California Laws: Health and Safety Code Sections 1374.60-1374.72
- California Laws: Health and Safety Code Section 1375.1
(a) Every plan shall have and shall demonstrate to the director that it has all of the following: (1) A fiscally sound operation and adequate...
- California Laws: Health and Safety Code Section 1375.2
On and after October 1, 1977, every plan operating under a transitional license shall have a fiscally sound operation. ...
- California Laws: Health and Safety Code Section 1375.3
(a) A health care service plan shall meet and confer with the director and his or her designated representatives at least 10 business days prior...
- California Laws: Health and Safety Code Section 1375.4
(a) Every contract between a health care service plan and a risk-bearing organization that is issued, amended, renewed, or delivered in this state on or...
- California Laws: Health and Safety Code Section 1375.5
No contract between a risk-bearing organization and a health care service plan that is issued, amended, delivered, or renewed in this state on or after...
- California Laws: Health and Safety Code Section 1375.6
No contract between a risk-bearing organization and a health care service plan that is issued, amended, delivered, or renewed in this state on or after...
- California Laws: Health and Safety Code Section 1375.7
(a) This section shall be known and may be cited as the Health Care Providers' Bill of Rights. (b) No contract issued, amended, or renewed...
- California Laws: Health and Safety Code Section 1375.8
(a) The Legislature finds the following: (1) Because of the nature and cost of certain medical items, the financial risk of these items is better...
- California Laws: Health and Safety Code Section 1376
(a) No plan shall conduct any activity regulated by this chapter in contravention of such rules and regulations as the director may prescribe as necessary...
- California Laws: Health and Safety Code Section 1376.1
The deposit requirements of Section 1300.76.1 of Title 10 of the California Code of Regulations shall not apply to any plan operated by a county,...
- California Laws: Health and Safety Code Section 1377
(a) Every plan which reimburses providers of health care services that do not contract in writing with the plan to provide health care services, or...
- California Laws: Health and Safety Code Section 1378
No plan shall expend for administrative costs in any fiscal year an excessive amount of the aggregate dues, fees and other periodic payments received by...
- California Laws: Health and Safety Code Section 1379
(a) Every contract between a plan and a provider of health care services shall be in writing, and shall set forth that in the event...
- California Laws: Health and Safety Code Section 1380
(a) The department shall conduct periodically an onsite medical survey of the health delivery system of each plan. The survey shall include a review of...
- California Laws: Health and Safety Code Section 1380.1
(a) The Legislature finds and declares as follows: (1) Multiple medical quality audits of health care providers, as many as 25 for some physician offices,...
- California Laws: Health and Safety Code Section 1380.3
Notwithstanding Section 1380, any plan that provides services solely to Medi-Cal beneficiaries pursuant to Chapter 8 (commencing with Section 14200) of Part 3 of Division...
- California Laws: Health and Safety Code Section 1381
(a) All records, books, and papers of a plan, management company, solicitor, solicitor firm, and any provider or subcontractor providing health care or other services...
- California Laws: Health and Safety Code Section 1382
(a) The director shall conduct an examination of the fiscal and administrative affairs of any health care service plan, and each person with whom the...
- California Laws: Health and Safety Code Section 1383
Every plan that is a health maintenance organization qualified under Section 1310(d) of Title XIII of the federal Public Health Service Act, shall provide the...
- California Laws: Health and Safety Code Section 1383.1
(a) On or before July 1, 1997, every health care service plan shall file with the department a written policy, which is not subject to...
- California Laws: Health and Safety Code Section 1383.15
(a) When requested by an enrollee or participating health professional who is treating an enrollee, a health care service plan shall provide or authorize a...
- California Laws: Health and Safety Code Section 1384
(a) Within 90 days after receipt of a request from the director, a plan or other person subject to this chapter shall submit to the...
- California Laws: Health and Safety Code Section 1385
Each plan, solicitor firm, and solicitor shall keep and maintain current such books of account and other records as the director may by rule require...
