California · Welfare and Institutions Code - WIC
WIC §14016.7: (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 verifica
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(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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