Section 14016.7 - Requirements of managed care contracts(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.(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.Ca. Welf. and Inst. Code § 14016.7
Added by Stats. 1991, Ch. 95, Sec. 4. Effective 6/30/1991.