DIVISION 9. PUBLIC SOCIAL SERVICES 10000-18999.8›PART 3. AID AND MEDICAL ASSISTANCE 11000-15771›CHAPTER 7. Basic Health Care 14000-14199.56›ARTICLE 1. General Provisions 14000-14043.1
§ 14016.7
California Welfare and Institutions Code · 2018-11 edition · updated 2026-10-04 · California
(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.
(Added by Stats. 1991, Ch. 95, Sec. 4. Effective June 30, 1991.)
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