California Laws: Health and Safety Code Sections 1374.20-1374.29
- California Laws: Health and Safety Code Section 1374.30
(a) Commencing January 1, 2001, there is hereby established in the department the Independent Medical Review System. (b) For the purposes of this chapter, "disputed...
- California Laws: Health and Safety Code Section 1374.31
(a) If there is an imminent and serious threat to the health of the enrollee, as specified in subdivision (c) of Section 1374.33, all necessary...
- California Laws: Health and Safety Code Section 1374.32
(a) By January 1, 2001, the department shall contract with one or more independent medical review organizations in the state to conduct reviews for purposes...
- California Laws: Health and Safety Code Section 1374.33
(a) Upon receipt of information and documents related to a case, the medical professional reviewer or reviewers selected to conduct the review by the independent...
- California Laws: Health and Safety Code Section 1374.34
(a) Upon receiving the decision adopted by the director pursuant to Section 1374.33 that a disputed health care service is medically necessary, the plan shall...
- California Laws: Health and Safety Code Section 1374.35
(a) After considering the results of a competitive bidding process and any other relevant information on program costs, the director shall establish a reasonable, per-case...
- California Laws: Health and Safety Code Section 1374.36
(a) The director shall submit to the Legislature by March 1, 2002, a report on the initial implementation of this article. The report shall include...
- California Laws: Health and Safety Code Section 1374.27
The director may levy administrative penalties and may suspend or revoke the license or licenses issued to any health care service plan, after notice and...
- California Laws: Health and Safety Code Section 1374.28
In addition to any other penalty provided by law or the availability of any administrative procedure, if a health care service plan, after notice and...
- California Laws: Health and Safety Code Section 1374.29
The purpose of this article is to promote the public interest, to prevent unfair and unlawful health care business practices, and to promote adequate consumer...
