beneficiary’s identification card number for submitting reimbursement requests.
(d) When the provider makes a good faith effort to obtain a recipient’s beneficiary identification card number, this section shall not apply to the following types of services, or the following provider types, until the time that the department is able to establish a system described in subdivision (c):
(1) A hospital licensed pursuant to Chapter 2 (commencing with Section 1250) of Division 2 of the Health and Safety Code.
(2) A long-term health care facility, as defined in Section 1418 of the Health and Safety Code.
(3) A primary care clinic that is licensed pursuant to subdivision (a) of Section 1204 of the Health and Safety Code.
(4) Emergency medical transportation services.
(5) A hospital-based physician.
Notes and commentary — not statutory text
History
Amended by Stats. 2008, Ch. 179, Sec. 246. Effective January 1, 2009.
Source of truth
- Edition
- As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
- Official file
- https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=14045.
- Text hash
- sha256 228800b0d35548e06c55b0dd559c689f9f1668d1389cb25efe2452eb22f5f04b
- Composed by
- compose_ca.py 2026-10-22: the Legislative Counsel's CAML content files read by a tokenizer (caml_readers.reader_a); an independent xml.etree reading (caml_readers.reader_b) agrees on every section
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Health and Safety Code
- Health & Saf. Code, § 1204Printed as Section 1204 of the Health and Safety Code
- Health & Saf. Code, div. 2, ch. 2Health FacilitiesPrinted as Chapter 2 (commencing with Section 1250) of Division 2 of the Health and Safety Code
- Health & Saf. Code, § 1418Printed as Section 1418 of the Health and Safety Code
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.