Added by Stats. 1991, Ch. 95, Sec. 4. Effective June 30, 1991.
(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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Other sections in Article 1 - General Provisions