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Cal. Welf. & Inst. Code § 14016.7

General Provisions

Known as the Medi-Cal Act

The act spans §§ 14000 to 14199.87 (1,239 sections).

Added by Stats. 1991, Ch. 95, Sec. 4

(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.

Official source: California Legislative Information. Reproduced from public-domain California statutes; confirm against the official source for the current text. Not legal advice.