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Article 6. Operational Requirements | Midpage
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California Code of Regulations
Title 22
Division 3. Health Care Services
Subdivision 1. California Medical Assistance Program
Chapter 4.1. Two-Plan Model Managed Care Program
Article 6. Operational Requirements
Article 6. Operational Requirements
State of California
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. [Repealed]
53873
Contract Termination.
53874
Conflict of Interest.
53875
Emergency Services Claims Disputes.
53876
Cultural and Linguistic Requirements.