California Medi-Cal Title 22 regulations

What changed

California's official regulations index places Medi-Cal rules in Title 22, Division 3, Subdivision 1, California Medical Assistance Program. Chapter 2 is Determination of Medi-Cal Eligibility and Share of Cost and includes articles on beneficiary application process, Medi-Cal programs, state administrative hearings, and estate recovery. Chapter 3, Article 1.3 includes general provisions such as beneficiary billing, treatment authorization requests, discrimination, fair hearing related to denial, termination, or reduction in medical services, medical assistance pending fair hearing decision, and provider grievance provisions. Chapter 3, Article 4 is Scope and Duration of Benefits and lists benefit sections including schedule of benefits, physician services, drugs, transportation, nursing-facility services, home health, EPSDT, home and community-based waiver services, hospice, and personal care services. Section 51301 states that benefits covered by Medi-Cal are limited to those set forth in Article 4 and Chapter 5, Article 4.

Why it matters

This is the official regulatory layer beneath California Medi-Cal applications, eligibility, hearings, coverage limits, medical-service continuation questions, provider billing, and home/community benefit categories.

Who it touches

Family caregivers, Care providers and plans, People receiving care, Businesses and agencies that must complyMedi-Cal applicants, Medi-Cal members, family caregivers, older adults, disabled people, county eligibility workers, providers

• California Code of Regulations Title 22 Chapter 2 Medi-Cal Eligibility and Share of Cost
• California Code of Regulations Title 22 Article 1.3 General Provisions
• California Code of Regulations Title 22 Article 4 Scope and Duration of Benefits
• California Code of Regulations Title 22 Section 51301 Schedule of Benefits

Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.