California Laws: Health and Safety Code Section 1368.01
Section 1368.01
(a) The grievance system shall require the plan to resolve
grievances within 30 days.
(b) The grievance system shall include a requirement for expedited
plan review of grievances for cases involving an imminent and
serious threat to the health of the patient, including, but not
limited to, severe pain, potential loss of life, limb, or major
bodily function. When the plan has notice of a case requiring
expedited review, the grievance system shall require the plan to
immediately inform enrollees and subscribers in writing of their
right to notify the department of the grievance. The grievance
system shall also require the plan to provide enrollees, subscribers,
and the department with a written statement on the disposition or
pending status of the grievance no later than three days from receipt
of the grievance. Paragraph (4) of subdivision (a) of Section 1368
shall not apply to grievances handled pursuant to this section.
Section: 1368.01
