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California Code of Regulations (Last Updated: August 6, 2014) |
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Title 22. Social Security |
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Division 3. Health Care Services |
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Subdivision 1. California Medical Assistance Program |
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Chapter 4.1. Two-Plan Model Managed Care Program |
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Article 6. Operational Requirements |
| § 53851. Scope of Services. |
| § 53852. Availability of Services. |
| § 53853. Accessibility of Services. |
| § 53854. Pharmaceutical Services and Prescribed Drugs. |
| § 53855. Care Under Emergency Circumstances. |
| § 53856. Facilities, Service Locations, and Equipment. |
| § 53857. Medical Director. |
| § 53858. Member Grievance Procedures. |
| § 53859. Provider Grievances and Complaints. |
| § 53860. Quality of Care. |
| § 53861. Records. |
| § 53862. Reporting. |
| § 53863. Assumption of Financial Risk. |
| § 53864. Financial Standards/Resources. |
| § 53865. Financial Performance Guarantee. |
| § 53866. Member Billing and Recovery from Other Sources. |
| § 53867. Subcontracts. |
| § 53868. Reinsurance. |
| § 53869. Capitation Payment, Payment Rate Determination/Redetermination. |
| § 53870. Affiliated Organizations and Persons. |
| § 53871. Financial Audit. |
| § 53872. Civil Penalties. |
| § 53873. Contract Termination. |
| § 53874. Conflict of Interest. |
| § 53875. Emergency Services Claims Disputes. |
| § 53876. Cultural and Linguistic Requirements. |