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California Code, Welfare and Institutions Code - WIC § 14016.7

Current as of January 01, 2025 | Updated by Findlaw Staff

(a) Managed care contracts entered into by the department under the act adding this section shall include all of the following:

(1) Contractor requirements concerning eligibility and coverage verification.

(2) Utilization controls.

(3) Claims processing.

(b) The contract requirements shall include all of the following:

(1) Standards for prompt response to provider requests for information.

(2) Twenty-four hour response to emergency service authorization requests.

(3) Use of commonly accepted billing forms.

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Cite this article: FindLaw.com - California Code, Welfare and Institutions Code - WIC § 14016.7 - last updated January 01, 2025 | https://codes.findlaw.com/ca/welfare-and-institutions-code/wic-sect-14016-7/

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