California Code of Regulations (Last Updated: August 6, 2014) |
Title 22. Social Security |
Division 3. Health Care Services |
Subdivision 1. California Medical Assistance Program |
Chapter 4.1. Two-Plan Model Managed Care Program |
Article 6. Operational Requirements |
§ 53875. Emergency Services Claims Disputes.
Latest version.
- In resolving disputes over claims for reimbursement for emergency services provided to plan members by nonplan providers, the involved parties and the department shall adhere to the procedures and requirements set forth in Article 7 of Chapter 4, commencing with section 53620 except subsection (e) of section 53676.HISTORY1. New section filed 7-1-96 as an emergency; operative 7-1-96. Submitted to OAL for printing only pursuant to Section 147, SB 485 (Ch. 722/92) (Register 96, No. 28).2. Repealer of section and Note and new section and Note filed 3-4-97; operative 3-4-97. Submitted to OAL for printing only pursuant to Section 147, SB 485 (Ch. 722/92) (Register 97, No. 10).
Note
Note: Authority cited: Sections 10725, 14105, 14124.5 and 14312, Welfare and Institutions Code. Reference: Sections 14087.3 and 14087.4, Welfare and Institutions Code.