Statute · California Welfare and Institutions Code

Cal. Welf. & Inst. Code § 14016.7 — General Provisions

Cal. Welf. & Inst. Code § 14016.7

Type
Statute
Source
California Welfare and Institutions Code
Jurisdiction
California
Date
1991-06-30
Current through
Nov 2, 2026 (California Legislative Counsel)

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

Citator

Cal. Welf. & Inst. Code § 14016.7 — General Provisions is in force in the current edition of the Code, and nothing recorded condemns it.

(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.