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EDMUND G. BROWN JR.
Governor

State of California—Health and Human Services Agency
California Department of Public Health



Primary Care Clinic

Definitions

 

Affiliate clinic​is a clinic corporation on behalf of a primary care clinic that has held a valid, unrevoked, and unsuspended license for at least the immediately preceding five years, with no demonstrated history of repeated or uncorrected violations or any regulation that pose immediate jeopardy to a patient, and that has no pending action to suspend or revoke its license may file an affiliate clinic application to establish a primary care clinic at an additional site or a mobile health care unit. The clinic corporation (parent clinic) that operates the existing licensed PCC: 1) has submitted a completed affiliate clinic application and application fee; 2) corporate officers are the same; 3) are owned and operated by the same nonprofit organization with the same board of directors; and, 4) have the same medical director or directors and medical policies, procedures, protocols, and standards.”
[Health and Safety Code (HSC) section 1218.1]
Community clinic​is “a clinic operated by a tax-exempt nonprofit corporation that is supported and maintained in whole or in part by donations, bequests, gifts, grants, government funds or contributions, that may be in the form of money, goods, or services. In a community clinic, any charges to the patient shall be based on the patient’s ability to pay, utilizing a sliding scale.”
[HSC section 1204(a)(1)(A)]
Consolidated license​means “allowing eligible PCCs or affiliate clinics to add additional physical plants, maintained and operated on separate premises, to an existing PCC or affiliate clinic site. The PCC or affiliate clinic license shall be amended to include the additional physical plant as part of a single consolidated license. A PCC or affiliate clinic may add additional locations that are no more than one-half mile from the licensed clinic adding the additional physical plant under the consolidated license.”
[HSC section 1212(d)]
Federally Qualified Health Centers (FQHC) ​are “a community-based health care providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in underserved areas. They must meet a stringent set of requirements, including providing care on a sliding fee scale based on ability to pay and operating under a governing board that includes patients.
[Social Security Act section 1905(l)(2)(B)]
Note: A licensed PCC may be certified as a FQHC, if the clinic meets Centers for Medicare and Medicaid Services (CMS) requirements.
Free clinic​is “a clinic operated by a tax-exempt nonprofit corporation that is supported and maintained in whole or in part by donations, bequests, gifts, grants, government funds or contributions, that may be in the form of money, goods, or services. In a free clinic there shall be no charges directly to the patient for services rendered or for drugs, medicines, appliances, or apparatuses furnished.”
[HSC section 1204(a)(1)(B)]
Intermittent clinic​is “a clinic that is operated by a primary care community or free clinic and that is operated on separate premises from the licensed clinic and is only open for limited services of no more than 30 hours a week. An intermittent clinic as described in this subdivision shall, however, meet all other requirements of law, including administrative regulations and requirements, pertaining to fire and life safety.”
[HSC section 1206(h)]
Mobile service unit or mobile unit​means “a special purpose commercial coach or a commercial coach that provides medical, diagnostic, and treatment services and does not mean a modular, relocatable, or transportable unit that is designed to be placed on a foundation when it reaches its destination, nor does it mean any entity that is exempt from licensure.”
[HSC section 1765.105]
​​Rural health clinic (RHC)is “a clinic that is located in a rural area designed as a shortage area, is not a rehabilitation agency or a facility primarily for the care and treatment of mental diseases.” [Code of Federal Regulations (CFR) 42 section 491.2]
Note: RHC may or may not be licensed PCC.



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