(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.
","text":"(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.","otherVersions":[],"url":"https://blackletter.si/welfare-and-institutions-code/general-provisions-14016-7","source":"California Legislative Information bulk export (pubinfo)"}