California § 14016.7. 14016.7. (Added by Stats. 1991, Ch. 95, Sec. 4.)

California Statutes

§ 14016.7. — 14016.7. (Added by Stats. 1991, Ch. 95, Sec. 4.)

California·Code WIC Welfare and Institutions Code - WIC·Div. 9. DIVISION 9. PUBLIC SOCIAL SERVICES·Part 3. PART 3. AID AND MEDICAL ASSISTANCE·Ch. 7. CHAPTER 7. Basic Health Care·Art. 1. ARTICLE 1. General Provisions

(a)Managed care contracts entered into by the department under the act adding this section shall include all of the following:

(1)Contractor requirements concerning eligibility and coverage verification.

(2)Utilization controls.

(3)Claims processing.

(b)The contract requirements shall include all of the following:

(1)Standards for prompt response to provider requests for information.

(2)Twenty-four hour response to emergency service authorization requests.

(3)Use of commonly accepted billing forms.

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(a)
Managed care contracts entered into by the department under the act adding this section shall include all of the following:
(1)
Contractor requirements concerning eligibility and coverage verification.
(2)
Utilization controls.
(3)
Claims processing.
(b)
The contract requirements shall include all of the following:
(1)
Standards for prompt response to provider requests for information.
(2)
Twenty-four hour response to emergency service authorization requests.
(3)
Use of commonly accepted billing forms.

California § 14016.7. (14016.7. (Added by Stats. 1991, Ch. 95, Sec. 4.)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.