Health and Safety Code §1367.01(h)(4)
August 28, 2020 5:10 pm(h)(4) Responses regarding decisions to deny, delay, or modify health care services requested by providers prior to, retrospectively, or concurrent... View more
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Health and Safety Code §1371.4(c)
August 28, 2020 5:09 pm(c) …a healthcare service plan shall not require a provider to obtain authorization prior to the provision of emergency services... View more
Health and Safety Code §1370.2
August 28, 2020 5:05 pmThis health care provider or the medical director shall review the appeal and, if he or she determines that he... View more
Health and Safety Code §1367.62(a)(1-2)
August 28, 2020 5:04 pm(a) No health care service plan contract that is issued, amended, renewed, or delivered on or after the effective date of... View more
Health and Safety Code §1367.62(a)(7)
August 28, 2020 5:04 pm(a) No health care service plan contract that is issued, amended, renewed, or delivered on or after the effective date... View more
28 CCR § 1300.67(g)(2)
August 28, 2020 5:01 pm(2) …Emergency services defined in section 1317.1 include active labor. “Urgently needed services” are those services necessary to prevent serious... View more
28 CCR §1300.71(i)(1-2)
August 28, 2020 4:59 pm(1) Late payment on a complete claim for emergency services and care, which is neither contested nor denied, shall automatically... View more
Health and Safety Code §1367.01(h)(1)
August 28, 2020 4:58 pm(h) In determining whether to approve, modify, or deny requests by providers prior to, retrospectively, or concurrent with the provision... View more