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Article 7. Standards | Midpage
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California Code of Regulations
Title 28
Division 1. The Department of Managed Health Care
Chapter 2. Health Care Service Plans
Article 7. Standards
Article 7. Standards
State of California
1300.67
Scope of Basic Health Care Services.
1300.67.003
State Medical Loss Ratio Annual Report.
1300.67.005
Essential Health Benefits.
1300.67.01
COVID-19 Diagnostic Testing. [Repealed]
1300.67.02
Transfer of Enrollees Pursuant to a Public Health Order.
1300.67.04
Language Assistance Programs.
1300.67.05
Acts of War Exclusions.
1300.67.1
Continuity of Care.
1300.67.1.3
Block Transfer Filings.
1300.67.2
Accessibility of Services.
1300.67.2.1
Geographic Accessibility Standards.
1300.67.2.2
Timely Access to Non-Emergency Health Care Services and Annual Timely Access and Network Reporting Requirements.
1300.67.2.3
Timely Access Quality Assurance for Measurement Year 2022. [Repealed]
1300.67.3
Standards for Plan Organization.
1300.67.4
Subscriber and Group Contracts.
1300.67.8
Contracts with Providers.
1300.67.10
Discrimination Prohibited. [Repealed]
1300.67.11
Disclosure of Conflicts of Interest.
1300.67.12
Contracts with Solicitor Firms.
1300.67.13
Coordination of Benefits (“COB”).
1300.67.205
Standard Prescription Drug Formulary Template.
1300.67.24
Outpatient Prescription Drug Copayments, Coinsurance, Deductibles, Limitations and Exclusions.
1300.67.241
Prescription Drug Prior Authorization or Step Therapy Exception Request Form Process.
1300.67.27
Provider Directories.
1300.67.50
Certain Medicare Supplement Contracts: Presumption of Unfairness. [Repealed]
1300.67.51
Medicare Supplement Contract Provisions. [Repealed]
1300.67.52
Medicare Supplement Additional Benefit Requirements. [Repealed]
1300.67.53
Medicare Supplement Minimum Aggregate Benefits. [Repealed]
1300.67.55
Medicare Supplement Reporting Requirements. [Repealed]
1300.67.56
Transitional Requirements for the Conversion of Medicare Supplement Contracts to Conform to Medicare Program Revisions. [Repealed]
1300.67.57
Format For Notices of Changes in Coverage. [Repealed]
1300.67.58
Participating Physician or Supplier Claims Form Requirement. (Compliance with Section 4081 of the Omnibus Budget Reconciliation Act of 1987) [Repealed]
1300.67.59
Format for Reporting Loss Ratio Experience. [Repealed]