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Article 8. Self-Policing Procedures | 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 8. Self-Policing Procedures
Article 8. Self-Policing Procedures
State of California
1300.67.60
Standing Referral to HIV/AIDS Specialist. [Renumbered]
1300.68
Grievance System.
1300.68.01
Expedited Review of Grievances.
1300.68.2
Hospice Services.
1300.69
Public Policy Participation by Subscribers.
1300.70
Health Care Service Plan Quality Assurance Program.
1300.70.4
Independent Medical Reviews Experimental and Investigational Therapies.
1300.71
Claims Settlement Practices.
1300.71.31
Methodology for Determining Average Contracted Rate; Default Reimbursement Rate.
1300.71.38
Fast, Fair and Cost-Effective Dispute Resolution Mechanism.
1300.71.39
Unfair Billing Patterns.
1300.71.4
Emergency Medical Condition and Post-Stabilization Responsibilities for Medically Necessary Health Care Services.
1300.73.21
Arbitration and Settlement Agreements.
1300.74.16
Standing Referral to HIV/AIDS Specialist.
1300.74.30
Independent Medical Review System.
1300.74.551
Scope of Fertility Preservation Services for Iatrogenic Infertility.
1300.74.72
Mental Health and Substance Use Disorder Coverage Requirements.
1300.74.72.01
Scope of Required Benefits for Mental Health and Substance Use Disorders.
1300.74.721
Mental Health and Substance Use Disorder Utilization Review Requirements.
1300.74.73
Pervasive Developmental Disorder and Autism Coverage.