1368: Grievance System
1368.01: Grievance System Time Limits
1368.02: Grievance Hot Lines; Patient Advocate
1368.03: Referral of Grievances
1368.04: Penalties for Noncompliance with Grievance System
1368.1: Denial of Coverage to Terminal Patients
1368.2: Hospice Care
1368.5: Pharmacist Costs
1369: Enrollee participation in establishing Plan's Public Policy
1370: Self-Review
1370.1: Peer Review Committees
1370.2: Plan Review of Contested Claims
1370.4: External Independent Medical Review
1370.6: Routine Care for Clinical Trials
1371: Time Limits for Reimbursement
1371.1: Overpayments to Providers
1371.2: Provider Payment not Dependent on Membership in Other Plans.
1371.22: "Lowest Payment Rate" not to include Patient Payments
1371.25: No Vicarious Liability
1371.3: Assignment to Medi-Cal
1371.35: Time Limits for Reimbursement
1371.36: Denials for Lack of Pre-Authorization(2)
1371.37: Unfair Payment Patterns(2)
1371.38: Provider Dispute Resolution Mechanism(2)
1371.39: Complaint Lines for Providers and Plans(2)
1371.4: 24-hour Authorization Phone; Emergency Services
1371.5: 911 Ambulance Reimbursement
1371.8: Recission of Authorization
1372: Multiple contracts may be offered
1373: No Exception for Medi-Cal Coverage;
Sterilization; Coverage for Dependents; Discrimination against Handicapped;
Continuity of Coverage; Mental Health Care; Disclosure of Arbitration
1373.1: Converson Rights for Dependents
1373.2: Converson Rights for Dependent Spouses
1373.3: Selection of Primary Care Physician
1373.4: Complications of Pregnancy
1373.5: Spouses in Same Group
1373.6: Conversion to Non-Group Insurance
1373.621: COBRA & Cal-COBRA
1373.65: Notice of Termination of Medical Group
1373.7: State Licensed Psychologists
1373.8: State Licensed Psychologists
1373.9: Proposals for Affiliation by Providers
1373.10: Acupuncture
1373.11: Podiatrists
1373.12: Chiropractors
1373.13: Dentists
1373.14: Dementia
1373.18: Copayment Rates
1373.19: Binding Arbitration, under $200,000
1373.20: Binding Arbitration Procedures
1373.21: Binding Arbitration Decisions
1373.95: Continuity of Care of New Enrollees
1373.96: Continuity of Care after Termination of Provider
1374: Coverage for Employee at least as favorable a for Spouse
1374.3: Medi-Cal Compliance
1374.5: Mental Health Waivers
1374.51: Voluntary and Involuntary psychiatric admissions are equivalent.
1374.55: Infertility
1374.56: Phenylketonuria
1374.57: Non-Resident Dependents
1374.58: Domestic Partners
1374.7: Discrimination on Genetic Characteristics
1374.75: Discrimination on Domestic Violence
1374.8: Release of Information to Employer re Mental Health Care
1374.9: Penalties for Genetic Discrimination
1374.10: Home Health Care
1374.11: Discrimination against Criminals
1374.12: State Hospital Inmates
1374.13: Telemedicine
1374.16: Standing Referrals to specialists, till 1/1/2004
1374.16: Standing Referrals to specialists, after 1/1/2004