HEALTH AND SAFETY CODE
SECTION 1367-1374.16
"STANDARDS"

(as of 9/5/2002)

1367: Licensing; Contract Requirements
1367.01: Utilization Review Requirements
1367.02: Economic Profiling
1367.05: Contracts with Dental Colleges
1367.09: Skilled Nursing Facility Coverage
1367.1: Blah, Blah
1367.2: Alcoholism Treatment
1367.3: Child Preventive Care
1367.35: Child Preventive Care
1367.36: Physicians not at financial risk for Childhood Immunizations
1367.4: No Discrimination against the Blind
1367.45: AIDS Vaccine
1367.5: Discharge Planning
1367.51: Diabetes
1367.54: Alpha Feto Protein
1367.6: Breast Cancer
1367.61: Post-Laryngectomy Prostheses
1367.62: Maternity Benefits
1367.63: Reconstructive Surgery
1367.635: Post-Mastectomy Care
1367.64: Prostate Cancer
1367.65: Mammography
1367.66: Cervical Cancer
1367.665: Cancer Screening Tests
1367.67: Osteoporosis
1367.68: Jawbone Surgery
1367.69: Obstetrician-Gynecologists as Primary Care Physicians
1367.695: Access to Obstetrician-Gynecologists
1367.7: Prenatal Diagnosis of Genetic Disorders
1367.71: General Anesthesia for Dental Procedures
1367.8: Disability Discrimination
1367.9: Diethylstilbestrol Discrimination
1367.10: Disclosure of Financial Incentives and Restrictions on Choice
1367.11: Medical Transportation Reimbursement
1367.12: One Form per Claim
1367.15: Closing a Block of Business
1367.18: Orthotic and Prosthetic Devices
1367.19: Special Footwear
1367.20: Formulary Disclosure(2)
1367.21: Off-Label Drug Use
1367.215: Pain Medications for Terminally Ill Patients
1367.22: Prescription Drug Continuity
1367.23: Notification of Contract Cancellation
1367.24: Authorization for Nonformulary Prescription Drugs
1367.25: Contraceptives
1367.26: Lists of Providers

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