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Article 3. 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 6. Primary Care Case Management Plans
Article 3. Operational Requirements
Article 3. Operational Requirements
State of California
56200
Organization and Administration.
56210
Scope of Services.
56212
Availability of Services. [Repealed]
56214
Pharmaceutical Services and Prescribed Drugs. [Repealed]
56216
Care Under Emergency Circumstances.
56220
Member Billing.
56222
Recovery from Other Sources.
56230
Facilities and Service Sites.
56242
Providers.
56246
Medical Director.
56250
Subcontracts.
56251
Assumption of Financial Risk.
56252
Reinsurance.
56260
Grievance Procedures.
56261
Notice to Members of PCCM Plan Action to Deny, Defer or Modify a Request for Medical Services.
56262
Provider Grievance and Complaints.
56264
Member Complaints. [Repealed]
56280
Quality of Care. [Repealed]
56284
Confidentiality of Medical Records.
56286
Continuity of Care.
56310
Records.
56312
Reporting.
56314
Statistical Data.
56320
Capitation Payment.
56321
Capitation Payment Rates Determination.
56322
Capitation Rate Redetermination.
56322.1
Savings Sharing.
56324
Financial Resources.
56326
Financial Security.
56330
Affiliate.
56340
Financial Audit.
56350
Civil Penalties and Sanctions.
56352
Contract Termination.